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CMS Posts “PO Modifier” Frequently Asked Questions

USA - January 28 2016 This week, the Centers for Medicare & Medicaid Services ("CMS") posted a much-anticipated FAQ related to off-campus provider-based departments and…

CMS Finalizes New Mandatory Radiation Oncology Payment Model

USA - September 29 2020 On September 18, 2020, the Centers for Medicare & Medicaid Services (“CMS”) finalized the Radiation Oncology (“RO”) Model, which is a mandatory…

Megan Culp, Julie Mitchell, Jennifer F. Skeels

What’s new with the 2-Midnight Rule?

USA - July 31 2015 CMS recently published its CY 2016 Hospital OPPS and ASC Proposed Rule in which it proposes to create a new exception under the 2-Midnight Rule. The…

Adele Merenstein

CMS Finalizes 2021 MPFS Final Rule - 3 Key Policy Changes Impacting Flexibility for Non-Physician Practitioners

USA - December 16 2020 In early December, the Centers for Medicare & Medicaid Services (“CMS”) issued its Calendar Year (“CY”) 2021 Medicare Physician Fee Schedule (“MPFS”)…

Lisa A. Lucido, Lori A. Wink

CMS Final Rule Implements Section 603 Limitations on Payment for Off-Campus Provider-Based Departments

USA - November 3 2016 On November 1, 2016, the Centers for Medicare & Medicaid Services ("CMS") issued its long-awaited final rule for the CY 2017 Hospital Outpatient…

Joseph R. Krause, Lisa A. Lucido, David H. Snow, Lori A. Wink