CMS Issues Final MACRA Rule: Expands Exemptions and Flexibility for Smaller...
Last Friday, the Center for Medicare and Medicaid Services (“CMS”) issued its Final Rule implementing the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”), which marks a milestone in...
View ArticleCMS Finalizes Changes to the Future of Physician Reimbursement with the...
CMS released the Final Rule with comment period delineating a portion of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) known as the Quality Payment Program (QPP) on October 14, 2016,...
View ArticleCMS Finalizes Payment Changes for Off-Campus Provider-Based Departments
The Centers for Medicare & Medicaid Services (CMS) released its 2017 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System Final Rule (Final Rule) on...
View ArticleCMS Finalizes CY 2017 Physician Fee Schedule
On Wednesday, November 2, 2016, CMS issued a final rule (Final Rule) to update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after...
View ArticleStark Law Updates in 2017 Medicare Physician Fee Schedule Final Rule
On November 2, the Centers for Medicare & Medicaid Services (CMS) finalized the 2017 Medicare Physician Fee Schedule (PFS) rule. This rule, which takes effect on January 1, 2017, updates payment...
View ArticleCMS Reissues Stark Rules Restricting Certain Unit-based Rental Rate...
On November 15, 2016, as part of its 2017 Medicare Physician Fee Schedule update, the Center for Medicare and Medicaid Services reissued its prohibition on certain unit-based rental arrangements with...
View Article2017 Physician Fee Schedule Includes Clarification of Space and Equipment...
The Department of Health and Human Services Center for Medicaid and Medicaid Services (“CMS”) recently finalized the Calendar Year 2017 Physician Fee Schedule (“2017 Fee Schedule”), which includes a...
View ArticleHealth Law Insights: November Newsletter
ALERT: "No Contract" Disclaimer in Employee Handbook Upheld by Illinois CourtAuthor: Employee handbooks have long been a trap for the unwary employer that desires merely to establish a set of rules and...
View ArticlePractical Considerations for Medical Practices Considering Converting Their...
On November 2, 2016 the Centers for Medicare & Medicaid Services (CMS) released the 2017 Medicare Physician Fee Schedule (MPFS) Final Rule. Although the impact of the Final Rule on nephrology...
View Article2017 Medicare Telehealth Changes
The 2017 Medicare Physician Fee Schedule finalizes the CMS changes for Telehealth reimbursement and coverage for 2017. The CMS fee schedule document also provides a comprehensive explanation of...
View Article21st Century Cures Act Provides Some Welcome Relief
The 21st Century Cures Act (the “Cures Act”) (Pub. L. No. 114-255), which was signed into law by President Obama on December 13, 2016, includes a number of important health care provisions, and several...
View ArticleFinal Rule Implements Quality Payment Program under MACRA
If you are a physician, mid-level provider, or work with those providers, then you have been bombarded with new acronyms for new programs and promises to remove older acronyms from your Medicare...
View ArticleNew billing modifier required for services furnished at certain off-campus...
Changes to Medicare billing and payment rules for services furnished at certain off-campus provider-based departments (PBDs) went into effect on January 1, 2017. Pursuant to the statutory...
View ArticleCMS Releases Proposed Rule for 2018 Physician Fee Schedule
On July 13, 2017, CMS proposed a rule (Proposed Rule) updating payment policies and rates, as well as the quality provisions, for the Medicare Physician Fee Schedule (PFS). Among other provisions, the...
View ArticleCMS’s 2018 Medicare Physician Fee Schedule Proposed Rule Would Slash...
The Centers for Medicare & Medicaid Services (CMS) released its 2018 Medicare Physician Fee Schedule proposed rule on July 13, 2017. The proposed rule, among other things, proposes to cut Medicare...
View ArticleHealth Update - July 2017
Contracting With Technology Vendors: Obligations and Compliance Strategies - Editor’s Note: In a recent webinar, Manatt Health examined how to protect privacy when communicating in the digital age. The...
View ArticleCMS Proposes Medicare Physician Fee Schedule Update for 2018
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare physician fee schedule (PFS) for calendar year (CY) 2018. The proposed rule addresses...
View ArticleCMS Releases Proposed 2018 Medicare Payment Regulations
On July 13, the Centers for Medicare and Medicaid Services (CMS) released the proposed 2018 Physician Fee Schedule that would update payment policies, payment rates and quality provisions for...
View ArticleCMS Proposes to Reduce Facility Payment for Non-Excepted Provider-Based...
CMS recently proposed to reduce the facility fee for non-excepted off-campus provider-based hospital departments (OPBDs) from 50 percent of the Medicare Physician Fee Schedule (MPFS) amount to 25...
View ArticleMACRA Physician Payment Reform: Time to Take Stock of What Is Working and...
In April 2015, Congress established a new framework for Medicare Part B physician payments through the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”), which the Centers...
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