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Results:1-10 of 285

CMS Announces New Medicare Prior Authorization Requirements for Two Types of Power Wheelchairs
  • Reed Smith LLP
  • USA
  • December 20 2016

Beginning in March 2017, CMS is phasing in new Medicare prior authorization (PA) requirements for two types of power wheelchairs under a policy


DOJ and FTC announce antitrust enforcement policy regarding Accountable Care Organizations
  • Ballard Spahr LLP
  • USA
  • November 1 2011

If your organization will participate in the Medicare Shared Savings Program as an accountable care organization (ACO), you should consult with antitrust counsel so that you can minimize the risk of criminal and civil liability arising from the antitrust laws.


CMS proposes home health PPS rate cut for 2012
  • Reed Smith LLP
  • USA
  • July 18 2011

CMS published a proposed rule on July 12, 2011 that would decrease Medicare home health agency (HHA) PPS payments for CY 2012 by 3.35, or $640 million, compared to 2011 levels.


D.C. Circuit vacates and remands 2007 and 2008 rules for calculating rural floor budget neutrality adjustment
  • King & Spalding LLP
  • USA
  • January 18 2011

On January 14, 2011, the D.C. Circuit Court of Appeals issued a ruling vacating and remanding the portion of CMS’s 2007 and 2008 inpatient PPS rules setting forth the calculation of the rural floor budget neutrality adjustment prescribed under section 4410(b) of the Balanced Budget Act of 1997.


Delayed application of nondiscrimination rules for insured medical plans
  • Drinker Biddle & Reath LLP
  • USA
  • January 3 2011

Plan sponsors of insured medical plans that are not grandfathered will be relieved to know that the Internal Revenue Service (IRS) issued a notice delaying the compliance date for the new nondiscrimination requirements imposed by the Patient Protection and Affordable Care Act and the related Health Care and Education Reconciliation Act of 2010 (together, the Health Care Reform Law).


CMS publishes 2011 Home Health Agency Prospective Payment System Rate Update
  • McDermott Will & Emery
  • USA
  • August 16 2010

As part of the 2011 update, CMS proposes changes affecting documentation of funding requirements, changes of ownership interests, and face-to-face encounter requirements.


New interim rules issued for preexisiting condition exclusions, lifetime and annual limits, coverage recissions, and patient protections
  • Seyfarth Shaw LLP
  • USA
  • June 28 2010

This is the seventh issue in our series of alerts for employers on selected topics in health care reform.


FDA seeks comments on information collection under security and bioterrorism law
  • Shook Hardy & Bacon LLP
  • USA
  • March 19 2010

The Food and Drug Administration (FDA) has issued two requests for public comments regarding proposed collections of information under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002.


COBRA subsidy extension déjà vu, but much more
  • Haynes and Boone LLP
  • USA
  • March 12 2010

Once again, Congress has extended the period during which an individual must be involuntarily terminated (as defined for purposes of the COBRA subsidy, an "Invol Term") to be eligible for the COBRA subsidy.


DC District Court rules in favor of 62 Massachusetts hospitals' challenge to wage index calculation
  • Baker & Hostetler LLP
  • USA
  • March 6 2008

On February 26, 2008, the U.S. District Court for the District of Columbia ruled that the Secretary of Health and Human Services' decision to exclude certain prospective payment system ("PPS") hospitals that later converted to critical access hospitals ("CAHs") from the wage index calculation was contrary to Congressional mandate and arbitrary and capricious.