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CMS Finalizes New Anti-Fraud Tools Aimed at Affiliations

USA - September 10 2019 The Centers for Medicare & Medicaid Services (“CMS”) could revoke or deny a provider’s or supplier’s Medicare enrollment if it determines that any of...

Lauren G. Hulls, James Junger, Lori A. Wink, Brian D. Jent.

CMS Finalizes Changes for Low Wage Hospitals and Rural Floor

USA - August 19 2019 On August 16, 2019, the Federal Fiscal Year (“FFY”) 2020 Medicare Inpatient Prospective Payment System (“IPPS”) final rule (“IPPS Final Rule”) was...

Benjamin C. Fee, Lindsey Croasdale, Lori A. Wink, Joseph R. Krause.

CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services - What You Need to Know

USA - August 2 2019 On July 29, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for Calendar Year (“CY”) 2020 Hospital Outpatient...

Lauren G. Hulls, Lisa A. Lucido, Regan E. Tankersley, Lori A. Wink, Joseph R. Krause.

What You Need to Know about Florida’s Partial Repeal of Its Certificate of Need Law

USA - July 12 2019 On June 26, 2019, Florida Governor Ron DeSantis signed into law a bill dramatically limiting substantial portions of Florida’s Certificate of Need...

Rene Larkin, Addison Bradford.

Location Matters Update: CMS Postpones Exact Match Billing Rule - AGAIN

USA - July 2 2019 In a previous article, we reported on CMS’s implementation of new billing edits that will Return to Provider any hospital UB-04 claims that identify...

Lauren G. Hulls, Lisa A. Lucido, Regan E. Tankersley, Lori A. Wink, Joseph R. Krause, Brian D. Jent.