8/15/2025 10:09:17 PM CMS Announces Health Tech Ecosystem Initiative By Samantha Beck The Centers for Medicare & Medicaid Services (“CMS”) has announced a Health Tech Ecosystem initiative, developed in response to a May...
8/12/2025 2:25:42 PM CMS makes changes to Medicare Part D bid parameters for 2026 By Taber Rueter The Centers for Medicare & Medicaid Services (“CMS”) announced preliminary Medicare Part D bid parameters for year 2026 to help plan...
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...
4/16/2024 1:43:25 AM CMS Offers Change Healthcare/Optum Payment Disruption Payments to Medicare Providers and Suppliers By Samantha Beck On March 9, 2024, in response to the cyberattack on UnitedHealth Group’s subsidiary, Change Healthcare/Optum, in late February 2024, the...
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...
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...
10/21/2022 2:05:36 AM CMS Considers National Directory of Healthcare Providers and Services By Nicole Aiken-Shaban Vicki Tankle Andrew Hayes Wendy Choi +1 more... Show less In its latest effort to increase transparency and improve patient access to information about their health care providers the U.S....
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...
11/22/2021 4:30:52 PM New and improved proposed national coverage determination on screening for lung cancer with low dose CT By Tom Greeson The Centers for Medicare and Medicaid Services (CMS) is proposing significant and important modifications to its National Coverage...
11/5/2021 4:35:53 PM CMS issues interim final rule on SARS-CoV-2 vaccination for health care workers By Matthew Loughran The Centers for Medicare and Medicaid Services (CMS) has published an interim final rule that changed the conditions of participation in...
4/29/2021 2:30:28 PM CMS acknowledges improvement in nursing home COVID-19 response, eliminates certain blanket waivers By James Hennessy Kelly Kearney Sonia Nguyen The 2019 Novel Coronavirus pandemic (“COVID-19”) introduced several unfamiliar hardships adversely impacting the long-term care industry,...
11/6/2020 8:08:45 PM CMS finalizes rule to ensure no-cost COVID-19 vaccine By David Hartmann On October 28, 2020, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFR) in an...
10/2/2020 7:36:05 PM Patient access to health information at the forefront of government initiatives and scrutiny By Nancy Halstead Vicki Tankle Even amidst the chaos of a global pandemic, this year multiple U.S. Department of Health and Human Services (HHS) agencies have dialed in...
9/8/2020 8:50:44 PM CMS issues proposed rule that would expedite approval of “breakthrough” devices and codify the standards for “reasonable and necessary” determinations By Lara Parkin Carrie Gorner The October 3, 2019 Executive Order 13890 (“EO 13890”), entitled “Executive Order on Protecting and Improving Medicare for our Nation’s...
8/31/2020 5:26:40 PM CMS unveils additional COVID-19 LTC facility testing and reporting rules during public health emergency By James Hennessy Shaylynn Veeder On August 27, 2020, the Centers for Medicare & Medicaid Services (“CMS”) filed an interim final rule with comment period (“IFC”),...