AIHC

MARCH 31, 2025

The "Sunshine Act," officially known as the Physician Payments Sunshine Act, mandates those manufacturers of drugs, medical devices, and biologics report payments and transfers of value to physicians and teaching hospitals to the Centers for Medicare & Medicaid Services (CMS).

Compliance 64

Compliance COVID-19 Compliance Officers Medicaid 64

HIT Consultant

NOVEMBER 2, 2021

In 2010, the Affordable Care Act ushered in a new era for Medicaid Modularity, an approach anchored by breaking down large, monolith systems into smaller, more nimble and self-contained modules that can de-risk healthcare delivery and unlock innovation. Prior to 2016, large vendors controlled the market and monopolized state MMISs.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Compliancy Group

JUNE 28, 2024

That 2016 law was established to accelerate the discovery, development, and delivery of 21st century cures, by streamlining drug and device approval processes, and bringing treatments to market faster. For CAHs, payment will be reduced to 100 percent of reasonable costs instead of 101 percent. CMS may then apply the disincentive.

Medicare 59

Medicare Medicare Hospitals HIPAA 59

Healthcare IT Today

JUNE 29, 2023

Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Compliancy Group

NOVEMBER 16, 2022

In 2015, legislation known as the Medicare Access and CHIP Reauthorization Act (MACRA) was enacted. Until the passage of the CURES Act in 2016, MACRA was the most significant legislative overhaul of the U.S. healthcare system since 2010’s Affordable Care Act. Cost is 30% of the total score, as is quality.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Natalia Mazina

APRIL 25, 2023

On another, Medicare Part B recently challenged payments to 340B providers. Medicare reimbursement cut In 2018, CMS implemented a 28.5% reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”). Sanofi Aventis U.S. 2023) 58 F.4th

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Payment Systems 52

Hall Render

APRIL 20, 2022

The release of the Proposed Rule and the accompanying tables also triggers the start to several deadlines for hospitals, including the unofficial start of the Medicare Geographic Classification Review Board (“MGCRB”) application process. The Medicare program also has an “in between” status called “Lugar status.” Background.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40