President Biden Releases FY 2025 Budget: What’s NOT in It?
Earlier this week, President Biden released his Fiscal Year (FY) 2025 President’s Budget. As a reminder, every year, the White House releases a budget that serves as its official funding request to...
View ArticleOptum Seeks Massive Clawback of Medicare Advantage Plan Payments
Recently, Optum Behavioral Health (“Optum,” the services division for UnitedHealth Group) has initiated overpayment recovery actions against numerous licensed clinical social workers (“LCSWs”) across...
View Article2022 Quality Payment Program Performance Report Released: Observations and...
A couple of weeks ago, the Centers for Medicare & Medicaid Services (CMS) released an important report that provides insight into a significant contributor of clinicians’ overall Medicare...
View Article“Reg Season” is Coming! Preview of the Physician Fee Schedule
School is out and it is summertime, which means only one thing in the health policy community: reg season! This is the time of the year when the Centers for Medicare & Medicaid Services (CMS)...
View ArticleHolland & Knight Health Dose: June 25, 2024
Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector....By:...
View ArticleMedicare Proposed 2025 Telehealth Changes
CMS proposed several telehealth changes in the 2025 Medicare Physician Fee Schedule Proposed Rule, issued July 10, 2024....By: Tucker Arensberg, P.C.
View ArticleMedicare Proposes 2.8% Physician Fee Schedule Reduction
See below for the CMS (Centers for Medicare & Medicaid Services) Announcement on July 10, 2024 proposing a reduction in the Medicare Conversion Factor payment from $33.29 to $32.36, i.e. 2.8%...By:...
View ArticleMcDermottPlus Check-Up: July 12, 2024
Senate HELP Committee Holds Hearing on Medical Debt. The hearing examined the negative impacts of medical debt and explored potential solutions to address the growing issue. Senators and witnesses...
View ArticleCMS Releases Annual Medicare Hospital OPPS and ASC Payment System Proposed Rule
On July 10, the Centers for Medicare and Medicaid Services (CMS) released its annual Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed...
View ArticleCMS Releases CY 2025 Physician Fee Schedule Proposed Rule
On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2025 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to...
View ArticleThe Budget Neutrality Paradox: Explaining the CY 2025 PFS Positive Budget...
The major calendar year proposed regs are now out, with thousands of pages of text to digest. Since a plethora of issues are embedded in these regs, including the Calendar Year (CY) 2025 Physician Fee...
View ArticleThe 2025 Proposed Hospital Outpatient Prospective Payment System and...
Pharma’s favorite summer pastime is back again: reviewing the Centers for Medicare & Medicaid Services (CMS) release of the 2025 proposed Hospital Outpatient Prospective Payment System (HOPPS) and...
View ArticleCMS Issues CY 2025 Physician Fee Schedule Proposed Rule
On July 10, 2024, CMS issued a proposed rule that identifies and seeks public comments on a broad array of proposed changes to the Medicare Physician Fee Schedule (PFS) and Medicare Part B payments...
View ArticleWashington Healthcare Update - July 2024 #3
This Week in Washington: House Rules Committee to consider FY2025 Agriculture-FDA and Related Agencies funding bill amendments; MedPAC releases July 2024 data book on Medicare program spending;...
View ArticlePhysicians Face Proposed Medicare Reimbursement Cuts for 2025 (RIN 0938-AV33)
Physician Fee Schedule Faces Cuts in CY25 - Overall Medicare payments to physicians and clinicians would be cut by a proposal to decrease average base payment rates by 2.93% from calendar year 2024...
View ArticlePhysician Fee Schedule Proposed Rule Proposes New Quality-Driven Payment...
Within its proposed CY 2025 Physician Fee Schedule (PFS) rule (the Proposed Rule), CMS is proposing to implement new payment policies intended to advance health equity and support whole-person care....
View ArticleCMS Sneaks 340B Billing Proposals into Medicare Physician Fee Schedule: What...
On July 10, the Centers for Medicare & Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, which includes proposals related to identification of Medicare...
View ArticleCMS Proposes New CoP for Obstetrical Services: With Great Power Comes Great...
In case you need a reminder given everything going on in Washington, DC, the Calendar Year (CY) 2025 Physician Fee Schedule (PFS) and CY 2025 Outpatient Prospective Payment System (OPPS) proposed regs...
View ArticleCMS Proposes Additional Revisions to the 60-Day Rule
The Centers for Medicare & Medicaid Services has issued its Calendar Year 2025 Medicare Physician Fee Schedule Proposed Rule, scheduled for publication in the Federal Register on July 31, 2024. In...
View ArticleCMS Releases CY 2025 Medicare Physician Fee Schedule Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Revisions to Payment Policies Under the Physician Fee Schedule (MPFS) and Other Revisions to Medicare...
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