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On December 23, 2015, CMS released its Draft 2017 Letter to Issuers in the Federally-facilitated Marketplaces, which provides operational and technical guidance to issuers seeking to offer qualified health plans.

CMS has announced its final 2016 Medicare clinical laboratory fee schedule (CLFS) payment determinations for new and reconsidered test codes...

The CMS Survey and Certification Group has released its 2016/2017 Nursing Home Action Plan, which details the agency's strategy for continuing to improve nursing home quality.

On April 26, 2023, the Centers for Medicare and Medicaid Services ("CMS") released a fact sheet on Hospital Price Transparency Enforcement Updates (the "Fact Sheet") under the Hospital Price Transparency Rule...

On March 14, 2007, the Centers for Medicare & Medicaid Services (CMS) announced that it is reviewing its Erythropoiesis (EPO) monitoring policy for end-stage renal disease (ESRD) patients who are dialyzed in renal facilities.

CMS has issued updated survey guidance clarifying requirements for hospital maintenance of facilities, supplies, and equipment.

CMS has announced an open period for additional organizations to be considered for participation in Model 1 of the Bundled Payments for Care Improvement initiative.

This week CMS referred major final calendar year 2016 Medicare payment rules to the White House Office of Management and Budget (OMB) for regulatory clearance.

On January 24, 2017, CMS is hosting a call to discuss how to complete the final reporting period for the "legacy" Medicare physician quality reporting programs

CMS is inviting stakeholders to provide feedback on its Innovation Center Oncology Care Model at a May 3, 2018 public meeting.

CMS plans to apply "Phase 2" ordering and referring denial edits to "certifying" physicians of Part A home health agency services effective July 1, 2014.

In this episode, Husch Blackwell's Meg Pekarske and Bryan Nowicki discuss the new wave of CMS Center for Program Integrity (CPI) audits that have been issued during the past couple weeks.

On May 8, 2020, the Centers for Medicare & Medicaid Services ("CMS") published an interim final rule with comment ("IFC")

CMS has published its final rule to update fiscal year (FY) 2019 rates and policies for Medicare inpatient psychiatric facility (IPF) services.

CMS has announced that the Advisory Panel on Hospital Outpatient Payment (HOP Panel) will hold its summer meeting on August 25-26, 2014.

The OIG estimates that CMS made $7.5 million in incorrect Medicare payments to hospitals in 2010 and 2011 for outpatient clinic visits, in part because of errors in identifying patients as "new" versus "established."

On October 14, HHS delegated permissive exclusion authority under Section 1128(b) of the Social Security Act to CMS, effective immediately, giving CMS independent power to bar individuals and entities from Medicare, Medicaid, and other federal healthcare programs.