11/5/2025 2:41:39 AM CMS Makes Permanent Virtual Direct Supervision for Diagnostic Tests By Tom Greeson Paul Pitts James Hennessy Smita Patil Matthew Loughran Liyun Huang +3 more... Show less On October 31, 2025, the Centers for Medicare & Medicaid Services (“CMS”) issued the Calendar Year 2026 Medicare Physician Fee Schedule...
7/22/2025 10:24:29 PM Recent Legislative and Regulatory Updates for Long-Term Care Facilities By Carol Loepere Craig Anderson Sebnem Dugmeoglu Recent guidance from the Centers for Medicare & Medicaid Services (CMS), along with the passage of the 2025 Reconciliation Law...
10/7/2024 1:01:26 AM CMS Ramps up Process for Identifying Private-Equity Ownership of SNFs By Carol Loepere Brittney Cafero Matthew Loughran This month, the Centers for Medicare & Medicaid Services (CMS) has begun an off-cycle revalidation process directed at all...
5/10/2024 2:39:17 PM What to know about the new CMS Minimum Staffing Rule for LTC Facilities By Carol Loepere Hatmaker Pawlitz David Bender Matthew Loughran +1 more... Show less The Centers for Medicare & Medicaid Services (CMS) has finally published the minimum staffing rule for Long Term Care facilities in the...
4/23/2024 6:05:16 PM Are you listening, Medicare Advantage and Medicare Part D Plans? It’s CMS (Again) By Scot T. Hasselman Nicole Aiken-Shaban Whitney Petrie Matthew Loughran +1 more... Show less Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and...
11/17/2023 1:26:51 PM CMS Finalizes Nursing Home Ownership Rule By Carol Loepere Whitney Petrie Matthew Loughran The Centers for Medicare & Medicaid Services (CMS) has published its final rule that requires nursing homes enrolled in Medicare and...
10/18/2023 4:33:45 AM The Latest Episode of the LDT Drama: FDA Issues Long-Awaited Proposed Rule for Laboratory Developed Tests By Sarah Thompson Schick Rebecca Jones McKnight Matthew Loughran Kevin Madagan +1 more... Show less On October 31, FDA will be offering a webinar on its proposed rule ”Medical Devices; Laboratory Developed Tests.” This webinar comes...
8/29/2023 1:33:59 PM CMS Announces Initial Part D Drug Price Negotiation List By Matthew Loughran The Centers for Medicare and Medicaid Services (CMS) released the names of the top 10 drugs by Medicare spend on Aug. 29. The list is the...
4/27/2023 6:35:03 PM A Potential Route to RADV Judicial Review: Part III By James Segroves In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal...
4/20/2023 2:59:30 PM A Potential Route to RADV Judicial Review: Part II By James Segroves In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal...
4/13/2023 3:41:17 PM A Potential Route to RADV Judicial Review: Part I By James Segroves The Medicare Act does not expressly provide for judicial review of overpayment determinations made by the Centers for Medicare & Medicaid...
2/22/2023 3:17:44 PM “Contrary to the Public Interest” Part II: CMS Again Invokes Retroactive-Rulemaking Authority By James Segroves The Centers for Medicare & Medicaid Services (CMS) recently issued a Medicare-related final rule invoking the agency’s statutory...
2/20/2023 3:23:43 AM CMS issues guidance for rural emergency hospital eligibility requirements By Kristin Parker On January 26, 2023, the Centers for Medicare and Medicaid Services (CMS) issued guidance for Rural Emergency Hospitals (REHs), through...
1/8/2023 6:26:54 PM Health Provisions of the Consolidated Appropriations Act, 2023: Part 1 Medicare Payments By Matthew Loughran The Consolidated Appropriations Act, 2023 (P.L. 117-328) (referred to hereafter as 2023 CAA) runs more than 1,600 pages long in the...
12/13/2022 7:58:05 PM Home Health Care Services Electronic Visit Verification System Implementation Required by January 1, 2023 By Janine Tougas Craig Anderson Under provisions of the 21st Century Cures Act (Cures Act), providers of Medicaid-funded personal care services (PCS) and home health...
6/21/2022 7:56:58 PM CMS levies penalties for non-compliance with Hospital Price Transparency Rule By Nicole Aiken-Shaban Ellen Pighini The Centers for Medicare & Medicaid Services (“CMS”) issued the first round of civil monetary penalties to two hospitals in Georgia for...