8/29/2025 2:39:34 PM CMS Proposes Changes to Average Sales Price Calculations for Part B Drug Reimbursement By Joseph Metro Matthew Loughran In its 2026 Medicare Physician Fee Schedule proposed rule, the Centers for Medicare & Medicaid Services (CMS) has proposed additional...
7/21/2025 11:18:01 PM CMS Proposes Permanent Virtual Direct Supervision of Diagnostic Tests By Tom Greeson Paul Pitts James Hennessy Smita Patil Matthew Loughran Liyun Huang +3 more... Show less On July 14, 2025, the Centers for Medicare & Medicaid Services (“CMS”) issued the proposed Medicare Physician Fee Schedule Rule for...
5/19/2025 8:03:55 PM CMS Proposes Rule to Tighten Medicaid Provider Tax Requirements By Nicole Aiken-Shaban David Bender Last week, on May 15, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that, if adopted, will change the...
12/3/2024 12:00:00 PM Medicare overpayment rule standard changes finalized in 2025 CMS Physician Fee Schedule By Scot T. Hasselman Nancy Halstead Tom Greeson Nicole Aiken-Shaban Kaitlyn Dunn Peter Terreri Matthew Loughran +4 more... Show less In the final 2025 Medicare Physician Fee Schedule, which is set to be published in the Federal Register on December 9, the Centers for...
7/23/2024 7:46:53 PM CMS Revisits Medicare Overpayment Standards in 2025 Physician Fee Schedule By Nancy Halstead Hatmaker Pawlitz Peter Terreri In its recently released 2025 proposed Medicare Physician Fee Schedule (“MPFS”), the Centers for Medicare & Medicaid Services (“CMS”)...
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...
9/27/2023 4:27:19 PM CMS Final Rule Streamlines Medicare Savings Program Eligibility and Enrollment By Jessica Christensen Good news for Medicare-eligible patients: the Centers for Medicare & Medicaid Services (CMS) is making it easier for individuals with...
9/1/2023 8:40:29 PM CMS Proposes National Minimum Nursing Staff Requirements for LTC Facilities By Matthew Loughran In a proposed rule sent to the federal register public inspection list on Sept. 1, the Centers for Medicare and Medicaid Services (CMS)...
8/31/2023 8:02:10 PM CMS Updates Medicare Rates and Policies for Inpatient and LTC Hospitals, Promoting Health Equity and Patient Safety By Brittney Cafero On August 28, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a final payment rule for inpatient and long-term care...
7/5/2023 12:46:03 PM CMS Issues Requirements for Hospital Discharges to Post-Acute Care Providers By Brittney Cafero On June 6, 2023, the Center for Medicare and Medicaid Services (“CMS”) released a Quality Safety & Oversight memorandum (“QSO Memo”)...
4/29/2023 1:12:41 AM CMS proposes Medicaid changes that are likely to have significant impact on beneficiaries and Medicaid MCO payments By Nicole Aiken-Shaban Matthew Loughran The Centers for Medicare and Medicaid Services (CMS) released a pair of proposed rules on April 27, 2023 that make substantial changes to...
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...