Susan HuntingtonOn June 6, the Centers for Medicare & Medicaid Services (CMS) issued a request for information (ROI) 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)…
HHS Exercises Discretion to Modify HIPAA Penalties Based on Culpability
Posted in Privacy and Data Protection, Uncategorized
On April 26, the Department of Health and Human Services (HHS) published a notification that it was exercising its discretion on assessing Civil Money Penalties…
CMS Final Rule Limits the Use of Copay Accumulator Programs by Insurers
Posted in Reimbursement Matters
On April 18, the Centers for Medicare and Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters Rule for 2020 (Rule). This…
On March 25, the Centers for Medicare & Medicaid Centers (CMS) issued its annual report for the 2019 open enrollment in Health Insurance Exchanges. The…
On March 27, the Centers for Medicare & Medicaid Services (CMS) announced a new program called the “Artificial Intelligence Health Outcomes Challenge” (AI Challenge) which…
On March 28, the Division of National Standards, at the Centers for Medicare & Medicaid (CMS) announced the launch of its Compliance Review Program to…