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The CMS Special Focus Facility Initiative
  • Breazeale Sachse & Wilson LLP
  • USA
  • November 13 2018

Nursing homes should be mindful of the Centers for Medicare & Medicaid Services (“CMS”) recent initiative aimed at addressing nursing homes with an


CMS Finalizes Several Changes for Off-Campus Provider-Based Clinics
  • Hall Render Killian Heath & Lyman PC
  • USA
  • November 12 2018

On November 1, 2018, the Centers for Medicare & Medicaid Services (“CMS”) released its final rule for the Calendar Year (“CY”) 2019 Medicare Physician


Medicare’s New Virtual Check-In Code: 7 Things You Need to Know
  • Cozen O'Connor
  • USA
  • November 12 2018

On November 1, 2018, CMS issued a 2,379 page final rule titled “Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality


Trump Administration International Pricing Index Plan for Medicare Part B Drugs Poses Huge Implications for Industry and Raises Numerous Questions
  • Reed Smith LLP
  • USA
  • November 9 2018

The Trump Administration seeks comments on its latest plan to reduce prices for prescription drugs. The plan would tie payment rates for drugs covered


Post-2018 Election 340B Update: So Where Are We Now?
  • Mintz
  • USA
  • November 9 2018

As the year began, I asked if 2018 would be a game-changing year for 340B. Ensuing months brought multiple Congressional hearings, many legislative


MAPDP Star Ratings: Proposed Technical Changes for 2020
  • Crowell & Moring LLP
  • USA
  • November 8 2018

In the most recent technical changes made to Part C and Part D plans for 2019, CMS codified the star ratings methodology in regulations. Now, CMS is


CMS Announces and Solicits Comments on Expanded RADV Audit Methodology
  • Crowell & Moring LLP
  • USA
  • November 8 2018

In its recent notice of proposed rulemaking setting policy for Medicare Advantage (MA) and the Prescription Drug Program (PDP) for calendar year 2020


Two-Year Break in Store for Medicare DMEPOS Competitive Bidding Program, But CMS Gears Up for 2021 Restart with Expanded Product Categories and New Rules
  • Reed Smith LLP
  • USA
  • November 7 2018

The Centers for Medicare & Medicaid Services has confirmed that it expects to have a “temporary gap” in the durable medical equipment, prosthetics


340B Program Changes Coming in 2019: Penalties and Payment Cuts
  • McDermott Will & Emery
  • USA
  • November 7 2018

On October 31, 2018, the Health Resources and Services Administration (HRSA) at the US Department of Health and Human Services (HHS) issued a notice


CMS Seeks Comment on Proposed Rule to Expand Telehealth Access and Coverage in the Medicare Advantage Program
  • Crowell & Moring LLP
  • USA
  • November 7 2018

The Centers for Medicare & Medicaid Services (CMS) continues to develop policy to expand telehealth coverage. On October 26th, CMS released a proposed