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Medicare Advantage Risk Adjustment Data Validation Final Rule

January 30, 2024

The U.S. Department of Health and Human Services ("HHS"), through the Centers for Medicare & Medicaid Services...

Information Blocking Final Rule and Proposed Disincentives for Healthcare Providers

January 18, 2024

The Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) recently released a final...

Medicare Advantage Proposed Rule and Final Inpatient Rule

January 16, 2024

Medicare Advantage Proposed Rule for 2025 The United States Centers for Medicare & Medicaid Services (“CMS”) has proposed...

Federal Telehealth Changes and Fraud Toolkits

January 10, 2024

Many waivers and flexibilities were put into place by federal and state governments to better ensure necessary...

New Jersey Extends Telemedicine Payment Parity

January 3, 2024

The New Jersey telehealth reimbursement parity extensions were set to expire on December 31, 2023. On December...

Home Health Agency Final Rule for 2024

December 19, 2023

Home Health Agency Final Rule for 2024 The United States Centers for Medicare & Medicaid Services (“CMS”)...

Two Executive Orders Revoke Temporary COVID-19 Waivers

December 14, 2023

In November 2023, the Commissioner of the Department of Health (“Commissioner”) published two notices of revocation (“NOR”)...

CMS Issues Four Final Payment Rules

December 5, 2023

The United States Centers for Medicare & Medicaid Services (“CMS”) recently issued four final payment rules for 2024. Below...

New Jersey Seeks to Regulate Urgent Care Centers

November 30, 2023

On November 20, 2023, the New Jersey Assembly introduced Bill A5731 to supplement Title 45 of the...

Court Allows Medicare Drug Price Negotiations to Continue

November 28, 2023

A federal court recently denied the U.S. Chamber of Commerce (the “Chamber”) and their state and local...

HHS Office of Civil Rights Issues New Resources on Privacy and Security During Telehealth Encounters

November 21, 2023

The United States Department of Health and Human Services (“HHS”) – Office of Civil Rights (“OCR”) recently...

New OIG Opinion On Bonuses and CMS Recognizes Street Medicine

November 7, 2023

OIG Advisory Opinion on Physician-Employee Bonuses The Department of Health and Human Services (“HHS”) Office of Inspector...

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