Supreme Court sided with the Department of Health and Human Services (HHS) for DHS payments.
Read MoreHHS Wins Supreme Court DSH Payment Case: Impacts Payments for Hospitals Caring for Low-Income Patients
Tag: CMS
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
Read MoreCenters for Medicare and Medicaid Services (CMS) Publishes Communications Toolkit to Support Medicaid and CHIP Continuous Coverage Expiration Set for July 15, 2022
Centers for Medicare and Medicaid Services (CMS) Publishes Communications Toolkit to Support Medicaid and CHIP Continuous Coverage Expiration Set for July 15, 2022
Read MorePart 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.
Read MoreWhat Providers Should Take Away from New Rule on Reporting Prescription Drug & Health Care Spending
The Biden administration issued an interim final rule requiring private insurers to report prescription drug costs to the federal government. Published Nov. 17, 2021 with a request for comments, the Prescription Drug and Health Care…
Read More2022 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.
Read MoreHow 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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