[09/13/19]
Posted on September 13, 2019 in Health Law News
Published by: Hall Render
On June 24, 2019, the Trump administration changed the game for the health care industry through the release of an executive order on price transparency. Entitled “Improving Price and Quality Transparency in American Healthcare to Put Patients First,” the executive order is aimed primarily at giving patients access to price and quality information about... READ MORE
Tags: chargemaster, cms, executive order, Federal Trade Commission, FTC, hospital, OPPS, Outpatient Prospective Payment System, Price Transparency, proposed rule, transparency
[08/13/19]
Posted on August 13, 2019 in Health Law News
Published by: Hall Render
In the recently issued Physician Fee Schedule Proposed Rule for Calendar Year 2020, the Centers for Medicare & Medicaid Services (“CMS”) proposed several revisions to its Stark Law advisory opinion process. These proposed revisions follow CMS’s receipt of several stakeholder comments in response to its Request for Information Regarding the Physician Self-Referral Law published... READ MORE
Tags: advisory opinion, cms, Physician Fee Schedule, Physician Self-Referral Law, proposed rule, regulations, Stark law
[08/02/19]
Posted on August 2, 2019 in Health Law News
Published by: Hall Render
This week, CMS released the 2020 Medicare Hospital Outpatient Prospective Payment System (“OPPS”) and Ambulatory Surgical Center Payment System Proposed Rule (“Proposed Rule”). Among a host of other items, CMS announced its intent to continue paying Average Sales Price (“ASP”) minus 22.5 percent for most drugs acquired under the 340B drug discount program (“340B... READ MORE
Tags: 340B, 340B Drug Discount Program, ASP, Average Sales Price, OPPS, Outpatient Prospective Payment System, proposed rule
[05/08/18]
Posted on May 8, 2018 in Health Law News
Published by: Hall Render
On April 24, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed rule for the CY 2019 Inpatient Prospective Payment System (“Proposed Rule”). Among many other changes, one very important change stands out in the Proposed Rule, specifically eliminating the requirement that providers record a written inpatient admission order in the medical... READ MORE
Tags: 42 CFR § 412.3(a), cms, Inpatient Prospective Payment System, Medicare Part A, proposed rule, two-midnight
[03/15/12]
Posted on March 15, 2012 in False Claims Act Defense
Written by: David B. Honig
Last month the Centers for Medicare & Medicaid Services (CMS) published proposed rules for reporting of overpayments. These proposed rules, if adopted and strictly interpreted, could effectively create a twenty-year statute of limitations under the False Claims Act. READ MORE
Tags: 60 day, Centers for Medicare and Medicaid Services, cfr, cms, CMS–6037–P, Code of Federal Regulations, False Claims Act, FCA, identification, Overpayment, proposed rule, regulation, sixty day, statute of limitations, ten years