Neil Hoffman Ph.D. on Centers for Medicare & Medicaid Services (CMS)

Ultimate Authority and the Transfer of Nursing Facilities that Receive UPL Payments Under Georgia Medicaid

One fallout of the COVID-19 pandemic is that some, already struggling skilled nursing facilities may now be becoming financially unviable. As a result, owners and operators of such facilities may be actively seeking to...more

1/20/2021 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Hospitals , Nursing Homes , Skilled Nursing Facility

AGG Food & Drug Newsletter - December 2020

Arnall Golden Gregory LLP's Food & Drug Newsletter is a monthly update of legal and regulatory issues that affect the FDA-regulated community and highlights articles from members of our Food & Drug practice, as well as from...more

12/23/2020 / Centers for Medicare & Medicaid Services (CMS) , Controlled Substances Act , DEA , Department of Health and Human Services (HHS) , Food and Drug Administration (FDA) , Health Insurance Portability and Accountability Act (HIPAA) , Medicare Part B , Pharmaceutical Industry , Prescription Drugs

CMS Issues Interim Final Rule Implementing the Most-Favored-Nation Model for Medicare Part B Drugs

The Centers for Medicare & Medicaid Services (CMS) published an interim final rule implementing the Most-Favored-Nation (MFN) Model for Medicare Part B drugs and biologics in the November 27, 2020, Federal Register (the...more

12/10/2020 / Biologics , Centers for Medicare & Medicaid Services (CMS) , Drug Pricing , Final Rules , Medicare Part B , Prescription Drugs

Hospital Facility Fees and Telehealth During COVID-19 Pandemic Revisited

As we reported earlier, the Centers for Medicare & Medicaid Services (CMS), as part of its blanket waivers issued on March 30, 2020,2 has waived the location requirement for provider-based status for the duration of the...more

5/7/2020 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Healthcare Facilities , Hospitals , Physicians , Telehealth

Hospital Facility Fees and Telehealth During COVID-19 Pandemic

This article examines Medicare billing during the COVID-19 pandemic health emergency (PHE) for telehealth services of provider-based physicians to patients who otherwise would have been seen at hospital outpatient...more

4/22/2020 / Centers for Medicare & Medicaid Services (CMS) , Fees , Healthcare Facilities , Medicare , Public Health Emergency , Telehealth

OIG Recommends Further Analysis of Counting Hospital Outpatient Time

In July, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) released its annual publication, Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: OIG's Top Recommendations. ...more

8/21/2019 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Hospitals , OIG , Skilled Nursing Facility

Summary Recap and Key Takeaways from AHLA’s Medicare and Medicaid Payment Issues Conference

Every year, health lawyers, providers, consultants, and government experts from across the country convene in Baltimore for the American Health Lawyers Association’s Institute on Medicare and Medicaid Payment Issues, the most...more

4/10/2019 / AHLA , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Medicaid , Medicare , OIG , OMHA

CMS Issues New Rules for Inpatient Hospital Payment System

On August 17, 2018, the Centers for Medicare and Medicaid Services (CMS) published its final rule for the Hospital Inpatient Prospective Payment System (IPPS) for fiscal year 2019. ...more

9/19/2018 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Inpatient Prospective Payment System (IPPS) , Payment Systems

CMS Issues Final Word on 60-Day Overpayment Rule

The Centers for Medicare & Medicaid Services (CMS) has just released the final 60-day overpayment rule (the Rule) on February 11, 2016, in what the agency describes as a continuing move targeted at rooting out fraudulent...more

2/16/2016 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , False Claims Act (FCA) , Medicare Part A , Medicare Part B , Overpayment Recovery Time Limits

Neil Hoffman Ph.D.

Arnall Golden Gregory LLP

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