Debra A. McCurdy
In its annual recommendations to Congress on Medicare policies, the Medicare Payment Advisory Commission recommends a 3.25 percent update to inpatient and outpatient hospital payment rates for 2016, as well as repeal of the Sustainable Growth Rate (SGR) methodology for physician services.
CMS yesterday published a notice indicating an increase in the Medicare Hospital OPPS conversion factor from $74.144 to $74.173, which will slightly increase payment rates for most ambulatory payment classifications.
This week the HHS Office of Inspector General (OIG) published its annual solicitation of recommendations for new or modified safe harbor provisions under the federal anti-kickback statute, as well as potential topics for new OIG Special Fraud Alerts.
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds. Here are the details.
Last week the HHS Office of Inspector General and the Centers for Medicare & Medicaid Services published a joint notice continuing the effectiveness of fraud and abuse law waivers granted in 2011 in connection with the Medicare Shared Savings Program.
Although a May 2014 U.S. District Court ruling vacated HRSA's 340B orphan drug regulation, the agency has issued an interpretive rule affirming its policy on the orphan drug exemption. The pharma industry is up in arms, but what does it all mean?
Last week, the Centers for Medicare & Medicaid Services published a final rule that reforms federal health policy regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers. Here are some highlights.
The Obama Administration released its proposed federal budget for fiscal year 2015 this week. Virtually all types of healthcare providers, health plans, and drug manufacturers would be impacted by the budget provisions if adopted as proposed - although that is an unlikely scenario.