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CMS has just put on display an interim final rule with comment period to establish special policies to assess the performance year 2017 financial and quality performance of Medicare Shared Savings Program accountable care organizations (ACOs) affected by extreme and uncontrollable circumstances, such as Hurricanes Harvey, Irma, and Maria and the California wildfires.

A number of the questions suggest that CMS is considering increasing the tracking and reporting burden on manufacturers, such as by establishing more detailed categories to describe research payments.

The Centers for Medicare and Medicaid Services (CMS) recently published the 2020 Hospital Outpatient Prospective Payment System (OPPS) rule, ...

On November 17, CMS released an online tool to help clinicians understand the Medicare Quality Payment Program, part of the Medicare Access and CHIP Reauthorization Act of 2015.

On August 6, 2014, CMS published its final rule to update Medicare payment policies under the inpatient rehabilitation facility (IRF) PPS for FY 2015.

On July 6, 2012, the Centers for Medicare & Medicaid Services (CMS) announced proposed changes to the Medicare Physician Fee Schedule (MPFS) for services furnished by physicians during calendar year 2013.

CMS issued a rule updating payment policies and payment rates in the Medicare Physician Fee Schedule for outpatient services furnished by hospitals and ambulatory surgical centers.

CMS is expected to publish a notice explaining the reasons for the revised CF.

The GAO contends that various data issues, such as state variations in the recording of consumer complaints and the self-reported nature of nurse staffing and quality measure data, make it difficult for CMS to assess quality trends.

CMS released a statement on January 9 that the ICD-10 updates that went into use on October 1, 2016 created problems with CMS's ability to process certain data in the PQRS...

CMS recently proposed that as of January 1, 2013, hospital outpatient departments and ambulatory surgical centers would receive an increase in payments of 2.1% and 2.2%, respectively.

On March 10, 2020, the Centers for Medicare & Medicaid Services ("CMS") supplemented the guidance that we previously discussed in our March 6, 2020 blog post in order...

The Centers for Medicare and Medicaid Services (CMS) has confirmed that it is extending the deadline for hospitals to respond to the Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (ODACS).

Beginning October 1, the Centers for Medicare & Medicaid Services (CMS) will not accept ICD-9 diagnosis codes for dates of service after September 30, and it will not send rejection notices.

Federal healthcare fraud enforcement leaders reveal a strategic shift at CMS and HHS-OIG, where administrative sanctions—including enrollment moratoria, revocations, and exclusions—now serve as the first line of defense against fraud, often preceding False Claims Act litigation. The panel discussion at AHLA's Fraud and Compliance Forum outlined how agencies are leveraging data analytics, financial crimes intelligence, and cross-program coordination to identify and shut down fraudulent providers