21st Century Cures: Congress Approves Legislation Expanding Hospital...
The 21st Century Cures Act encourages biomedical research investment and facilitates innovation review and approval processes, but also serves as a vehicle for a wide variety of other health-related...
View ArticleOIG Revises Safe Harbors under the Anti-Kickback Statute and Civil Monetary...
On December 7, 2016, the Office of Inspector General of the US Department of Health and Human Services published a final rule containing revisions to both the federal Anti-Kickback Statute safe harbors...
View ArticleCMS Final Rule Overhauls Long-Term Care Facility Regulations & Federal Court...
The Centers for Medicare & Medicaid Services issued its long-awaited final rule on long-term care facility reform, which represents the first comprehensive change to long-term care conditions of...
View ArticleCMS Releases Medicare Outpatient Observation Notice Form
On December 8, 2016, the Centers for Medicare and Medicaid Services (CMS) published the Medicare Outpatient Observation Notice (MOON), which educates Medicare beneficiaries on the effect of outpatient...
View Article21st Century Cures: A Closer Look
On December 7, 2016, the US Congress enacted the 21st Century Cures Act, substantial legislation intended to accelerate “discovery, development and delivery” of medical therapies by encouraging...
View ArticleCMS Revises the Self-Referral Disclosure Protocol Requiring the Use of...
The Centers for Medicare and Medicaid Services (CMS) recently posted revisions to the Voluntary Self-Referral Disclosure Protocol (SRDP). In an attempt to streamline the self-disclosure process, CMS...
View ArticleHealth Care Enforcement Quarterly Roundup - Q2 | July 2018
Following our inaugural installment of the Health Care Enforcement Quarterly Roundup, we are pleased to be back this quarter with another overview of key enforcement trends in the health care industry....
View ArticleOIG Seeks Comments on Anti-Kickback Statute and Beneficiary Inducements as...
On August 24, 2018, the Office of Inspector General (OIG), Department of Health and Human Services (HHS) published a request for information, seeking input from the public on potential new safe harbors...
View ArticleCMS DMEPOS Competitive Bidding Program “Round 2021” Includes New Products and...
The Centers for Medicare and Medicaid Services (CMS) announced a new round of competitive bidding for certain durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), with contracts...
View ArticleCMS Releases Long-Awaited Guidance on Hospital Co-Location Arrangements
The Centers for Medicare and Medicaid Services has issued long-awaited draft guidance addressing the use of shared space and contracted services. Though aiming to increase transparency into the scope...
View ArticleCMS Publishes Proposed Amendments to Stark Law Advisory Opinion Regulations
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) published the CY 2020 Medicare Physician Fee Schedule Proposed Rule, which included substantial changes to the physician...
View ArticleCMS Final Rule Strengthens Integrity of Medicare Provider Enrollment Process
On September 10, 2019, the US Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS) published a final rule (Final Rule) expanding Medicare, Medicaid and Children’s...
View ArticleHHS Proposes Substantial Changes to Stark Law and Anti-Kickback Statute...
The Department of Health & Human Services’ (HHS) proposed changes to the Stark Law, the Anti-Kickback Statute, and the Civil Monetary Penalty Law, released today as part of the Regulatory Sprint to...
View ArticleStark Law Proposed Change Affects Group Practice Special Rules for...
On October 9, 2019, the US Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) published proposed changes to the physician self-referral law (Stark Law). Physician...
View Article[Webinar] Regulatory Sprint To Coordinate Care - November 19th, 21st, and...
To help accelerate the transformation of the US healthcare system from a fee-for-service to a value-based system, the US Department of Health & Human Services (HHS) launched its “Regulatory Sprint...
View ArticleNew Guidance on Medicare Payment Rule Enforcement
A few days before Thanksgiving, the news media published an internal memo by the Office of General Counsel (OGC) at the US Department of Health and Human Services (Department) to officials at the...
View ArticleCMS Releases Fact Sheets on COVID-19 Medicare Coverage, Billing Guidelines
The Centers for Medicare and Medicaid Services (CMS) released several fact sheets on COVID-19 coverage and benefits, and announced a second Healthcare Common Procedure Coding System (HCPCS) code,...
View ArticleCMS Dramatically Modifies and Expedites the Medicare Enrollment Process to...
The Centers for Medicare and Medicaid Services is expediting Medicare enrollment applications and allowing certain categories of practitioners to temporarily enroll in Medicare Part B to increase the...
View ArticleHHS OIG Establishes Portal and Process to Provide Guidance on Anti-Kickback...
The US Department of Health and Human Services, Office of Inspector General has created an information portal and established a process to provide guidance on the application of the Anti-Kickback...
View ArticleCMS Expands Accelerated and Advance Payment Program to All Medicare...
Accelerated or advance Medicare payments can provide some cash flow as providers and suppliers combat the effects of the Coronavirus (COVID-19) pandemic. This program requires a one-page application...
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