Payment Matters >
August 19, 2016

  • CMS Releases the 2017 IPPS and LTCH PPS Final Rule, Including MOON Requirements
  • SNF and IRF Proposed Changes for FY 2017
  • Therapy Evaluation Codes Expanded Under CMS' Proposed Rule
  • CMS Lifts Temporary Moratorium on Emergency Ground Ambulance Suppliers but Extends and Expands Other Moratoria
  • CMS Releases Final Rule Addressing Hospice FY 2017 Wage Index, Payment Rates, and Quality Reporting Requirements
  • Final FY 2017 Inpatient Psychiatric Facilities Payment and Policies Rule

Health Law Alert >
2016: Issue 13

  • CMS Re-proposes Ban on Per-Click Fees for Space and Equipment Leases under Stark
  • OIG Approves Hospice Payments to Nursing Facility for Dual Eligible Patients Under Medicaid Demonstration Project

Health Law Alert >
2016: Issue 12

  • OCR Reminds Covered Entities and Business Associates to Check Their Spam!
  • 650,000 Record Breach: OCR Cautions Covered Entities with Electronic Health Records

Payment Matters >
July 22, 2016

  • CMS Releases the 2016 OPPS Proposed Rule
  • Summary of Major Provisions in the Proposed 2017 Physician Fee Schedule
  • Bankruptcy Courts Lack Subject Matter Jurisdiction Over Medicare Issues, Eleventh Circuit Rules

Health Law Alert >
2016: Issue 11 - Focus on Fraud and Abuse

  • Senate Finance Committee Report Concludes Stark Law Change Is Necessary to Drive Health Care Reform
  • OIG Permits Copayment Coupon Arrangement for Statutorily Non-Covered Drug in Advisory Opinion 16-07
  • Health Care Fraud Prosecutions: Strong Seas and High Winds Ahead for Individuals and Corporations
  • Telemedicine Gains Further Acceptance

Payment Matters >
July 8, 2016

  • Proposed Provider-Based Changes Pose Significant Problems for Hospitals
  • Home Health PPS CY 2017 Proposed Rule: Payments Rebased, Quality Measures Updated
  • Medicare Appeals Backlog: HHS' Response to the Decade-Long Delay in Reviewing Appeals

Health Law Alert >
2016: Issue 10

  • New CMS Final Fire Safety Regulations

Payment Matters >
June 10, 2016

  • CMS Announces "Pause" in QIO Review of Inpatient Admissions
  • CMS Limits MAC and QIC Scope of Review

Health Law Alert >
2016: Issue 9 - Focus on HIPAA/Privacy

  • OCR Clarifies Parameters of Covered Entities' Fees for PHI Copies
  • OIG Approves Wholly Owned Group Purchasing Organization

Health Law Alert >
2016: Issue 8 - Focus on Fraud and Abuse

  • CMS Announces Plans to Streamline the Stark Self-Referral Disclosure Protocol
  • OIG Updates Permissive Exclusion Criteria – Suggests Compliance Programs Are Expected
  • Another Medigap/Preferred Hospital Network Arrangement Approved by OIG in Advisory Opinion 16-05
  • Is This the Beginning of an End to a Long Controversial Debate on Concurrent Surgeries?
  • NLRB Slams Hospital for Maintaining Work Rules Prohibiting Employees From Engaging in "Improper Conduct"

Payment Matters >
May 13, 2016

  • Physician Payment: CMS Proposes Quality Payment Program, Advanced APMs, and Merit-Based Incentive Payment System
  • D.C. District Court Resolves Challenge to Medicare's Outlier Payment Rules for Banner Health v. Burwell

Health Law Alert >
2016: Issue 7

  • OIG Approves Another Medigap/Preferred Hospital Network in Advisory Opinion 16-04

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