News & Analysis as of

Medicare Accreditation Centers for Medicare & Medicaid Services (CMS)

Sheppard Mullin Richter & Hampton LLP

Major Policy Changes Proposed for Medicare Payment, Accreditation, and Prior Authorization for DME Suppliers

Comments are due in less than a month on the Centers for Medicare & Medicaid Services (“CMS”) proposals to make significant structural reforms to Medicare’s Competitive Bidding Program (“CBP”) for Durable Medical Equipment,...more

Katten Muchin Rosenman LLP

Potential Changes Coming to Medicare Provider Enrollment and DMEPOS Accreditation

Often there is a lot of attention paid to the Centers for Medicare & Medicaid Services (“CMS”) Inpatient Prospective Payment System (“IPPS”), Outpatient Prospective Payment System (“OPPS”), and Medicare Physician Fee Schedule...more

Venable LLP

A Proposed New Regulatory Environment for Medicare Hospice Providers: Application of the 36-Month Rule, Increasing Enrollment...

Venable LLP on

On July 10, 2023, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (Proposed Rule) that would (i) include hospices in the 36-month rule ownership transfer restrictions that currently exist for home...more

Husch Blackwell LLP

CMS Proposes to Expand 36-Month Rule to Hospice Agencies

Husch Blackwell LLP on

Last week, the Centers for Medicare & Medicaid Services issued a Proposed Rule that, if finalized, would extend the application of the “36-Month Rule” from home health agencies (“HHAs”) to also include hospice agencies as...more

King & Spalding

Accreditation Organizations are Required to Notify CMS of Change of Ownership Under Final Rule

King & Spalding on

On April 29, 2022, CMS published a final rule requiring Accreditation Organizations (AOs) to notify CMS of changes of ownership (CHOWs). Effective June 28, 2022, an AO will need to notify CMS when undergoing or negotiating a...more

King & Spalding

OIG Issues Report Regarding Medicare Oversight of Cybersecurity for Networked Medical Devices in Hospitals

King & Spalding on

On June 21, 2021, OIG released a report titled “Medicare Lacks Consistent Oversight of Cybersecurity for Networked Medical Devices in Hospitals” (OEI-01-20-00220) (the OIG Report). OIG determined that CMS’s accreditation...more

Foley & Lardner LLP

Credentialing by Proxy: Joint Commission’s Improved Telemedicine Accreditation Rules

Foley & Lardner LLP on

The Joint Commission recently announced it has changed its accreditation rules to enable more hospitals and telemedicine companies to use the streamlined “credentialing by proxy” process. Under the change, the distant site...more

Foley & Lardner LLP

Healthcare Law Review: Overview of the U.S. Healthcare System

Foley & Lardner LLP on

The U.S. healthcare industry remains at a crossroads. The healthcare reform legislation passed under President Barack Obama in 2010, officially called the Patient Protection and Affordable Care Act (ACA) but widely referred...more

King & Spalding

CMS Looks to Strengthen Oversight of Medicare Accrediting Organizations

King & Spalding on

On May 2, 2019, CMS issued a proposed rule that would add requirements and a specific process to address changes of ownership as they relate to the sale, transfer, and/or purchase of assets of CMS-approved Accrediting...more

King & Spalding

Also In The News - Health Headlines - May 2015 #3

King & Spalding on

CMS Issues Final Rule on Certifying National Accrediting Organizations – CMS recently issued a final rule related to national accrediting organizations responsible for evaluating Medicare provider compliance with program...more

King & Spalding

CMS Approves New Hospital Accrediting Organization

King & Spalding on

On July 26, 2013, CMS approved the Center for Improvement in Healthcare Quality (CIHQ) as a national hospital accrediting organization. Effective July 26, 2013 through July 26, 2017, hospitals seeking participation in the...more

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