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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, David H. Snow, Brian D. Jent.

Reminder: Many Hospitals Will Be Required to Report Lab Price Data as Part of PAMA Changes

USA - September 3 2019 In 2014, Congress enacted the Protecting Access to Medicare Act (“PAMA”), changing the landscape of Medicare reimbursement for lab services. PAMA...

Cara Tolliver, Joseph R. Krause.

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, David H. Snow, 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, David H. Snow, Regan E. Tankersley, Joseph R. Krause.

Evaluating Ligature Risk Prevention Requirements and Regulations: The Challenges of Protecting Patients Without Restricting Access

USA - July 22 2019 Effective July 1, 2019, The Joint Commission (“TJC”) implemented new and revised requirements regarding suicide prevention for all TJC-accredited...

Jennifer F. Skeels, Kristen H. Chang, Lindsey Croasdale, Stephane P. Fabus.