Susan HuntingtonOn 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…
George MikhailIn a 7-1 decision, the United States Supreme Court ruled on June 3 that the Department of Health and Human Services (HHS) failed to go…
The Centers for Medicare & Medicaid Services (CMS) published a final rule on Thursday, May 16, 2019 that provides, among other things, Medicare Part D…
Alexandra PearsallOn April 22, 2019, the Centers for Medicare & Medicaid Services (CMS) announced five new payment model options under its “Primary Cares” initiative. The aim…
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 27, the Centers for Medicare & Medicaid Services (CMS) announced a new program called the “Artificial Intelligence Health Outcomes Challenge” (AI Challenge) which…
On January 18, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet announcing a broad array of Medicare Advantage (MA) health plan…
On November 26, 2018, the Centers for Medicare & Medicaid Services (CMS) proposed a new rule aimed at lowering the cost of prescription drugs and…
CMS Proposes New Rule to Expand Telehealth Benefits Under Medicare Advantage Plans
Day PitneyThe Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that, effective plan year 2020, would allow Medicare Advantage (“MA”) insurers to…
In United States v. Mehmood, the Sixth Circuit affirmed the conviction of Zafar Mehmood and Badar Ahmadani but vacated their sentences and remanded for resentencing.…