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) has issued a proposed rule, published in the "Federal Register" on February 17, 2011, setting forth policies for prohibiting Medicaid payments to states for any amounts spent toward medical assistance for healthcare-acquired conditions (HAC)—including the current list of Medicare HAC and also preventable, adverse conditions identified by states and occurring in any healthcare setting.

CMS is proposing to cut CY 2018 Medicare home health prospective payment system (HH PPS) payments by 0.4% — or $80 million overall — compared to 2017 rates under a proposed rule published on July 28, 2017.

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.

CMS has issued a proposed rule that would set forth qualifications that providers and suppliers must meet in order to furnish, fabricate, or bill for prosthetics and custom-fabricated orthotics under the Medicare program.

CMS has announced updates to the process for making Medicare national coverage determinations to provide clarity and transparency with regard to modifications made to the coverage process since the Medicare Modernization Act.

The Centers for Medicare & Medicaid Services (CMS) is requesting public comments on actual or perceived conflicts of interest that could arise when Medicare-approved accrediting organizations (AOs)

The recent decision in Mayo v. NYU Langone Med. Ctr., 2018 NY Slip Op. (U) 30456 (N.Y. Sup. Ct. March, 13, 2018), voiding a settlement on grounds of mutual mistake, holds important lessons...

CMS is still rolling out policies and procedures to fully implement the major clinical laboratory payment reforms mandated by the Protecting Access to Medicare Act of 2014

The revamped UPC Case Management System (‘CMS') is now live. The objective of the new CMS is to simplify access for users.

On Wednesday, April 9, 2020, the Centers for Medicare and Medicaid Services ("CMS") hosted a call entitled "COVID-19 with Nursing Homes."

On Aug. 25, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule.

On November 18, the Centers for Medicare & Medicaid Services (CMS) released an alert urging nursing homes to follow established COVID guidelines for visitation and infection prevention during...

If you are in the process of drafting a SRDP submission, you must use the new SRDP forms or risk CMS not accepting the disclosure into the protocol.

On 2 July 2026, the Centers for Medicare and Medicaid Services (CMS) released its proposed CY 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment Rule (CMS-1850-P).

The CMS recently announced that it will begin toughening program requirements and oversight for nursing homes participating in its Special Focus Facility Program, a CMS initiative to rehabilitate poorly performing nursing homes.

CMS has finalized Medicare prospective payment system (PPS) rates for inpatient rehabilitation facility (IRF) services for fiscal year (FY) 2018, which begins October 1, 2017. CMS estimates that IRF PPS payments will increase by 0.9% overall ($75 million) under the final rule compared to FY 2017 levels.

Under the proposed rule, the Shared Savings Program agreement period would be extended to five-years.

On August 30, 2022, the Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) had saved the Medicare program $1.66 billion in 2021...

In an effort to "modernize the Medicare program and bring the latest technologies and innovations to Medicare beneficiaries," CMS has announced revisions to the local coverage determination (LCD) process.