Prospective Payment Systems and Payment Models

Home Health Agency Final Rule for 2024

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

New OIG Opinion On Bonuses and CMS Recognizes Street Medicine

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

New Final DEA and CMS FY 2024 Payment Rules

DEA Finalizes Rules on Electronic CDS Prescriptions and Seeks Public Input on Telemedicine The United States Drug...

Recent Federal Payment Rules

CMS Proposes Rulemaking to Remedy 340B-Acquired Drug Payment Policy The United States Centers for Medicare and Medicaid...

Governor Vetoes Statute on Equal Telemedicine Rates

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Connor Breza....

CMS Proposes Rule to Rescind Coverage of “Breakthrough” Medical Technologies

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Connor Breza. As expected,...

Hospitals Lose Outlier Payment and S-10 Audit Litigations

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Connor Breza. Appellate...

Federal Regulations Aim to Further Reduce Pharmaceutical Drug Prices, CMS Releases Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule, New Measures Taken to Combat COVID 19 During the Upcoming Winter Months, and More

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Daniel J. Parziale. New...

CMS Issues Alert to Providers Regarding Incentive Payments, New CMS Models and Other CMS Action, and New Jersey Establishes Task Force on Long-Term Care

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Daniel J. Parziale. Centers...

HHS Reopens Provider Relief Fund for Certain Providers, and CMS’ Proposed Outpatient Prospective Payment System Makes Some Significant Changes to Payment Rates and Policies

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Daniel J....

NJ Eases Testing Requirements for Elective Surgeries, but Do You Know the Difference Between Molecular, Antigen, and Antibody Testing? A New Federal Statute Proposes to Increase the Shared Savings for ACOs. Also, New Adopted and Proposed NJ Regulations.

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Daniel J. Parziale. New...

New COVID-19 Guidance, MIPS Hardship Applications Are Now Open, and CMS’ 2021 Home Health Prospective Payment Update

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Daniel J. Parziale....