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Physician Payments Sunshine Act

Duane Morris Health Law cms health_reform_act physician_payments_sunshine_act weiner drug_manufacturers transfers_of_value medical_device_manufacturers cme physician health_reform_legislation drug_companies | Health Law | Wednesday March 07, 2012 | By William L. Weiner

Last December, we blogged about a proposed rule published by the Center for Medicare and Medicaid Services (“CMS”), concerning the Physician Payments Sunshine Act (the “Act”) that is part of the healthcare reform legislation, and the impact of the Act upon...

Final ACO Rule – Some Highlights For Physicians

Duane Morris Health Law ftc medicare_fee_for_service_program aco acos shared_savings_models medicare cms shared_savings final_rule antitrust weiner emr minimum_savings_rate aco's dept._of_justice aco_final_rule | Health Law | Friday November 04, 2011 | By William L. Weiner

Two weeks ago, the Centers for Medicare and Medicaid Services (“CMS”) issued the final rule (“Final Rule”) for accountable care organizations (“ACO’s”).   CMS released the Final Rule after receiving more than 1,300 comments to the proposed regulations...

OIG’s 2012 Work Plan For Nursing Facilities: Same...

Duane Morris Health Law cms oig work_plan nursing_home ppaca workplan_2012_oig_enforcement medicare long_term_care bilimoria | Health Law | Tuesday October 18, 2011 | By Neville M. Bilimoria

Recently, the United States Department of Health and Human Services Office of Inspector General (“OIG”) published its Work Plan for fiscal year 2012 (“Work Plan”) and delineated focus points for nursing facilities and new enforcement in 2012.   The Work...

Bundled Payments for Care Improvement Initiative A...

Duane Morris Health Law cms reform:_where_is_the_money payment | Healthcare Reform | Tuesday August 23, 2011 | By DuaneMorris3

On August 23, 2011, the U.S. Department of Health and Human Services announced the Bundled Payments for Care Improvement Initiative (“Initiative”). Developed by the Center for Medicare and Medicaid Innovation, the Initiative is designed to give providers “new...

CMS and HHS Release Final Rules Affecting Payment ...

Duane Morris Health Law inpatient_rehabilitation_facilities long_term_care:_reform_regulations cms | Healthcare Reform | Monday August 01, 2011 | By DuaneMorris3

On August 1, 2011, the Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services (HHS) released a Final Rule updating the prospective payment rates for inpatient rehabilitation facilities (IRFs). The rule also...

CMS Transmittal Clarifies that Critical Access Hos...

Duane Morris Health Law hospitals:_reform_updates cms | Healthcare Reform | Friday July 29, 2011 | By DuaneMorris3

On July 29, 2011, CMS issued Transmittal 78 clarifying that critical access hospitals (CAH) are included in CMS’ laboratory demonstration project for certain complex diagnostic tests. Under standard rules, payment made for tests provided by a laboratory...

Medicaid Never Events May Affect Nursing Facilitie...

Duane Morris Health Law ppaca cms ppc medicaid cheney | Health Law | Friday June 24, 2011 | By Kathleen Carver Cheney

Effective July 1, 2011, the Affordable Care Act requires that Medicaid payments be withheld for certain Provider Preventable Conditions (PPCs) also known as “Never Events.”   Requiring states to establish a system of non-payment for PPCs is part of CMS’s...

Expansion of CMS Never Events: They’re Not Just F...

Duane Morris Health Law health_care_reform cms hospitals ppaca oppc never_events nursing_homes hac bilimoria physicians medicaid medicare reimbursement health_care hcac payment | Health Law | Thursday June 02, 2011 | By Neville M. Bilimoria

Expansion of CMS Never Events:  They’re Not Just For Medicare Or Just For Hospitals Anymore In 2005 when “Never Events” were proposed for hospitals through the Deficit Reduction Act, no one knew what the overall effect would be on hospitals or...


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