Eye on Enforcement / CMS Issues First Penalties for Two Hospitals Violating Price Transparency Rules

REGULATORY UPDATE CMS Inspecting Hospital Websites for Compliance SNAPSHOT On June 7, 2022, the Centers for Medicare and Medicaid Services (CMS) imposed civil monetary penalties (CMPs) against two hospitals for noncompliance with the agency’s price transparency requirements. The hospitals violated the requirements by failing to update their websites and/or respond to CMS’ letters about the

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Part 1: The Nuances of Operational Compliance Under the No Surprises Act

There are no easy answers or a “one-size-fits-all” solution to compliance with the No Surprises Act (NSA). Deciphering the law and its requirements is one half of compliance. The other half is doing the hard work of figuring out where the NSA’s various provisions intersect with your facility’s operations and how you’ll create policies and procedures to implement the new requirements. The mechanics of implementation will vary among facilities and healthcare systems.

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2022 Medicare Physician Fee Schedule Final Rule

2022 Medicare Physician Fee Schedule Final Rule

On November 2, 2021, the Centers for Medicare & Medicaid Services (CMS) released its Medicare Physician Fee Schedule (PFS) and Quality Payment Program (QPP) Final Rule (FR). The rule includes payment and quality provisions that will take effect on January 1, 2022. In addition, CMS produced a fact sheet summarizing the key provisions of the FR.

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How to Take Action: CMS Repeal of Medicare Coverage of Innovative Technology

CMS Proposes to Repeal Rules Designed to Provide Faster Access to Latest Medical Technology Leaves Open Window for Commercial Insurance Policy to Factor into All Medicare Part A and B Coverage Determinations Background On September 15, 2021, the Centers for Medicare and Medicaid (CMS) published a proposal to repeal (herein after Proposed Repeal or Proposal)

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