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  • Article

    CMS Plans June 27 "Listening Session" On Draft Hospital Co-Location Guidance

    CMS has scheduled a June 27, 2019 listening session to get public feedback on its recent draft guidance on how state surveyors should evaluate hospital co-location arrangements for compliance with the Medicare hospital conditions of participation
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Plans Spring Rulemaking To Modify Meaningful Use Requirements

    CMS has announced that it plans to issue regulations this spring to address provider concerns about the burden associated with compliance with Medicare and Medicaid Electronic Health Record (EHR) Incentive Program meaningful use requirements.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts Final 2020 Medicare Clinical Lab Fee Schedule Rates

    The Centers for Medicare & Medicaid Services (CMS) has posted the final Medicare clinical laboratory fee schedule (CLFS) rates for 2020.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Changes To Medicare Shared Savings Program/ACO Benchmark Rebasing Rules

    Finally, CMS would establish rules for reopening determinations of ACO shared savings and shared losses. Comments on the rule will be accepted until March 28, 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes "Comprehensive Care For Joint Replacement" Model

    On July 14, 2015, CMS published a proposed rule to establish a Medicare Comprehensive Care for Joint Replacement (CCJR) model.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes FY 2019 Medicare Inpatient Psychiatric Facility Rates, Requests Feedback On Future IPF PPS Refinements

    CMS has issued a proposed rule to update rates for Medicare services furnished by inpatient psychiatric facilities (IPFs) during FY 2019.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Updates To Medicare Hospice Wage Index/Rates For FY 2016

    CMS published a proposed rule on May 5, 2015 that would update Medicare hospice payment rates and the wage index for fiscal year (FY) 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Publishes FY 2017 Rate Update For Medicare Inpatient Psychiatric Facilities

    The notice also updates the wage index and the electroconvulsive therapy payment per treatment.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases Medicare DMEPOS Payment/Utilization Data

    The new "Referring Provider DMEPOS Public Use File" includes provider-specific Medicare Part B DMEPOS utilization, payment, and submitted charge amounts broken down by HCPCS code for calendar year 2013.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Revises Expands ACO "Investment Model" Opportunities

    As previously reported, CMS announced a Medicare Shared Savings Program/Accountable Care Organization (ACO) "Investment Model" last fall to better coordinate care in rural and underserved areas...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Host Call On Changes To HCPCS Coding Policies

    CMS is hosting a Special Open Door Forum on December 18, 2018 to discuss changes to Healthcare Common Procedure Coding System (HCPCS) ...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Host Calls On Hospital Appeals Settlement Process (Nov. 16 & Dec. 12)

    On November 16, 2016, CMS is hosting a call to provide an update on its latest plans to allow eligible providers to settle their inpatient status claims currently under appeal using the Hospital Appeals Settlement process.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS To Restart RAC Reviews

    CMS has announced that, in light of the continued delay in awarding new Recovery Auditor contracts, it is modifying current contracts to allow the Recovery Audit Contractors (RACs) to restart some reviews.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Trims List Of DMEPOS Subject To Prior Authorization Due To "Unnecessary Utilization"

    CMS is removing the Medicare prior authorization (PA) requirement for several types of medical equipment because the items no longer meet the standard set forth in a 2015 final rule.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Vaccine Mandate Continues Its Path To U.S. Supreme Court As Fifth Circuit Narrows Nationwide Injunction

    The Fifth Circuit has found that the nationwide injunction of the CMS vaccine mandate issued by the Western District of Louisiana should be narrowed to apply only to the 14 states involved in the Louisiana lawsuit.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Ford Harrison LLP
    Ford Harrison LLP
  • Article

    Cuts to Medicare DMEPOS Payment Based on Competitive Bidding Prices – Opportunity to Comment

    CMS is seeking input from stakeholders on how it should use data from the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding program to adjust (cut) Medicare DMEPOS fee schedule amounts outside of bidding areas (CBAs), as required by the 21st Century Cures Act.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Report Assesses Accuracy of CMS Financial Assistance Payments to ACA QHP Issuers

    According to a recent OIG report, CMS's internal controls did not effectively ensure the accuracy of almost $2.8 billion in advance cost-sharing reduction (CSR) payments made to ACA qualified health plan (QHP) issuers during the period of January through April 2014.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OMB Reviewing CMS Proposed Rule on PAMA Clinical Lab Test Payment Policy

    CMS is finally taking steps to implement the Medicare clinical laboratory payment reforms mandated by the Protecting Access to Medicare Act of 2014 (PAMA).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    Physicians Beware: CMS May Deny or Revoke Medicare Provider Privileges

    On February 3, 2015, the authority of the Centers for Medicare & Medicaid Services (CMS) to deny Medicare enrollment and revoke Medicare billing privileges of providers and suppliers significantly expanded.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Fox Rothschild LLP
    Fox Rothschild LLP
  • Article

    Proposed Revisions To Home Health Conditions Of Participation

    CMS proposes to remove many process details from the current CoPs where they do not achieve the goal of ensuring desired outcomes.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith

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