Buried within recent federal funding legislation is a provision which creates considerable changes to the enforcement of Medicare provider-based requirements. It is another move by Congress to increase transparency and site neutrality of Medicare payments …..
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 …..
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 …..
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 …..
Patients admitted to a partial hospitalization program (PHP) must be under the care of a physician who certifies the need for partial hospitalization and that the patient requires a minimum of 20 hours per week …..
For the first time since HIPAA was enacted in 1996, vendors and other business partners such as law firms and billing companies who handle health information on behalf of healthcare providers can be held directly …..
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