On December 9, 2016, the United States Court of Appeals for the D.C. Circuit ruled against two Michigan hospitals, holding that that the written agreements detailing their off-site residency programs failed to comply with the...more
On Wednesday, November 2, 2016, CMS issued a final rule (Final Rule) to update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2017. In the...more
On August 2, 2016, CMS released a final rule (Final Rule) with updates to the Hospital Inpatient Prospective Payment System (Hospital IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) affecting...more
8/10/2016
/ Administrative Procedure Act ,
Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Final Rules ,
Hospitals ,
IMPACT Act ,
Inpatient Prospective Payment System (IPPS) ,
Inpatient Quality Reporting ,
Long Term Care Facilities ,
Medicare ,
Provider Payments ,
Two-Midnight Rule ,
Value-Based Purchasing
HHS announced a Proposed Rule on July 5, 2016 aimed at reducing the backlog of appeals at the Office of Medicare Hearings and Appeals (OMHA) and Departmental Appeals Board (DAB) for Medicare payment and coverage...more
7/7/2016
/ Administrative Appeals ,
Administrative Law Judge (ALJ) ,
Administrative Proceedings ,
Appeals ,
Department of Health and Human Services (HHS) ,
Expedited Actions Process ,
Judicial Review ,
Medicare ,
Medicare Appeals Council ,
Newly Discovered Evidence ,
OMHA ,
Proposed Rules