Stephen Bittinger on Centers for Medicare & Medicaid Services (CMS)

What's Been Missing: District Court Orders the Government to Produce Complete Universe of Claims in Provider's Due Process...

On 5 March 2024, in an issue of first impression in the District of South Carolina, a district court judge overseeing judicial review of a final agency decision in a Medicare claims appeal ordered the Government to complete...more

3/11/2024 / Administrative Record , Auditors , Centers for Medicare & Medicaid Services (CMS) , Due Process , Health Care Providers , Medicare , Overpayment , Reimbursements

Health Care Triage: Understanding OIG and CMS Audits

Richard Church interviews Stephen Bittinger about the scope and authority of OIG and CMS audits, outlining the similarities and differences between the two from a provider perspective. The presenters discuss the key...more

6/11/2021 / Audits , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , OIG , Physicians , Reporting Requirements , Work Plans

K&L Gates Triage: CMS Cease and Desist Letters to COVID Labs and Reimbursement Dispute

In this episode, Stephen Bittinger discusses the recent announcement that cease and desist letters from the Centers for Medicare & Medicaid Services (CMS) have been sent to 171 facilities testing for COVID-19 without proper...more

10/26/2020 / Cease and Desist , Centers for Medicare & Medicaid Services (CMS) , Civil Monetary Penalty , CLIA , Clinical Laboratories , Coronavirus/COVID-19 , Healthcare Facilities , Infectious Diseases , Medical Reimbursement , Public Health Emergency , Public Safety , Virus Testing

2021 Physician Fee Schedule Proposed Rule

On 3 August 2020, the Centers for Medicare & Medicaid Services (CMS) released its Physician Fee Schedule (PFS) proposed rule (Proposed Rule) for Calendar Year (CY) 2021.1 The agency will accept comments on the Proposed Rule...more

9/4/2020 / American Medical Association , Centers for Medicare & Medicaid Services (CMS) , Final Rules , Medicare , Outpatient Services , Physician Fee Schedule , Physicians , Proposed Rules , Public Policy

COVID-19: CMS Announces Plan to Restart the Audit Machines on 3 August 2020 and Additional Changes to Enforcement Policies

Since 30 March 2020, the Centers for Medicare & Medicaid Services (CMS) exercised enforcement discretion to suspend most Medicare Fee-For-Service medical reviews and relax related requirements during the COVID-19 public...more

7/21/2020 / Audits , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Fee-for-Service , Health Care Providers , Medicare , Regulatory Requirements

COVID-19: K&L Gates Triage: COVID Audits

In this week’s episode, Stephen Bittinger discusses the impending resumption of Medicare error-based audits, which were temporarily suspended following the onset of the COVID-19 crisis. Mr. Bittinger discusses the different...more

7/17/2020 / Audits , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Fee-for-Service , Health Care Providers , Hospitals , Medical Review Officers (MROs) , Medicare , Physicians , Public Health Emergency , Regulatory Requirements

CMS Issues IPPS/LTCH Proposed Rule for FY 2021

On 11 May 2020, the Centers for Medicare & Medicaid Services (CMS) issued in pre-publication form the proposed rule for the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care...more

5/19/2020 / Centers for Medicare & Medicaid Services (CMS) , Inpatient Prospective Payment System (IPPS) , Long Term Care Facilities

Stephen Bittinger

K&L Gates LLP

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