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Survey Shows Burdens on Clinical Research Sites Sharply Increasing Since 2018

HIT Consultant

Since 2018, nearly 60% of clinical research sites have experienced an increase in study volume. Between 33-50% of sites are using electronic patient reported outcomes (ePRO), electronic clinical outcomes assessment (eCOA), learning management, document exchange, and site payment systems in over three-quarters of studies.

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CMS Issues Long-Awaited Medicare Advantage RADV Final Rule

Healthcare Law Blog

The Final Rule implements the following changes: CMS will extrapolate RADV audit findings beginning with payment year (“PY”) 2018 and will not extrapolate RADV audit findings for PYs 2011 through 2017. One thing that is certain, CMS can expect further challenges to its RADV audit methodology. emphasis added).

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Supreme Court Saves Hospitals from $1.6B Cut to 340B Program

Healthcare Law Blog

The Court found that “under the text and structure of the statute, this case is therefore straightforward,” and concluded that HHS’ decision to vary reimbursement rates only for hospitals in 2018 and 2019 was unlawful because it did not conduct a survey of hospitals’ acquisition costs in those years.

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Recent Developments under 340B Program

Natalia Mazina

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”). No wonder the attention of the healthcare community is glued to the latest developments in the 340B arena.

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CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule

Hall Render

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3%

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Deadline for Physicians, Advance Practice Providers and Teaching Hospitals to Review Sunshine Act Data Approaching

Hall Render

This year, however, changes made in 2018 expanding the definition of “Covered Recipient” have gone into effect. During this 45-day window, Covered Recipients may use CMS’s online National Physician Payment Transparency Program (known as the Open Payments system) to formally dispute any information they believe is incorrect.

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Home Health PPS Proposed Rule for CY 2024: Broad Rule Has Something for Everyone

Hall Render

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. Physical Therapy 3.30