9/9/2025 4:15:34 PM HHS Announces Crackdown on Health Data Blocking By Nancy Halstead Vicki Tankle In the first week of September, the U.S. Department of Health and Human Services (HHS) announced a renewed enforcement focus on...
3/31/2023 8:22:26 PM Proposed legislation to tackle Medicare Advantage upcoding in response to overpayment concerns By Scot T. Hasselman Nicole Aiken-Shaban Ellen Pighini On March 27, 2023, two United States Senators, Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) introduced the bipartisan No Unreasonable...
3/17/2023 9:51:24 PM MACs Consider Guidance on Remote Patient Monitoring Amid Exploding Utilization By Nancy Halstead Lauren Bentlage Sebnem Dugmeoglu On February 28, 2023, six of the seven Medicare Administrative Contractors (MACs), who administer Medicare reimbursement on behalf of the...
5/5/2021 5:24:48 PM CMS finalizes rule to expand and modify Comprehensive Care for Joint Replacement Model By David Hartmann On May 3, 2021, the Centers for Medicare & Medicaid Services (CMS) published an 81-page final rule to both extend and change the...
8/19/2020 4:52:24 PM “Contrary to the Public Interest”: CMS invokes retroactive-rulemaking authority to escape consequences of Allina By James Segroves David Bender Earlier this month and with little fanfare, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would invoke...
7/28/2020 6:02:17 PM Final rules modernizing Anti-Kickback Statute and Stark Law under review by OMB: anticipating the future of value-based care By Rebecca Dittrich David Bender The much-anticipated final rules modernizing the safe harbors under the Anti-Kickback Statute (AKS) and the physician self-referral...