Ross Sallade

Ross Sallade

Polsinelli

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Space Sharing Re-Boot: CMS Offers a New Approach in the State Operations Manual

On May 3, 2019, CMS published draft guidance regarding space sharing between co-located hospitals and hospitals co-located with other health care entities. ...more

5/10/2019  /  Centers for Medicare & Medicaid Services (CMS) , Comment Period , Conditions of Participation (CoP) , EMTALA , Health Care Providers , Healthcare Facilities , Hospitals , Regulatory Standards

CMS Targets Off-Campus Provider-Based Departments in 2019 OPPS Proposed Rule

On Wednesday July 25, 2018, the Centers for Medicare and Medicaid Services (CMS) released an advance copy of the CY 2019 Medicare Hospital Outpatient Prospective Payment System (OPPS) proposed rule. ...more

7/27/2018  /  Centers for Medicare & Medicaid Services (CMS) , Data Collection , Health Care Providers , Hospitals , Medicare , Off-Campus Departments , Outpatient Prospective Payment System (OPPS) , Physician Medicare Reimbursements , Proposed Rules , Section 340B

Be Prepared: Provider-Based Mid-Build Audits Are Here

Hospitals with off-campus provider-based departments (“PBDs”) under construction (or “mid-build”) at the time of the Bipartisan Budget Act of 2015 – which limited Medicare payment to off-campus provider-based departments that...more

7/23/2018  /  Audits , Health Care Providers , Hospitals , Medical Reimbursement , Medicare , Off-Campus Departments

Hospital Medicare Certification at Risk? CMS Clarifies Inpatient Volume Expectations

Hospitals with dangerously low inpatient volume and micro hospitals focused primarily on the delivery of outpatient and/or emergency room services instead of inpatient services beware: CMS (Centers for Medicare and Medicaid...more

9/25/2017  /  Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Inpatient Billing , Medical Certification Requests , Medicare , Medicare Provider Agreements

Provider-Based Update: Congress Offers Encouraging Step to Reduce Scope of BBA Reimbursement Reductions

On Wednesday, members of the House Ways and Means Health Subcommittee introduced bipartisan legislation that would provide some welcome relief to hospitals who had already invested resources to develop new provider-based...more

5/24/2016  /  Bipartisan Budget , Centers for Medicare & Medicaid Services (CMS) , Drug Pricing , Health Care Providers , Hospitals , Legislative Committees , Proposed Legislation , Reimbursements , Section 340B
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