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The OIG has called on CMS to strengthen activities to prevent improper Medicare payments, including enhancements to the Recovery Audit Contractor program.

The Centers for Medicare & Medicaid Services (CMS) has published a proposed rule to establish FY 2019 Medicare hospice reimbursement rates and policies.

Recognizing the ongoing impact of the cyberattack experienced by Change Healthcare/Optum on February 21, 2024, the Centers for Medicare & Medicaid Services (CMS) announced over the weekend...

On February 6, the Centers for Medicare and Medicaid (CMS) published an important FAQ for Medicare Advantage Organizations...

On May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) announced a nationwide six-month moratorium on new Medicare enrollments for hospice providers and home health agencies (HHAs).

On March 26, CMS issued guidance, available here, to manufacturers on completing, signing, and submitting the updated NDRA to CMS.

Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Section 111) imposes reporting obligations under the Medicare Secondary Payer (MSP) laws on certain entities, including liability insurance (including self-insurance), no fault insurance, and workers’ compensation plans (commonly referred to as Non-Group Health Plans or NGHPs).

On April 10, 2020, the Centers for Medicare and Medicaid (CMS) issued proposed rules updating payment rates and policies for Skilled Nursing Facilities (SNF), Inpatient Psychiatric Facilities (IPF)...

Like it or not, the Centers for Medicare & Medicaid Services (CMS) is expanding its strong commitment to focus on quality and care improvement as the basis for payment to providers throughout the continuum of care.

The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule updating the Medicare acute inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2019

On March 1, 2016, CMS is publishing a proposed rule that would make a variety of changes to the Medicare, Medicaid, and CHIP provider and supplier enrollment requirements.

On May 21, 2025, the Centers for Medicare & Medicaid Services ("CMS") announced its intent "to crush[] fraud, waste, and abuse across all federal...

On November 2, 2023, the Centers for Medicare & Medicaid Services ("CMS") released the calendar year ("CY") 2024 Hospital Outpatient Prospective...

On October 26, 2018, CMS released a Notice of Proposed Rulemaking addressing expanded telehealth coverage in Medicare Advantage ...

The Centers for Medicare & Medicaid Services (CMS) has adopted — with limited changes — its controversial plan to rewrite Medicare pricing rules for new items of durable medical equipment, prosthetics, orthotics and supplies.

In anticipation of the start of data collection under the Physician Payments Sunshine Act, the Centers for Medicare & Medicaid Services continues to issue guidance on data collection and reporting in an effort to address the many questions being asked by affected parties.

The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System...