Substance Use Disorder Treatment Services: 2025 Physician Fee Schedule...
On July 10, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule Proposed Rule (Proposed Rule) for the calendar year 2025. The Proposed Rule would...
View ArticleCMS Proposes Extending COVID-Era Telehealth and Supervision Flexibilities...
The Centers for Medicare & Medicaid Services (CMS) proposed to extend a number of COVID-era regulatory flexibilities related to telehealth, remote services, and supervision in the CY 2025 Medicare...
View ArticleCMS Updates Master List for DMEPOS
The Master List for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) comes from a November 2019 final rule that created the list to serve as a library of items that have been...
View ArticleLegislative Uncertainty Slows Down, But Doesn’t Halt, Regulatory Action on...
Legislative Uncertainty on Telehealth Waivers Slows Down, But Doesn’t Halt, Regulatory Action on Virtual Care McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by...
View ArticleCMS Proposes Additional Modifications to the Overpayment Rule Relating to the...
In the context of Medicare Advantage (“MA”) reform initiatives, we previously addressed the Centers for Medicare & Medicaid Services’ (“CMS”) December 27, 2022 proposal to amend its regulations set...
View ArticleCMS Solicits Comments to Clarify Parameters on MAC Downcoding of Complex Drug...
In the proposed CY 2025 Physician Fee Schedule (PFS) published in the Federal Register on July 31, the Centers for Medicare & Medicaid Services (CMS) is soliciting comments on a proposal to revise...
View ArticleCMS Proposes Significant Changes to the Medicare Shared Savings Program and...
Under the CY 2025 Medicare Physician Fee Schedule (PFS) proposed rule, CMS proposes several modifications to the Medicare Shared Savings Program (MSSP) that would become effective in performance year...
View ArticleProposed Medicare Physician Fee Schedule Would Extend Telehealth...
The Centers for Medicare & Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2025....By: Manatt, Phelps &...
View ArticleDialysis & Nephrology Digest - August 2024
As value-based care (VBC) models continue to grow across our nation’s health system and specifically within different specialties like nephrology, the costs and challenges of maintaining these models...
View ArticleAffordable Care Act Overpayments in the CY 2025 Medicare Physician Fee...
Stakeholders are continuing to analyze the implications of the mammoth proposed rule on “Medicare and Medicaid Programs: [Calendar Year (CY)] 2025 Payment Policies under the Physician Fee Schedule and...
View ArticleCMS Rules Propose Changes Regarding the Medicare Prescription Drug Inflation...
On July 31, the Centers for Medicare and Medicaid Services (“CMS”) published its mammoth proposed rule entitled “Medicare and Medicaid Programs: Calendar Year 2025 Payment Policies under the Physician...
View ArticleCMS Revives, Expands Proposed Changes to Medicare Overpayment Rule
In response to comments on the 2022 proposed changes to the overpayments regulation, the Centers for Medicare & Medicaid Services (CMS) proposed additional changes to the overpayment rule to...
View ArticleKey Telehealth Updates in the CY 2025 Physician Fee Schedule Proposed Rule
On July 31, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed rule (“Proposed Rule”) for the 2025 Medicare Physician Fee Schedule, which includes implications for...
View ArticleResponses to the PFS Proposed Reg Are In: 10 Major Comments
McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. Click here to subscribe to future blog posts. September 19, 2024 – Comments on the calendar year...
View ArticleNew Rule Curbs Impact of Suspect DME Claims on 2023 MSSP Financial Calculations
Effective October 15, a new Final Rule issued by the Centers for Medicare & Medicaid Services (CMS) will allow the Medicare Shared Savings Program (MSSP) to adjust calendar year (CY) 2023 benchmark...
View ArticleHospital and Health Systems Reimbursement Check - NOVEMBER 2024
Ropes & Gray attorneys share their analysis of administrative and court litigation, regulatory developments, key developments affecting federal program payments to hospitals and health systems, and...
View ArticleMedicare Overpayments: CMS Issues Final Regulations Implementing Changes to...
On Friday, November 1, 2024, the Center for Medicare & Medicaid Services (CMS) issued the display copy of the final rule interpreting the 60-day Refund Rule for Medicare Parts A/B (Traditional...
View ArticlePhysician Fee Schedule Payment System Data Dashboard
Have Medicare physician fee-for-service payment rates increased for X-ray services? How have remote patient monitoring prices evolved over the last five years? How much is your service paid in Alaska...
View ArticleCMS Releases CY 2025 Physician Fee Schedule Final Rule
On November 1, 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...
View ArticleDigesting the Huge Buffet of CMS Regs: Highlights from the CY 2025 PFS Final Reg
While we all are focused on the election results, let’s take a quick break to digest some regs and eggs. The Centers for Medicare & Medicaid Services (CMS) “spoiled” all of us in the health policy...
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