CMS has identified errors in its July 2016 update to Medicare durable medical equipment prosthetic orthotics and supplies fee schedule amounts for certain items in non-competitive bidding areas.

The Centers for Medicare and Medicaid Services (CMS) has proposed the elimination of bundled payment program initiatives whose implementation has already been twice delayed, as previously discussed here.

Under the currently-approved process, a party must provide a financial analysis of overpayments arising from actual or potential violations of the Stark Act based on a 4-year lookback period.

The Centers for Medicare & Medicaid Services (CMS) has proposed updates to its standards for health plan issuers offering plans ...

CMS has posted its preliminary payment determinations for new 2015 clinical laboratory fee schedule codes.

After the publication of our Legal Alert on the Supreme Court decision lifting the stay on the Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule (the "Rule")...

CMS is hosting several calls and webcasts in September and October 2015 on various Medicare quality programs...

CMS has released its preliminary decisions on potential changes to outpatient supervision level requirements for a number of medical services.

CMS is considering incorporating health and safety standards into the ADI program through Conditions for Coverage, potentially addressing personnel qualifications, infection control practices, quality improvement programs, image quality, patient safety, evidence-based research, among other topics.

CMS has opened the application period for physician practices interested in participating in its new primary care model, Comprehensive Primary Care Plus (CPC+), ..

CMS intends to conduct a three-year Medicare prior authorization model for non-emergent hyperbaric oxygen therapy services in Illinois, Michigan, and New Jersey, where CMS contends there have been high rates of improper payments for these services.

On May 4, 2015, CMS announced that the Pioneer Accountable Care Organization (ACO) Model generated $384 million in savings to Medicare over two years.

CMS has provided an update on vision for developing a star rating system for Medicare-Medicaid Plans (MMPs).

CMS has temporarily "paused" Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations' (QIOs) performance of initial patient status reviews under CMS's "two-midnight policy" for short hospital stays.

The Centers for Medicare & Medicaid Services (CMS) has published a final rule with comment period establishing sweeping disclosure and monitoring obligations for providers

Data collection under the ACA Physician Payment Sunshine Act begins on August 1, 2013.

Centers for Medicare & Medicaid Services (CMS) recently announced that Medicare will cover drugs that could slow the progression of Alzheimer's disease, if the Food and Drug Administration (FDA) grants...

The Centers for Medicare & Medicaid Services (CMS) plans to test a new voluntary emergency ambulance service innovation model that seeks promote "the most appropriate level of care

As the final days of 2013 passed and the sunset of the Stark Law exception and anti-kickback law safe harbor for electronic health record (EHR) donations loomed nearer, the U.S. Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) issued last-minute final regulations to extend the expiration date of the provisions through 2021, subject to certain exclusions

CMS is offering an "administrative agreement" providing partial payment to hospitals that drop their appeals related to certain short-stay hospital claims.