Post-Pandemic Access to Telehealth: Highlights of the CMS 2022 Physician Fee...
Last week, CMS announced its final Physician Fee Schedule Payment Policies (the “Final Rule”), which will become effective January 1, 2022. The Final Rule included several updates to Medicare coverage...
View ArticleCMS PFS Emphasizes Health Equity via Payment Policy Updates
The Centers for Medicare & Medicaid Services released its CY 2022 Physician Fee Schedule final rule on November 2 reflecting the Biden-Harris administration’s goal of increasing access to and...
View ArticleHealth Equity Remains a Priority for the Center for Medicare and Medicaid...
On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) announced that it will be taking actions to advance its strategic commitment to drive innovation to support health equity and...
View ArticleCY 2022 Medicare Physician Fee Schedule Final Rule Extends Telehealth Benefits
The Big Picture - On November 2, the Centers for Medicare & Medicaid Services (CMS) released Medicare Program; CY 2022 Payment Policies under the Physician Fee Schedule and Other Changes to Part B...
View ArticleCMS Releases Final Rule Regarding Payment Policies under the Physician Fee...
Last week, CMS issued a final rule addressing several topics, including changes to the physician fee schedule (PFS) and changes to Medicare Part B payment policies. Key changes include a net reduction...
View ArticleHealth Care E-Note - November 2021
Helpful hints - OIG Updates Health Care Fraud Self-Disclosure Protocol (“SDP”) - On November 8, 2021, the OIG issued an updated SDP to providers, which included clarifications of existing guidance and...
View ArticleCMS Issues 2022 Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) on Nov. 2, 2021, released the calendar year (CY) 2022 Medicare Part B Physician Fee Schedule (MPFS) Final Rule. With a temporary COVID-19 Public...
View ArticleCMS Corrects Inadvertent Omissions in Recent Stark Law Regulatory Amendments,...
Earlier this month, the Centers for Medicare and Medicaid Services (CMS) released its final rules for the 2022 Medicare Physician Fee Schedule (PFS Final Rule) and 2022 Medicare Hospital Outpatient...
View ArticleCMS Revises Stark Law Indirect Compensation Arrangement Definition, Again
The CY 2022 Medicare Physician Fee Schedule final rule includes further revisions to the definition of the term “indirect compensation arrangement” under the federal physician self-referral prohibition...
View ArticleWashington Healthcare Update - November 2021 #4
Congress - House - House Passes Reconciliation Package - On Nov. 19, the House passed the $1.7 trillion reconciliation package with a vote of 220-213. Votes came the morning after the Congressional...
View ArticlePhysician Fee Schedule Final Rule for 2022: What Pharma Needs To Know
The Centers for Medicare & Medicaid Services (CMS) calendar year 2022 rule finalizing changes to payment policies under the Physician Fee Schedule (PFS) and Medicare Part B (the Final Rule) was...
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 servic es. Telehealth is an essential tool in ensuring...
View ArticleWashington Healthcare Update - December 2021 #1
Upcoming Hearings/Markups - December 8 - House Agriculture Committee, Nutrition, Oversight, and Department Operations Subcommittee Hearing: “Review of USDA Nutrition Distribution Programs”...By:...
View ArticleTelehealth: Key Takeaways From The CY2022 PFS Final Rule
In November 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued the Physician Fee Schedule Final Rule (“Final Rule”) which includes several telehealth policy updates that will go into...
View ArticlePhysician Fee Schedule Final Rule for Calendar Year 2022 – CMS Cuts Rates and...
On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued its Calendar Year (CY) 2022 Physician Fee Schedule (“PFS”) Final Rule. In this post, we sample some key highlights...
View ArticleHealth Care Reimbursement and Payor Dispute Update Special Edition - Year End...
The end of 2021 brings positive indications of the continued acceptance of telehealth as an important clinical care approach post public health emergency (“PHE”). The Centers for Medicare and Medicaid...
View ArticleWashington Healthcare Update - July 2021 #2
This week in Washington: Infrastructure, Executive Order on Anti-competitiveness, House Appropriations Committee Acts on Labor-HHS Appropriations Bill, Senate Budget Committee Democrats Agree on Budget...
View ArticleProposed Physician Fee Schedule Adds Coverage For Remote Therapeutic Monitoring
The proposed 2022 Medicare Physician Fee Schedule released on July 13 by the Centers for Medicare & Medicaid Services (CMS) includes a new category of CPT codes for “remote therapeutic monitoring”...
View ArticleCMS to Permanently Cover Audio-Only Telemedicine for Mental Health
...The Centers for Medicare & Medicaid Services (CMS) has proposed permanent Medicare coverage of audio-only mental health telehealth services. Currently, Medicare covers audio-only telehealth...
View ArticlePhysician Fee Schedule Proposed Rule for 2022 Released: What Pharmaceutical...
The Centers for Medicare & Medicaid Services (CMS) calendar year 2022 rule proposing changes to payment policies under the Physician Fee Schedule (PFS) and Medicare Part B (the Proposed Rule) will...
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