The Centers for Medicare & Medicaid Service (CMS) has issued regulations to address revised statutory requirements related to manufacturer calculation of Medicaid drug rebates.

As discussed in our previous blog, "CMS Pushes for Hospital Price Transparency in Proposed Rule", on April 24, 2018, the Centers for Medicare & Medicaid Services

On February 18, 2023, the Centers for Medicare and Medicaid Services (CMS) extended the timeline for publishing the Medicare Secondary Payer and Certain Civil Monetary Penalties final rule...

The Centers for Medicare & Medicaid Services (CMS) has published its final rule updating the Medicare skilled nursing facility (SNF) prospective payment system (PPS)

On October 1, 2016, CMS is definitively ending an ICD-10 coding "flexibility" policy announced last year that prevents practitioner Medicare Part B physician fee schedule claims from being denied based solely on the specificity of the ICD-10 diagnosis code, ...

On November 20, 2014, CMS released its final Medicare coverage document entitled "Guidance for the Public, Industry, and CMS Staff: Coverage with Evidence Development."

On July 8, 2013, CMS published a proposed rule to update Medicare end-stage renal disease (ESRD) prospective payment system (PPS) rates and policies for 2014.

CMS has issued a proposed rule intended streamline the Medicare and Medicaid regulatory burden on numerous types of providers and suppliers.

The CMS recently announced that it will monitor—beginning in January 2017—Part C and D appeals timeliness on an industry-wide basis. Under this initiative, all Medicare Advantage Organizations...

CMS has put on display a proposed rule that would update Medicare Advantage (MA) and Medicare Part D prescription drug benefit policies for contract year 2021 and 2022.

CMS has announced revised Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) fee schedule amounts for the period of July through December 2016, as required by the 21st Century Cures Act.

Responding to longstanding industry criticisms, the Centers for Medicare & Medicaid Services (CMS) has announced a number of changes to the Healthcare Common Procedure Coding System (HCPCS) coding process for 2019.

As we discussed last week, the Centers for Medicare and Medicaid Services (CMS) announced that it will start fixing calendar year 2019 underpayments made to hospitals for outpatient services...

As previously reported, CMS has expanded Medicare coverage for telemedicine services provided in the office, hospital, and other visits furnished via telehealth including in patients' places of residence starting March 6, 2020.

The Centers for Medicare & Medicaid Services (CMS) has just announced that it is extending until May 30, 2017 the deadline for certain clinical laboratories to report to CMS private payor reimbursement information.

Following passage of the Health Information Technology for Economic and Clinical Health Act (HITECH) in 2009...

CMS has announced a proposed rule updating Medicare/Medicaid fire safety standards.

On May 27, CMS circulated a Dear Colleague letter to states announcing that it would be "ramping up financial oversight activities" ...

Over the past several weeks, the Centers for Medicare & Medicaid Services (CMS) has sought to emphasize its ongoing focus on health equity across several efforts...

The Centers for Medicare and Medicaid Services ("CMS") recently proposed GLOBE (Part B) and GUARD (Part D) mandatory drug pricing initiatives designed to incorporate a most-favored-nation ("MFN") pricing strategy.