Contract Terms, Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS)

Key Considerations for Contracting with Healthcare Revenue Cycle Management Companies

Wilson Sonsini Goodrich & Rosati on 2/26/2025

Revenue cycle management companies (RCM Companies) help healthcare organizations manage billing, coding, claim submissions, and collections. Partnering with an RCM Company can enhance efficiency, accuracy, and...more

CMS Cracks Down on Responsible Party Liability in LTC Admission Agreements

Stotler Hayes Group, LLC on 2/3/2025

A nursing facility that participates in the Medicaid or Medicare programs may not require a third party to guarantee payment for a resident’s admission or continued stay. However, facilities are allowed to require a resident...more

Texas Court Stays CMS CY2025 Final Rule on Agent and Broker Compensation and Contract Term Restrictions

Sheppard Mullin Richter & Hampton LLP on 7/8/2024

On July 3, 2024, a federal court in Texas stayed provisions of the Centers for Medicare & Medicaid Services’ (“CMS”) contract year 2025 Final Rule that amended the longstanding Medicare Advantage (“MA”) and Part D agent and...more

FAR’s Professional Compensation Clause and Keeping Things Real

Pillsbury Winthrop Shaw Pittman LLP on 2/15/2019

Court rules agencies must evaluate the realism of compensation in fixed-price professional services contracts. An agency must evaluate the risk of whether an offeror’s proposed professional compensation is too low to...more

Federal Court Enjoins U.S. Agency’s Nursing Home Arbitration Agreement Ban

Ballard Spahr LLP on 11/9/2016

The Centers for Medicare and Medicaid Services (CMS), an agency within the U.S. Health and Human Services Department, recently issued a final rule prohibiting nursing homes and other long-term care facilities from utilizing...more

Ten Things to Know About the CMS Long-Term Care Requirements Final Rule

Holland & Knight LLP on 10/19/2016

Deadlines are looming to come into compliance with sweeping changes to the Centers for Medicare & Medicaid Services (CMS) requirements for long-term care facilities (LTC) participating in Medicare and Medicaid. The CMS final...more

In Final Rule, CMS Acts to Bar Pre-Dispute Binding Arbitration Agreements With Nursing Home Residents Effective November 28, 2016

Cadwalader, Wickersham & Taft LLP on 10/3/2016

On September 28, 2016, the federal Centers for Medicare and Medicaid Services (“CMS”) issued its long-awaited final rule that, among other things, prohibits skilled nursing facilities (“SNFs”) and nursing facilities (“NFs”)...more

U.S. Agency Prohibits Nursing Home Arbitration Agreements

Ballard Spahr LLP on 10/3/2016

The Centers for Medicare and Medicaid Services (CMS), an agency within the U.S. Health and Human Services Department, has issued a final rule that includes prohibiting nursing homes and other long-term care facilities from...more

Contract Terms › Centers for Medicare & Medicaid Services (CMS) › Department of Health and Human Services (HHS)

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