Lauren Knizner on Health Care Providers

CMS Releases CY 2025 Physician Fee Schedule Final Rule

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2025 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

11/6/2024 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Hospitals , Medicare , MIPS , Outpatient Prospective Payment System (OPPS) , Physician Fee Schedule , Physicians

ASTP Proposes Certification Criteria for Patient, Payer and Provider APIs

On August 5, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP) published the Health Data,...more

8/9/2024 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Electronic Medical Records , Health Care Providers , Health Information Technologies , Healthcare , Information Blocking Rules , Proposed Rules , Regulatory Agenda

HHS Institutes Information Blocking Disincentives for Healthcare Providers

The long-awaited final reg is upon us! The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) released a final regulation earlier this week...more

6/27/2024 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Healthcare , Healthcare Reform , Information Blocking Rules , MIPS , OIG , ONC , Regulatory Requirements

Stakeholders Request Changes to Proposed Information Blocking Disincentives for Healthcare Providers

The public comments are in! The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) are now reviewing the 136 comments they received on a proposed...more

1/11/2024 / 21st Century Cures Act , Centers for Medicare & Medicaid Services (CMS) , Comment Period , Health Care Providers , Health Information Technologies , Information Blocking Rules , ONC , Proposed Regulation

Policy Update - CMS Releases CY 2024 Physician Fee Schedule Final Rule

On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

11/7/2023 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Medicare , Medicare Part B , Physician Fee Schedule , Physicians , Quality Payment Program (QPP) , Reimbursements , Telehealth

End-Stage Renal Disease Prospective Payment System CY 2024 Final Rule

On October 27, 2023, the Centers for Medicare & Medicaid Services (CMS) released the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Calendar Year (CY) 2024 final rule (CMS-1782-F). The rule finalizes minimal...more

11/1/2023 / Centers for Medicare & Medicaid Services (CMS) , ESRD , Final Rules , Health Care Providers , Healthcare , Healthcare Facilities , Inpatient Prospective Payment System (IPPS) , Medicare , Payment Systems

Policy Update - CMS Releases FY 2024 IPPS Final Rule

On August 1, 2023, the Centers for Medicare & Medicaid Services (CMS) released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. The rule updates Medicare payment policies and quality reporting...more

8/4/2023 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Healthcare , Hospitals , Inpatient Prospective Payment System (IPPS) , Long-Term Care , Medicare , Payment Systems , Reporting Requirements

Policy Update - CMS Releases CY 2024 Physician Fee Schedule Proposed Rule

On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

7/18/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Part B , Physician Fee Schedule , Physicians , Proposed Rules , Quality Payment Program (QPP)

CMS Announces Request for Applications for Participation In the ACO REACH Model

On February 24, 2022, the Centers for Medicare and Medicaid Services (CMS) Innovation Center announced a Request for Applications (RFA) for the Accountable Care Organization (ACO) Realizing Equity, Access, and Community...more

3/4/2022 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program , Patients , Payment Systems , REACH

HHS Signals Commitment to “Predictability and Stability,” Extends Public Health Emergency Declaration “Likely” for Entirety of...

In a recent letter to state governors, Acting Secretary of Health and Human Services Norris Cochran signaled the US Department of Health and Human Services’ (HHS’s) commitment to “predictability and stability” in the ongoing...more

1/29/2021 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Health Care Providers , Medicaid Reimbursements , Public Health Emergency , Public Health Service Act , State and Local Government , Telemedicine , Waivers

Provider Relief Fund (PRF): General and Targeted Distributions

[co-authors: Mara McDermott and Katie Waldo, McDermott+Consultants] This report from McDermott Will & Emery and McDermott+Consulting provides a detailed analysis of the latest Provider Relief Fund (PRF) distributions,...more

9/14/2020 / Children's Health Insurance Program (CHIP) , Dental Practice , Department of Health and Human Services (HHS) , Fund Distribution , Health Care Providers , Hospitals , Indian Health Service (IHS) , Medicaid , Medicare , Nursing Homes , Provider Relief Fund , Rural Health Care Providers , Skilled Nursing Facility

Healthcare Enforcement Mid-Year Roundup: 2020

In this installment of the Healthcare Enforcement Roundup we cover new and longstanding issues impacting the healthcare enforcement landscape. First, we explore the impact of the Coronavirus (COVID-19) on the healthcare...more

7/27/2020 / 1135 Waivers , Compliance , Continuing Legal Education , Coronavirus/COVID-19 , Department of Justice (DOJ) , e , False Claims Act (FCA) , Guidance Update , Health Care Providers , Hospitals , Objective Falsity , Physicians , Split of Authority , Stark Law , Whistleblowers

Lauren Knizner

McDermott Will & Schulte

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