Transparency in healthcare reached a new level over the weekend when the Association of Healthcare Journalists unveiled a searchable database of past Centers for Medicare & Medicaid Services hospital deficiency reports, formally known as "Form 2567s."

CMS recently released a request for public comment on how the agency can promote greater transparency regarding physician-specific Medicare payment information.

The Centers for Medicare & Medicaid Services issued a final rule for accountable care organizations participating in the Medicare Shared Savings Program on June 6, 2016.

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.

CMS provided an interesting response to a question about what home health agencies (HHAs) should do if a certifying physician won't provide documentation.

As part of the final 2015 Medicare physician fee schedule rule, CMS is adopting – with certain refinements – its proposed changes to the regulations implementing the Physician Payment Sunshine Act.

On July 2, 2007, the Centers for Medicare and Medicaid Services (CMS) released its proposed 2008 Medicare Physician Fee Schedule. In addition to revising the Stark Law's treatment of "under arrangement" transactions, lease agreements, and percentage-based compensation, the proposed rule also addresses the Stark exception for obstetrical malpractice insurance subsidies.

On July 12, 2007, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for the 2008 Physician Fee schedule, and proposed rules on a number of Part B programs, including Comprehensive Outpatient Rehabilitation Facilities (CORFs).

CMS also is adopting payment policies that are intended to stabilize the MA program in Puerto Rico.

On July 19, 2013, CMS published a proposed rule that would update Medicare outpatient prospective payment system (OPPS) and ambulatory surgical centers (ASCs) policies and rates for CY 2014.

CMS has also proposed changes to the 2017 factor 3 percentage, which is what determines each hospital's allocation of the uncompensated care pool proposed to be $6 billion in fiscal year 2017.

CMS also solicits comments on challenges associated with the use of alternative payment models in Medicare Advantage.

In light of surging COVID-19 cases occasioned by the highly transmissible Omicron variant and questions from nursing homes regarding whether to limit visitation, the Centers for Medicare and Medicaid Services (CMS) ...

Yesterday, in response to a court victory by several hospital associations, the Centers for Medicare and Medicaid Services (CMS) announced it will begin fixing calendar year 2019...

CMS recently announced a new model it will be using to pilot the use of artificial intelligence and machine learning in reviewing prior authorizations submitted for certain services...

December has been a busy month for hospitals following the rollout of CMS's clinic visit site-neutrality adjustments. This policy, partially implemented in the CMS Outpatient Prospective...

On November 12, 2021, the Centers for Medicare and Medicaid Services (CMS) issued a final rule rescinding the Medicare Coverage of Innovative Technology and Definition of "Reasonable and Necessary"...

Recently, the Department of Health and Human Services ("HHS") Office of Inspector General ("OIG") issued its 2019 "Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs