HOPPS and Physician Fee Schedule Proposed Rules: What Pharmaceutical and...
CMS is soliciting comments on whether future payments for devices that may have been impacted by the COVID-19 PHE should be adjusted. The Centers for Medicare & Medicaid Services (CMS) issued its...
View ArticleMedicare Telehealth Coverage and Reimbursement After the Public Health Emergency
Over the past five months, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically, but temporarily, expanded coverage and reimbursement for telehealth services in...
View ArticleCMS Proposes Telehealth Updates to the 2021 Medicare Physician Fee Schedule
On August 3, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) updates for the 2021 calendar year, addressing among other policy...
View Article2021 Physician Fee Schedule Proposed Rule
On 3 August 2020, the Centers for Medicare & Medicaid Services (CMS) released its Physician Fee Schedule (PFS) proposed rule (Proposed Rule) for Calendar Year (CY) 2021.1 The agency will accept...
View ArticleCMS Proposes to Expand the Scope of Medicare Coverage Determinations
On September 1, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule that would, for the first time, establish formal criteria to define the “reasonable and...
View ArticleExecutive Summary: Tracking Telehealth Changes State-by-State in Response to...
As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring...
View ArticlePhysician Fee Schedule Proposed Rule Would Boost Medicare Reimbursement for...
The CMS Proposed Rule to update the Medicare Physician Fee Schedule for Calendar Year 2021, published in the Federal Register on August 17, 2020 (85 Fed. Reg. 50074), proposes several updates to...
View ArticleAmerican Telemedicine Association Responds to Medicare Telehealth 2021...
The American Telemedicine Association (ATA) issued a policy comment letter to the Centers for Medicare and Medicaid Services (CMS), advocating for telehealth-friendly changes to Medicare’s telehealth...
View ArticleThe American Telemedicine Association Leads the Industry Commenting on...
Faegre Drinker professionals Megan Herber, Sarah-Lloyd Stevenson and Libby Baney provide ongoing support to the American Telemedicine Association’s (ATA) policy work. This week, the comment period...
View ArticleK&L Gates Triage: ACO Quality Reporting in 2021: Key Changes from the...
In this week’s episode, Limo Cherian, Steve Pine, and Macy Flinchum discuss some of the key changes for Accountable Care Organizations (ACOs) in the recent Medicare Physician Fee Schedule proposed...
View ArticlewRVU Compensation Formulas: Time to Review
Many hospitals, physician groups, or other providers compensate employed or contracted practitioners based on the work relative value units (“wRVUs”) they generate, e.g., a physician may be paid $x per...
View ArticleTop Five New Telehealth Policies in Medicare 2021 in Physician Fee Schedule
The Centers for Medicare and Medicaid Services (CMS) just released its 2021 Final Rule (Physician Fee Schedule), with telehealth policy changes and a list of new services covered under Medicare....
View ArticleCMS Permanently Expands Telehealth As Far As Congress Has Allowed
The Centers for Medicare and Medicaid (CMS) expanded Medicare reimbursement for telehealth within the annual Physician Fee Schedule (PFS) final rule for 2021. During the pandemic Public Health...
View Article2021 Medicare Remote Patient Monitoring FAQs: CMS Issues Final Rule
On December 1, 2020, the Centers for Medicare and Medicaid Services (CMS) finalized new policies related to remote patient monitoring aka remote physiologic monitoring or “RPM,” reimbursed under the...
View ArticleCMS Continues to Support Telehealth and Virtual Care Policies in the CY 2021...
On December 1, 2020, CMS released the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule (Final Rule), which includes several policies to extend or make permanent certain...
View ArticleAlston & Bird Health Care Week in Review - December 2020 #1
Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in healthcare regulations, notices, and guidance; federal legislation and congressional committee...
View ArticleCMS Releases FY2021 Medicare Physician Fee Schedule Final Rule, Permanently...
On December 1, 2020, CMS released its FY2021 Final Rule (“Final Rule”) updating the Medicare Physician Fee Schedule (MPFS). The MPFS Final Rule is part of an annual cycle of regulations released during...
View ArticleMedicare Physician Fee Schedule Expands Telehealth Coverage
The 2021 Physician Fee Schedule (PFS) final rule recently released by the Centers for Medicare & Medicaid Services (CMS) includes the addition of 60 new telehealth services that will be covered and...
View ArticleCMS Finalizes the Physician Fee Schedule Rule for Calendar Year 2021
On December 2, 2020, CMS issued a final rule updating the payment policies and rates for services to be furnished under the Medicare Physician Fee Schedule (PFS) in calendar year (CY) 2021. The final...
View ArticleNew Stark Regulations Further Clarify Definitions of Fair Market Value and...
The Department of Health and Human Services (HHS), on November 20, 2020, released final rules for the federal physician self-referral law (Stark) and the anti-kickback statute (AKS). The Centers for...
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