Medicare & Medicaid

Provider Alert: Nationwide Moratoria on Hospice and Home Health Enrollments

The Centers for Medicare & Medicaid Services (“CMS”) has announced another nationwide moratorium on new Medicare provider enrollments just three months after announcing a moratorium on new DMEPOS suppliers. On May 15, 2026, CMS published …..

2026-07-08T12:32:34-05:00July 8th, 2026|Categories: Health Law, Medicare & Medicaid, Medicare & Medicaid Enrollment, Provider Operations|Tags: |

Provider Alert: DMEPOS Moratorium Underway

On February 27, 2026, the Centers for Medicare & Medicaid Services (“CMS”) issued a six-month nationwide moratorium on several types of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (“DMEPOS”) suppliers, banning new businesses from enrolling …..

2026-03-30T12:12:06-05:00March 30th, 2026|Categories: Health Law, Medicare & Medicaid, Provider Operations|Tags: |

Key Price Transparency Updates Hospitals Must Comply with by April 1, 2026

CMS has finalized another significant round of updates to the hospital price transparency requirements, including adopting a revised standardized template that hospitals must use going forward. Although the new requirements were effective January 1, 2026, …..

Stay Ahead of CMS’ 2025 Price Transparency Crackdown: Key Things to Know

As the Centers for Medicare & Medicaid Services (CMS) intensifies its push for greater transparency in healthcare pricing, providers nationwide are facing increased scrutiny and more stringent compliance demands under the guise of “Hospital Price …..

New Process for Appealing Medicaid MCOS’ Adverse Claim Determinations

House Bill 492 – New Process for Appealing Medicaid MCOs’ Adverse Claim Determinations On June 7, 2017, Louisiana House Bill 492 (HB 492) was sent to the Governor for executive approval. This Bill establishes a …..

2024-12-04T13:21:29-06:00June 16th, 2018|Categories: Medicare & Medicaid|Tags: |

Final 60-Day Rule for Reporting and Returning Overpayments

Quantification Required as Part of “Identifying” and Overpayment Six years after issuing its Proposed Rule, CMS released its final 60-Day Rule for reporting and returning overpayments. The Final 60-Day Rule is more industry-friendly, but still …..

2024-12-04T13:25:07-06:00July 14th, 2016|Categories: Health Law, Medicare & Medicaid Payment Rules|Tags: , |
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