Alex Lewis on Medicare

Noteworthy GME Payment Policies in CMS FY 2026 IPPS and IPF Proposed Rules

This month, the Centers for Medicare & Medicaid Services (CMS) issued several noteworthy proposed Graduate Medical Education (GME) payment policies and opportunities in its fiscal year (FY) 2026 Medicare Inpatient Prospective...more

5/5/2025 / Centers for Medicare & Medicaid Services (CMS) , Graduate Medical Education , Health Care Providers , Healthcare Facilities , Hospitals , Inpatient Prospective Payment System (IPPS) , Medicare , Proposed Rules , Teaching Hospitals

Upcoming Deadline to Apply for Medicare-Funded Residency Positions

Teaching hospitals training over their graduate medical education (GME) caps have limited opportunities to receive additional funding from Medicare. ...more

1/14/2025 / Centers for Medicare & Medicaid Services (CMS) , Compliance , Educational Institutions , Final Rules , Health Care Providers , Healthcare Facilities , Hospitals , Medicare , Mental Health , Regulatory Requirements , Teaching Hospitals

Medicare Telehealth Waivers Extended Until March 2025

At the close of 2024, Congress passed, and President Biden signed into law, a long-awaited Continuing Resolution that temporarily extends certain critical programs and appropriations through March 31, 2025. The legislation,...more

1/7/2025 / Biden Administration , Digital Health , Health Care Providers , Health Insurance , Medicare , Telehealth , Telemedicine , Waivers

2025 Medicare Physician Fee Schedule: Payment and Overpayment Policies

On December 9, 2024, the Centers for Medicare & Medicaid Services' (CMS's) Calendar Year 2025 Physician Fee Schedule Final Rule (the Final Rule) was published in the Federal Register. The Final Rule includes noteworthy...more

12/13/2024 / Centers for Medicare & Medicaid Services (CMS) , False Claims Act (FCA) , Health Care Providers , Health Insurance , Healthcare , Medical Reimbursement , Medicare , Mental Health , Overpayment , Physician Fee Schedule , Physicians , Reimbursements , Telehealth , Telemedicine

CMS Proposes Significant Changes to the Medicare Shared Savings Program and 60-Day Rule

Under the CY 2025 Medicare Physician Fee Schedule (PFS) proposed rule, CMS proposes several modifications to the Medicare Shared Savings Program (MSSP) that would become effective in performance year 2025. CMS also proposed...more

8/9/2024 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medical Reimbursement , Medicare , Overpayment , Physician Fee Schedule , Physicians

CMS Proposes Extending COVID-Era Telehealth and Supervision Flexibilities through CY 2025

The Centers for Medicare & Medicaid Services (CMS) proposed to extend a number of COVID-era regulatory flexibilities related to telehealth, remote services, and supervision in the CY 2025 Medicare Physician Fee Schedule (PFS)...more

7/30/2024 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Health Care Providers , Healthcare , Medicare , Mental Health , Physician Fee Schedule , Physicians , Proposed Rules , Substance Abuse , Telehealth , Telemedicine

Noteworthy GME Payment Policy Takeaways from the CMS FY 2025 IPPS Proposed Rule

CMS's FY 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule (Proposed Rule) includes several noteworthy proposals and requests for information related to graduate medical education (GME) payment policies. Below...more

5/22/2024 / Centers for Medicare & Medicaid Services (CMS) , Consolidated Appropriations Act (CAA) , GME , Healthcare Facilities , Hospitals , Inpatient Prospective Payment System (IPPS) , Medicare , Physicians , Proposed Rules , Rural Health Care Providers , Teaching Hospitals

Significant 2024 Medicare Physician Fee Schedule Rule Proposals: E/M, Social Determinants of Health, and Behavioral Health

In this article, we highlight a number of policy proposals in the current year (CY) 2024 Medicare Physician Fee Schedule (MPFS) Proposed Rule that have significant health care delivery and operational implications. These...more

8/14/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Physician Fee Schedule , Physicians , Proposed Rules , Risk Assessment , Telehealth

CY 2024 Medicare Physician Fee Schedule: Extending Telehealth Flexibilities and Seeking Future Policy Input

CMS recently released the CY 2024 Medicare Physician Fee Schedule (MPFS) Proposed Rule (Proposed Rule), which included many noteworthy proposals and clarifications related to Medicare telehealth services and other remote...more

7/24/2023 / Centers for Medicare & Medicaid Services (CMS) , Consolidated Appropriations Act (CAA) , Health Care Providers , Medicare , Physician Fee Schedule , Physicians , Telehealth , Telemedicine

While the Public Health Emergency (PHE) is Projected to End May 11, Medicare Telehealth Coverage Expansions Were Extended Through...

President Biden recently announced that his administration plans to end the COVID-19 PHE on May 11, 2023. This provides more clarity about the long-anticipated end date for certain telehealth waivers and enforcement...more

2/14/2023 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Health Care Providers , Medicare , Public Health Emergency , Telehealth , Telemedicine

Noteworthy Telehealth and Remote Services Provisions in the CY 2023 Medicare PFS Final Rule

On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (PFS) Final Rule. This article highlights noteworthy provisions of the Final Rule...more

11/21/2022 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Medicare , Physician Fee Schedule , Telehealth , Telemedicine

Key Telehealth Proposals in Calendar Year 2023 Medicare Physician Fee Schedule Proposed Rule

On July 29, 2022, the Calendar Year (CY) 2023 Medicare Physician Fee Schedule (PFS) proposed rule was published in the Federal Register. The proposed rule includes several noteworthy proposals related to telehealth and other...more

8/5/2022 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Physician Fee Schedule , Telehealth , Telemedicine

Alex Lewis

Baker Donelson

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