Natalia Mazina

APRIL 25, 2023

reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”). HHS, however, did not issue a notice or proposed rule-making until 2016. Medicare reimbursement cut In 2018, CMS implemented a 28.5% Sanofi Aventis U.S. United States HHS (3d Cir.

US Department of Health and Human Services 52

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

Health Care Law Brief

JULY 25, 2023

The Final Rule codifies the prohibition on “information blocking” introduced by the 21st Century Cures Act (“ Act ”), which was enacted on December 13, 2016. 1033, (2016); 42 U.S.C. Department of Health and Human Services (“ HHS ”) released its final rule (“ Final Rule ”) implementing penalties for information blocking. See also U.S.

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

Compliancy Group

NOVEMBER 16, 2022

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. One of these incentives is the Merit-Based Incentive Payment System, or MIPS.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Hall Render

APRIL 20, 2022

The Medicare Hospital Inpatient Prospective Payment System (“IPPS”) is designed to pay hospitals for services provided to Medicare beneficiaries based on a national standardized amount adjusted for the patient’s condition and related treatment. Background.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

Healthcare IT Today

JUNE 29, 2023

Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008. Visit the Medicare payment resources page on the ASCA website to learn about the changes that CMS has made to the payment system and ensure that your ASC is paid appropriately.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Hall Render

JUNE 22, 2022

On Friday, June 17, 2022, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2023 Home Health Prospective Payment System Rate Update (“PPS Rule”). One of the largest changes to home health payment under PDGM was the move to variable LUPA thresholds.

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

Healthcare IT News - Telehealth

APRIL 21, 2021

A: It's pretty incredible to think about the fact that, as recently as 2016, only a quarter of 1% of all Medicare beneficiaries used a single telehealth service in a year. Q: While telehealth usage has exploded during the COVID-19 pandemic, in-person care has started to come back. What is happening in healthcare at this unique moment?

Medicare 182

Medicare Medicare COVID-19 Telemedicine 182