Allison Cohen on Medical Reimbursement

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

Convening and Co-Provider Responsibilities under the No Surprises Act

The No Surprises Act (NSA), which took effect on January 1, 2022, includes protections from surprise bills for patients who are uninsured or covered under group or individual plans. It will be necessary for both facilities...more

2/28/2022 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Health Insurance , Medical Expenses , Medical Reimbursement , New Legislation , Surprise Medical Bills

CMS Releases Final Rule Implementing New GME Policies and Finalizing the Methodology to Distribute 1,000 Medicare GME Slots

The long-awaited FY 2022 Inpatient Prospective Payment System (IPPS) Final Rule with Comment Period (Final Rule) addressing changes to Medicare Graduate Medical Education (GME) Payments for Teaching Hospitals was placed on...more

12/24/2021 / Centers for Medicare & Medicaid Services (CMS) , Graduate Medical Education , Healthcare Reform , Inpatient Prospective Payment System (IPPS) , Medical Reimbursement , Medicare

CY 2022 Changes to Split (or Shared) Visit, Critical Care and Teaching Physician Billing

In preparation for the beginning of calendar year 2022, we want to highlight several important policies in the CY 2022 Medicare Physician Fee Schedule (PFS) final rule (Final Rule) related to billing for teaching physician...more

12/24/2021 / Final Rules , Health Care Providers , Healthcare , Healthcare Reform , Medical Reimbursement , Medicare , Physician Fee Schedule

Allison Cohen

Baker Donelson

Popular Topics by This Author

Latest Posts › Medical Reimbursement

2025 Medicare Physician Fee Schedule: Payment and Overpayment Policies

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

Convening and Co-Provider Responsibilities under the No Surprises Act

CMS Releases Final Rule Implementing New GME Policies and Finalizing the Methodology to Distribute 1,000 Medicare GME Slots

CY 2022 Changes to Split (or Shared) Visit, Critical Care and Teaching Physician Billing

Allison Cohen

Baker Donelson

Popular Topics by This Author

Latest Posts › Medical Reimbursement

2025 Medicare Physician Fee Schedule: Payment and Overpayment Policies

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

Convening and Co-Provider Responsibilities under the No Surprises Act

CMS Releases Final Rule Implementing New GME Policies and Finalizing the Methodology to Distribute 1,000 Medicare GME Slots

CY 2022 Changes to Split (or Shared) Visit, Critical Care and Teaching Physician Billing

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