Proposed CY 2016 MPFS Rule Takes First Steps in Implementing MACRA Reforms
On July 15, 2015, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Medicare physician fee schedule (MPFS) for CY 2016 – the first rulemaking since the...
View ArticleProposed 2016 Physician Fee Schedule Would Impact Medicare Shared Savings...
The proposed Physician Fee Schedule for 2016 [PDF] contains several provisions that are likely to have an impact on the Medicare Shared Savings Program (MSSP). These provisions focus in large part on...
View ArticleCMS Proposes Reporting and Payment Changes in Proposed 2016 Physician Fee...
On July 15, 2015, the Centers for Medicare and Medicaid Services (“CMS”) published its Calendar Year (“CY”) 2016 Physician Fee Schedule (“PFS”) Proposed Rule in the Federal Register. The rule proposes...
View ArticleChanges Are Afoot for Quality Measures and Physician Payment Provisions
In the proposed Medicare Physician Fee schedule (PFS) update for 2016, CMS announces a number of new policies, making changes to several of the quality reporting initiatives that are associated with...
View ArticleCMS Addresses Current Position on Supervision and Practitioner Qualifications...
Among the proposed changes to Medicare regulatory requirements related to billing and coverage of physician services set forth in the 2016 Medicare Physician Fee Schedule Proposed Rule (the Proposed...
View ArticleBlog: CMS Announces Updated Guidance Related to CME Reporting and Issues New...
Last week, the Centers for Medicare & Medicaid Services (CMS) announced that it updated its Open Payments Law and Policy webpage and issued 3 frequently asked questions (FAQs) related to the...
View ArticleStark Regulations: Technical Revisions
The proposed Physician Fee Schedule for CY 2016 includes multiple technical revisions to the regulations implementing the Stark law. These revisions appear to be designed to provide greater clarity and...
View ArticleCMS Issues CY 2016 Medicare Physician Fee Schedule Proposed Rule
On July 8, 2015, CMS issued its annual proposed rule outlining payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) for CY...
View ArticleCMS Publishes New Proposed Stark Law Rule: Top Ten Stark Law Takeaways from...
On July 15, 2015, the Centers for Medicare & Medicaid Services (“CMS”) published the Calendar Year 2016 Physician Fee Schedule Proposed Rule (“Proposed Rule”). The Proposed Rule includes several...
View ArticleStark Regulations: Proposed Physician-owned Hospitals Provisions
In the proposed Physician Fee Schedule for 2016 [PDF], CMS recommends amending several requirements related to the physician-owned hospital and rural provider exceptions to the Stark law. As discussed...
View ArticleCMS Drives Change in Quality, Physician Payment, and Stark in Proposed 2016...
The Centers for Medicare and Medicaid Services (CMS) took the opportunity in its annual update of the Medicare physician fee schedule (PFS) for 2016 to make a number of proposals to drive change in...
View ArticleCMS Proposes Significant Revisions to Stark Law
In its CY 2016 physician fee schedule proposed rule, the Centers for Medicare and Medicaid Services (“CMS”) proposes significant amendments and clarifications to the federal physician self-referral...
View ArticleNon-Stark Law Proposed Changes to Policies and Payments under the Physician...
On July 15, 2015, the Centers for Medicare and Medicaid Services (“CMS”) published proposed regulations governing policies and payments made under the Physician Fee Schedule (“PFS”) for calendar year...
View ArticlePotential Stark Changes Ahead
On July 15, 2015, the Centers for Medicare and Medicaid Services (“CMS”) published proposed regulations governing policies and payments made under the Physician Fee Schedule for calendar year 2016 (the...
View ArticleProposed Rule Aims to Refine Stark Regulations and Clarify “Incident To”
On July 15, 2015, the Centers for Medicare and Medicaid Services (CMS) published the calendar year (CY) 2016 Physician Fee Schedule Proposed Rule. In addition to updating several traditional Part B...
View ArticleRecent Stark Developments: A Moving Target Where a Miss is as Good as a Mile
The federal physician self-referral ban or Stark law has been a part of the legal landscape for almost 25 years. The breadth of the law’s prohibitions, its strict liability formulation and draconian...
View ArticleHealth Law Pulse - August 2015
The Office of the Inspector General (OIG) recently issued a favorable advisory opinion (Advisory Opinion) to a nonprofit health system (System) and a nonprofit psychiatric hospital (Center) regarding a...
View ArticleProposed 2016 Medicare Physician Fee Schedule Includes Changes to Stark...
The Centers for Medicare & Medicaid Services ("CMS") recently released the proposed 2016 Medicare Physician Fee Schedule (the "Proposed Rule"), which includes a number of proposed revisions to the...
View ArticleProposed Changes to Stark Rule Would Create New Hospital Exceptions and...
In a development that is limited in scope but still welcomed by hospitals, the proposed 2016 Physician Fee Schedule proposes a number of new exceptions to the physician self-referral or Stark law and...
View ArticleCMS Proposes Overhaul of Clinical Lab Payment Methodology: What You Need To Know
On Friday, the Centers for Medicare & Medicaid Services (“CMS”) issued a long-awaited proposed rule that would drastically change the payment rates for clinical laboratory services beginning...
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