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Federal Court Strikes Down Qualified Payment Amount Presumption Under No Surprises Act Dispute Resolution Process

USA - February 25 2022 On February 23, 2022, the U.S. District Court for the Eastern District of Texas (the “Court”) vacated key portions of a regulation implementing the…

Benjamin C. Fee, Matthew D. Reed, Angela Smith

CMS Releases Guidance on No Surprises Act Implementation

USA - January 25 2022 As of January 1, 2022, providers and facilities must comply with a number of requirements established by the No Surprises Act (the “Act”). CMS…

Benjamin C. Fee, Matthew D. Reed

AHA & AMA Sue Over No Surprises Act Dispute Resolution Process

USA - December 10 2021 On December 9, 2021 the American Hospital Association (“AHA”), American Medical Association (“AMA”) along with other health care providers filed a…

Benjamin C. Fee, Matthew D. Reed

Final Rule for 2022 OPPS/ASC Payment Addresses Price Transparency Penalties, Covered Procedures Criteria and Much More

USA - November 16 2021 On November 2, 2021, the Centers for Medicare & Medicaid Services (“CMS”) released the calendar year (“CY”) 2022 Outpatient Prospective Payment…

Kathryn Costanza, Lauren G. Hulls, Regan E. Tankersley

Key Medicare Payment Policy Changes from the CMS CY 2022 MPFS Final Rule

USA - November 16 2021 On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued its CY 2022 Medicare Physician Fee Schedule (“MPFS”) Final Rule…

Kathryn Costanza, Lauren G. Hulls, Regan E. Tankersley