Joan W. FeldmanDavid M. MackVincenzo CarannanteWilliam J. Roberts
, the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers...
each of which is described in further detail in K&L Gates’ White Paper on the 2020 Final Rule Changes to the Stark Law, availablehere. The changes related to value-based care finalized in the Final Rule, including the new Stark Law exception for value-based arr...
Accordingly, in the final rule, CMS will make permanent COVID-19 PHE flexibilities that allow certain mental health services to be provided remotely to patients in their homes as covered outpatient department services. To facilitate this payment, CMS will create OPPS-specific Healthcare...
Gary A. RosenbergPaul W. ShawJohn W. Van Lonkhuyzen
In the final rule, CMS rejected requests to make virtual direct supervision a permanent feature in Medicare. Therefore, virtual direct supervision will expire at the end of the calendar year in which the PHE ends. With the extension of the PHE through January 11, 2023, virtual direct supervisio...
CMS has released thefinal rulefor price transparency in healthcare coverage, which aims to allow the public to have greater insight into healthcare costs in order to increase value. “This final rule is a historic step toward putting health care price information in the hands of ...
WASHINGTON, DC - Last Thursday (Nov 1, 2018), CMS posted its final rule that establishes payment policies and rates for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), starting Jan 1, 2019. The final rule includes the same positi
The CMS final rule requires impacted payers to implement an HL7 Fast Healthcare Interoperability Resources (FHIR) API to automate the prior authorization process between providers and payers.
The proposed CMS rule would codify the longstanding Medicare definition of brace to provide clarification on the scope of the Medicare Part B benefit for leg, arm, back, and neck braces, and as a result, would classify certain exoskeleton-type devices as braces for Medicare payment purposes. Cu...