CMS has announced that while it still has no fixed date for releasing finalized Affordable Care Act (ACA) federal upper limits (FUL) for multiple source prescription drugs.

Based on a review of 10 state Medicaid Management Information Systems used to process claims and support program integrity efforts, the GAO has concluded that the effectiveness of these systems is not known.

CMS made $26.2 million in payments to Medicare Advantage organizations for approximately 1,600 unlawfully present beneficiaries from 2010 through 2012.

The metaverse continues to evolve and gain ground. In this context, the question naturally arises as to how personal data can be protected.

This edition covers key developments, including recent amendments introducing mandatory employment-related disclosures by companies, the gig worker ordinance for the welfare of gig workers in Karnataka, and registration requirements for the She-Box portal across various states

The Centers for Medicare & Medicaid Services (CMS) is extending for six months its current moratoria on the Medicare, Medicaid, and Children's Health Insurance Program (CHIP) enrollment of new nonemergency ground ambulance suppliers and home health agencies (HHAs) in selected states, effective January 27, 2017.

CMS has finally posted the Medicare clinical laboratory fee schedule (CLFS) rates for 2019, which are based on private payer data as mandated

The Centers for Medicare & Medicaid Services (CMS) has released the 2020 Medicare fee schedule for durable medical equipment, prosthetics,...

On November 25, 2020, the Centers for Medicare & Medicaid Services announced updated staffing requirements designed to allow ambulatory surgical centers to provide inpatient care when needed.

CMS has scheduled an April 25, 2017 call to discuss new data reporting requirements for clinicians in selected states who furnish global surgery services, as authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).

CMS has published a notice correcting technical errors in its November 14, 2016 final rule with comment period updating the Medicare hospital outpatient prospective payment system (OPPS) and ambulatory surgical center payment systems for 2017.

CMS is inviting stakeholders to participate an August 22, 2019 listening session on the CY 2019 proposed Medicare physician fee schedule rule.

CMS is seeking public input on ways to improve the quality and reduce the cost of care for children and youth enrolled in Medicaid and the Children's Health Insurance Program (CHIP).

CMS has announced that states may take an additional three years — until March 17, 2022 — to demonstrate compliance with the Medicaid home and community based services (HCBS) settings criteria established in a January 16, 2014 final rule.

A federal judge in New Orleans blocked the Interim Final Rule with Comment requiring the vaccination of all staff of health care facilities subject to the health and safety standards under the ...

The Centers for Medicare & Medicaid Services (CMS) again has delayed the deadline for its mandatory provider revalidation program for skilled nursing facilities (SNFs), this time to Aug. 1, 2025.

CMS has released the final 2017 Medicare CLFS payment determinations for new and reconsidered test codes, including determinations regarding whether CMS will use crosswalking or gapfilling to establish payment rates for specific tests.

At the same time Republican Congressional leaders are attempting to develop legislation to repeal and replace the ACA, CMS has published a proposed rule that is intended to help stabilize...

CMS Releases Preliminary 2019 Medicare Clinical Lab Payment Determinations.

CMS has released a new Self-Referral Disclosure Protocol (SRDP) Form for disclosing actual or potential violations of the physician self-referral law (known as the "Stark Act") under CMS's existing self-disclosure process.