Allison Cohen on Reimbursements

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

2024 Medicare Physician Fee Schedule Final Rule Extends COVID-19 Telehealth Policies and Includes Bonus Extension

The CY 2024 Medicare Physician Fee Schedule Final Rule (Final Rule) implemented several statutory extensions to COVID-19 telehealth waivers and flexibilities, finalized proposed policies, and extended an important telehealth...more

11/15/2023 / Centers for Medicare & Medicaid Services (CMS) , Consolidated Appropriations Act (CAA) , Health Care Providers , Hospitals , Medicare , Physician Fee Schedule , Physicians , Reimbursements , Telehealth

Telehealth, Split or (Shared) Visit, Critical Care, and Teaching Physician Billing Proposals in the CY 2022 Medicare Physician Fee...

On July 13, 2021, CMS released the Calendar Year (CY) 2022 Medicare Physician Fee Schedule (PFS) proposed rule, which includes several noteworthy proposals related to telehealth, billing for split (or shared) visits, critical...more

7/29/2021 / Health Care Providers , Medicare , Physician Fee Schedule , Physicians , Reimbursements , Telehealth , Telemedicine

Fiscal Year 2022 IPPS Proposals Related to GME Payments

The FY 2022 Inpatient Prospective Payment System (IPPS) Proposed Rule implements the three noteworthy Graduate Medical Education (GME) provisions included in the Consolidated Appropriations Act, 2021 (CAA). As explained in...more

5/18/2021 / Centers for Medicare & Medicaid Services (CMS) , Graduate Medical Education , Health Care Providers , Hospitals , Medicare , Reimbursements , Rural Health Care Providers

A Deeper Dive into Telehealth, Graduate Medical Education and Rural Health Care Provisions in the Stimulus Legislation

In addition to the key health care provisions included in the Consolidated Appropriations Act of 2021 (Stimulus Legislation) summarized in Baker Donelson's recent publication, the new legislation includes a few additional...more

1/19/2021 / Consolidated Appropriations Act (CAA) , Graduate Medical Education , Health Care Providers , Hospitals , Medicare , Public Health Emergency , Reimbursements , Rural Health Care Providers , Telehealth

CMS Continues to Support Telehealth and Virtual Care Policies in the CY 2021 Medicare Physician Fee Schedule Final Rule

On December 1, 2020, CMS released the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule (Final Rule), which includes several policies to extend or make permanent certain policies to support expanded...more

12/7/2020 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Final Rules , Health Care Providers , Health Technology , Medicare , Physician Fee Schedule , Physicians , Public Health Emergency , Reimbursements , Telehealth , Telemedicine

CMS Revises Definition of Displaced Residents Counted for Temporary Transfers of GME Cap Slots

In the fiscal year (FY) 2021 inpatient prospective payment systems (IPPS) final rule, CMS finalized policies to define more accurately "displaced residents" from closing hospitals and programs. By revising this definition,...more

10/19/2020 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Inpatient Prospective Payment System (IPPS) , Medicare , Reimbursements

Allison Cohen

Baker Donelson

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