ArticleCMS Releases 2020 MPFS And QPP Proposed RuleAmong the notable changes, CMS is updating several provisionsUnited StatesFood, Drugs, Healthcare, Life SciencesHolland & Knight
ArticleCMS Finalizes Changes To Medicaid Prescription Drug Rebate ProgramEarlier this year, my colleague Ross Margulies and I told you about a new proposed rule issued by CMS that makes several changes to the Medicaid prescription drug rebate program, or the MDRP. United StatesFood, Drugs, Healthcare, Life SciencesFoley Hoag LLP
ArticleCMS Issues Proposed Physician Payment Sunshine Act RegulationsThe Centers for Medicare and Medicaid Services (CMS) published proposed regulations today under the Physician Payment Sunshine Act (Act or Sunshine Act).United StatesFood, Drugs, Healthcare, Life SciencesPerkins Coie LLP
ArticleCMS Offers Partial Concession To Hospitals By Issuing Ruling, Proposed Rule On Part B Re-BillingThe U.S. Centers for Medicare & Medicaid Services (CMS) recently released both a "ruling" and a proposed rule intended to address growing concern among hospitals about billing Medicare Part B.United StatesFood, Drugs, Healthcare, Life SciencesMcDermott Will & Emery
ArticleCMS Releases CY 2017 Final Rule Implementing Changes To Outpatient Prospective Payment SystemCMS received comments regarding the impact of the Section 603 provisions on continued 340B Program eligibility for non-grandfathered entities.United StatesFood, Drugs, Healthcare, Life SciencesMcDermott Will & Emery
ArticleCMS Releases Final 2010 Medicare Physician Fee Schedule UpdateThe Centers for Medicare and Medicaid Services (CMS) on October 30, 2009, released for public inspection the final 2010 Medicare Physician Fee Schedule update (2010 MPFS Update), slated for publication in the November 26, 2009, Federal Register.United StatesFood, Drugs, Healthcare, Life SciencesMcDermott Will & Emery
ArticleCMS Adopts Changes To Medicare & Medicaid EHR PoliciesThe Centers for Medicare & Medicaid Services (CMS) has published a sweeping final rule with comment period that specifies the requirements that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare ..United StatesFood, Drugs, Healthcare, Life SciencesReed Smith
ArticleCMS Announces Plan For Reporting Returned Sunshine Act Payment DataApplicable manufacturers and GPOs can now download a Removed Records Report from the Open Payments system showing the records that were removed. United StatesFood, Drugs, Healthcare, Life SciencesMintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
ArticleCMS Finalizes Changes Expanding The Scope Of The Open Payments ProgramOn November 15, 2019, the Centers for Medicare & Medicaid Services ("CMS") finalized changes to the Open Payments Program as part of the CY 2020 Physician Fee Schedule Final Rule. United StatesFood, Drugs, Healthcare, Life SciencesMintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
ArticleCMS Proposes Medicare Hospice Payment Policies For FY 2015CMS published its proposed rule to update the Medicare hospice wage index for FY 2015 and make other payment and policy changes. United StatesFood, Drugs, Healthcare, Life SciencesReed Smith
ArticleCMS Reopens Application For Participation In The Comprehensive ESRD Care InitiativeThe CMS announced the reopening of the application period for ESCO to participate in the testing of its Comprehensive ESRD Care initiative.United StatesFood, Drugs, Healthcare, Life SciencesMcGuireWoods LLP
ArticleCMS Seeks Input On Potential Delivery Innovations In Medicare Part D, Medicare Advantage, & Other ProgramsCMS is seeking input on initiatives to test care delivery innovations in the Medicare Part D program, Medicare and Medicaid managed care plans, and other government programs.United StatesFood, Drugs, Healthcare, Life SciencesReed Smith
ArticleNew Federal Guidance For Organ Procurement2026 will prove to be a pivotal year for organ procurement organizations (OPOs). For the first time, the impact of the Center for Medicare and Medicaid Services’ (CMS) 2020 outcome measures will be fully felt, as the year marks the end of the first certification cycle governed by the new benchmarks.United StatesGovernment, Public SectorCrowell & Moring LLP
ArticleCMS Publishes Letters On No Surprises Act Enforcement In StatesThe federal Centers for Medicare & Medicaid Services (CMS) has begun publishing on its website letters that it sent to states beginning in December 2021 that provide important information...United StatesFood, Drugs, Healthcare, Life SciencesManatt, Phelps & Phillips, LLP
ArticleFederal Court Blocks CMS Ban On Pre-Dispute Nursing Home Arbitration Agreements Pending Legal Challenge: What The Ruling Means For ProvidersEarlier this week, a federal court enjoined the federal Centers for Medicare and Medicaid Services ("CMS") from enforcing a rule.United StatesFood, Drugs, Healthcare, Life SciencesHogan Lovells Cadwalader
ArticleMedicare Advantage RADV Audit Final Rule Challenged In CourtThe Centers for Medicare & Medicaid Services ("CMS") released the final rule on risk adjustment data validation ("RADV") audits of Medicare Advantage ("MA") organizations...United StatesFood, Drugs, Healthcare, Life SciencesSheppard
ArticleCMS Issues Stark Act Voluntary Self-Referral Disclosure Protocol - 9 Key ConceptsThe Patient Protection and Affordable Care Act (PPACA) requires the Secretary of the Department of Health and Human Services (HHS), with the Office of the Inspector General (OIG) of HHS, to establish a protocol for healthcare providers and suppliers to disclose actual or potential violations of Section 1877 of the Social Security Act (Stark Act). United StatesFood, Drugs, Healthcare, Life SciencesMcGuireWoods LLP
ArticleCMS Proposes Sharing More Data With ACOs Participating In The Medicare Shared Savings ProgramCMS may be ready to ramp up the data it is willing to share with Accountable Care Organizations ("ACOs") that participate in the Medicare Shared Savings Program ("MSSP").United StatesFood, Drugs, Healthcare, Life SciencesFoley & Lardner LLP
ArticlePotential Changes Coming To Medicare Provider Enrollment And DMEPOS AccreditationOften there is a lot of attention paid to the Centers for Medicare & Medicaid Services ("CMS") Inpatient Prospective Payment System ("IPPS"), Outpatient Prospective Payment System ("OPPS")...United StatesFood, Drugs, Healthcare, Life SciencesKatten
ArticleStark Law 2020 Settlements Return To Pre-2019 TrendThese announced settlements stem from filings to CMS through its voluntary disclosure protocol in a good faith effort to resolve liabilities arising from the strict liability Stark Law.United StatesFood, Drugs, Healthcare, Life SciencesMcGuireWoods LLP