CMS Proposes Rule Streamlining Quality-Based Payment Programs.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule implementing provisions of the Medicare Access and…
DOJ Announces $785 Million False Claims Act Settlement with Wyeth and Pfizer.
The Department of Justice (DOJ) recently announced that drug companies Wyeth and Pfizer agreed to pay nearly $785 million to…
CMS Issues Proposed Rule Enhancing Medicare Provider Enrollment Process.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule addressing Medicare, Medicaid, and Children’s Health Insurance…
Federal Appeals Court Orders Second Look at Medicare Appeals Backlog and Addresses HHS Priorities.
The U.S. Court of Appeals for the D.C. Circuit recently overturned a 2014 district court decision regarding Medicare appeals backlogs. …
OIG Issues Interim Report on National Background Check Program for Long-Term Care Employees.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report evaluating the National…
CMS Releases Readmission Prevention Guide for Diverse Medicare Beneficiaries.
The Centers for Medicare & Medicaid Services (CMS) Office of Minority Health (OMH) recently released a guide for hospital leaders…
CMS Releases Quality Data on Physician Compare and Hospital Compare Websites.
The Centers for Medicare & Medicaid Services (CMS) recently updated the quality performance data for two of its online consumer…
CMS Issues FY 2016 Results for Hospital-Acquired Conditions Reduction Program.
The Centers for Medicare & Medicaid Services (CMS) recently released the fiscal year (FY) 2016 results for its Hospital-Acquired Conditions…
CMS Issues Final Rule Creating DMEPOS Prior Authorization Process.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule targeting unnecessary utilization of durable medical equipment,…
CMS Releases Final Rule on Stark Law, Physician Fee Schedule, and Medicare Part B Revisions.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule updating the Medicare Physician Fee Schedule (PFS)…
Stark Law Final Rule Summary
CMS recently issued the Stark Law Final Rule (“Final Rule”), which makes numerous significant changes and provides important clarifications to the…
CMS Issues Medicare Physician Fee Schedule Proposed Rule.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating payment rates, policies, and quality provisions under…