Susan HuntingtonOn August 5, the Centers for Medicare & Medicaid Services (CMS) released new guidance for states and Medicaid managed care programs to update their two-phase…
Medicare Updates Preventive Services Learning Tool With Telehealth Information
Posted in Medicare and Medicaid
On July 11, the Centers for Medicare & Medicaid Services announced publication of its updated interactive educational tool on preventive services. The tool provides coding…
According to a study published this month in Health Affairs, although the number of ACO contracts and the proportion of ACOs with multiple contracts have…
On June 27, the Centers for Medicare & Medicaid Services (CMS) announced that the FY 2020 ICD-10-CM diagnosis code updates were available. These 2020 ICD-10-CM…
New Medicare Part D e-Prescribing Proposed Rule Meant to Help Providers and Patients
Posted in Medicare and Medicaid
On June 19, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule to update e-prescribing standards under Medicare Part D by adopting…
On June 6, the Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) for ideas on putting patients over paperwork and…
July 1 Deadline for Hospitals to have Matching Addresses to Avoid Non-Payment
Posted in Hospitals and Institutions
As part of the implementation of site-neutral rule contained in the final 2019 Hospital Outpatient Prospective Payment System (OPPS) rule, effective July 1, 2019, the…
On May 28, the Centers for Medicare & Medicaid Services (CMS) published a final rule to update and modernize the Programs of All-Inclusive Care for…
Another Anti-Kickback Law to be Aware of in Clinical Treatment Facility Deals
Posted in Fraud and Abuse
The impact of the Eliminating Kickbacks in Recovery Act of 2018 (EKRA), enacted in October 2018, as part of the Substance Use-Disorder Prevention that Promotes…
A ruling Monday by the U.S. Supreme Court in Cochise Consultancy, Inc. v. United States ex rel. Hunt, No. 18-315, (Sup. Ct. May 13, 2019)…