Permanent Expansion of Telehealth Services – A Silver Lining?
As of December 1, the Centers for Medicare & Medicaid Services (CMS) has permanently expanded the number of telehealth services available to Medicare beneficiaries and enrollees as part of the...
View ArticleHappy New Year? 2021 Medicare Physician Fee Schedule is a Mixed Bag
While much of the health care industry looks to put this year in the rear view mirror, planning ahead for Connecticut providers who treat Medicare beneficiaries requires taking stock of the recently...
View ArticleCMS Finalizes Telehealth Coverage and Reimbursement Changes in Medicare...
The Big Picture - Since the onset of the COVID-19 pandemic, Congress and the Centers for Medicare & Medicaid Services (CMS) have dramatically—but temporarily—expanded coverage and reimbursement for...
View ArticleDialysis & Nephrology Digest - December 2020 #2
Proposed class action alleges DaVita subsidiaries withheld wage premium during declared COVID health emergency - According to a proposed class action filed in Washington state, an employee at Total...
View ArticleHealth Care Reimbursement and Payor Dispute Update Special Edition – Year End...
The Centers For Medicare & Medicaid Services Issues New Inpatient Prospective Payment System Final Rule - On September 3, 2020, the Centers for Medicare & Medicaid Services (CMS) issued the...
View ArticleNew Year Brings Significant Changes to Medicare Physician Fee Schedule
The Medicare Physician Fee Schedule Final Rule for Calendar Year 2021 (the Final Rule) issued by the Centers for Medicare & Medicaid Services (CMS) on December 1, 2020, and published in the Federal...
View ArticleConsolidated Appropriations Act of 2021 Provides Additional Relief to the...
On December 21, 2020, Congress passed the Consolidated Appropriations Act of 2021 (CRA), which combines a $1.4 trillion omnibus government spending bill with a $900 billion COVID-19 relief package. The...
View ArticleYear-End Appropriations Bill Includes Myriad Medicare Policy Changes
The Big Picture - Until late December, few if any Medicare policy changes were anticipated as part of a year-end healthcare package, barring extensions of funding for programs that otherwise would have...
View ArticleOmnibus Appropriations Package – 15 Key Provisions for Healthcare Providers
Passed by Congress Dec. 21, 2020, and signed by President Donald Trump Dec. 27, 2020, the $1.4 trillion omnibus Consolidated Appropriations Act, 2021 (H.R. 133), includes numerous statutory provisions...
View Article2021 Medicare Fee Schedule Conversion Factor Reduction Reversed
CY 2021 Physician Fee Schedule Update - On December 27, 2020, the Consolidated Appropriations Act modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS)......By: Tucker Arensberg,...
View ArticleDialysis & Nephrology Digest - January 2021
Congress’ year-end spending bill includes increase to Medicare physician fee schedule, surprise medical bill protection - Sweeping federal legislation signed into law on Dec. 27 combines $1.4-trillion...
View ArticleHealthcare Policy Outlook with a Democratic-Controlled Senate
The victories by Democrats Raphael Warnock and Jon Ossoff in the Georgia elections mean that incoming majority leader Chuck Schumer (D-N.Y.) will preside over the narrowest possible majority in the...
View ArticleCMS Revises 2021 Remote Patient Monitoring Rules, Issues Correction
CMS just issued a correction to its guidance on 2021 Medicare rules for remote physiologic monitoring (RPM) services. The correction is effective January 1, 2021 and revises the preamble commentary in...
View ArticleCMS Clarifies RPM Reimbursement
The Centers for Medicare & Medicaid Services (CMS) recently released corrections to its 2021 Physician Fee Schedule final rule that was published on December 28. Some of the corrections clarify...
View ArticleDialysis & Nephrology Digest - January 2021 #2
CMS to reprocess excepted off-campus provider-based outpatient claims following court ruling - CMS says it’ll begin reprocessing claims for outpatient clinic visit services provided at excepted...
View ArticleAudio Telehealth Services Post-Pandemic—An Update on Emerging Policy Trends
As highlighted in our September 2020 article, “Frequently Asked Questions: Telephonic Services as a Form of Telehealth,” in response to the COVID-19 pandemic, federal and state policy makers have...
View ArticleTelehealth Risks Come into Focus; Some Payers Don't Cover Audio-Only
Report on Medicare Compliance 30, no. 8 (March 1, 2021) - After the 2021 Medicare Physician Fee Schedule extended coverage of many telehealth services until the end of the public health emergency...
View ArticleCMS issues physician fee schedule update
Compliance Today (March 2021) - On January 7, the Centers for Medicare & Medicaid Services (CMS) Medicare Learning Network released the following physician fee schedule update......By: Health Care...
View ArticleCMS offers correct billing tips for nonphysician outpatient services provided...
Compliance Today (March 2021) - The Centers for Medicare & Medicaid Services (CMS) has provided the following compliance notice: “In a recent report, the Office of Inspector General (OIG)...
View Article[Video] Physician Compensation and Reimbursement
This week on Roetzel’s HealthLaw HotSpot, Roetzel attorneys Ericka Adler and David Hochman are joined by Lucy Zielinski, Managing Partner at Lumina Health Partners, for a discussion on the changing...
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