Medicare, Medicaid, Other Governmental Reimbursement and Payment BACK TO CAPABILITIES News & Insights / Medicare, Medicaid, Other Governmental Reimbursement and Payment News 10.18.24 Catherine Wicker and David Vernon Quoted in McKnight’s Long-Term Care News Article Insights 10.08.24 Important Changes to SNF Disclosure Requirements for Medicare Certification, New 855A SNF Attachment Form, and Off-Cycle Revalidations Insights 07.30.24 2025 Medicare Physician Fee Schedule Proposed Rule Highlights News 07.25.24 Katrina Pagonis and Kelly Carroll’s Case Reported in Law360 Article, “DC Circ. Nixes Medicare Hospital Inpatient Payment Rule” News 07.24.24 Katrina Pagonis and Kelly Carroll’s Case Reported in Bloomberg Law Article, “Disputed Medicare Hospital Pay Rule Vacated by Appeals Court” News 07.08.24 Bob Roth and Sven Collins’ case profiled in Health Law360 article, “Hackensack Meridian Sues Feds, Citing Chevron Ruling” Insights 06.28.24 Supreme Court Decision Overturns Deference to Agency Interpretations of the Law Insights 05.07.24 CMS Broadens Medicare Outlier Reconciliation Criteria to Claw Back More Payments News 04.22.24 Robert Roth is Named a 2024 Washington, D.C. Super Lawyer Events 04.05.24 Amy Joseph is Speaking at Boston Bar Association’s Virtual Event, “Payment Incentives that Promote Equity” News 04.04.24 Katrina Pagonis is Quoted in Modern Healthcare article, “Higher fines compel most hospitals to disclose prices” Events 03.08.24 Lloyd Bookman and Katrina Pagonis are speaking at CHA’s 2024 Hospital Finance & Reimbursement Seminar Events 03.05.24 Katrina Pagonis and Nina Marsden are speaking at AHLA’s Institute on Medicare and Medicaid Payment Issues News 02.09.24 Martin Corry was Quoted in Financial Times Article, “CMS Clarifies AI Use in Medicare Advantage Plans” Events 02.26.24 HLB Webinar – 2024: A Landmark Year for Digital Health Innovation News 01.03.24 Marty Corry is Quoted in Bloomberg Government Article, “What to Know in Washington: Medicare Crisis Looms, Congress Told” Insights 12.07.23 Provider Relief Fund: HHS-OIG Audit Calls for Further Post-Payment Reviews of Providers Insights 12.05.23 2024 Medicare Physician Fee Schedule Highlights: Advancing Innovation and Equity Insights 11.15.23 HHS-OIG Releases New Compliance Guidance for Healthcare Providers News 11.06.23 Katrina Pagonis is Quoted in Modern Healthcare Article, “Feds understate financial impact of 340B ‘clawback,’ lawyers say” News 11.06.23 Jeremy Sherer is Quoted in Law360 article, “New CMS Final Rule Clarifies Telehealth, Remote Care” News 11.03.23 Jeremy Sherer is Quoted in Law360 article, “CMS to Cut Medicare Provider Payments, Drawing Industry Ire” Insights 10.13.23 Provider Relief Fund Repayment Notices: How Providers Can Prepare and Respond Insights 10.12.23 Application Window Closing for California Department of Health Care Services’ $650 Million Funding Opportunity for Primary Care Practices to Advance Health Equity and Fund Practice Transformation News 09.18.23 Martin Corry Quoted in Axios Article, “Fight over Medicare pay hinges on primary care” News 09.12.23 Amy Joseph and Jeremy Sherer published in Compliance Today, “Artificial intelligence: Compliance considerations for provider organizations” News 09.07.23 HLB Successfully Reverses Adverse PRRB Decision on Medicare DSH-SSI Match Process Insights 08.14.23 Arthur E. Peabody, Jr. Published in Journal of AHIMA, “A Collaborative Approach to Medicare Bad Debt Reimbursement” News 07.14.23 Kelly Carroll Quoted in Modern Healthcare – CMS 340B Hospital Proposal a “Hard Pill to Swallow” for Some Insights 07.10.23 Proposed Rule on Remedy to 2018–2022 340B-Acquired Drug Payment Policy Would Reduce Non-Drug Outpatient Payments by 0.5% for 16 Years News 04.24.23 David Vernon quoted in Report on Medicare Compliance Insights 03.09.23 Preparing an Off-Ramp for the End of the Federal PHE: What Telehealth Providers Should Know News 12.20.22 Paul Garcia quoted in BioWorld Insights 11.11.22 PRRB Ends Alert 19 And Resumes Normal Pre-Pandemic Deadlines News 11.09.22 Paul Garcia interviewed by NPR News 11.09.22 Paul Garcia Quoted in McKnight’s Long-Term Care News News 11.01.22 Justices Could Impede Court Access With Medicaid Ruling News 10.17.22 David Vernon quoted in Report on Medicare Compliance Case Studies 10.14.22 HLB Helps Posit Science Advocate for Medicare Benefits Expansion and Develop Dementia Prevention Program Model Involving Memory Fitness Advances Insights 09.30.22 Hot Topic: What’s Next For Providers After PRF Reports are Submitted? Events 08.23.22 CHA’s Hospital Finance Week Webinar Series Insights 06.29.22 Clinical Labs: Vital Part of the COVID-19 Response and Now the Focus of Government Scrutiny Insights 06.15.22 Unanimous Supreme Court Rules Against HHS in 340B Payment Reduction Challenge With Uncertain Consequences for Hospitals Insights 04.11.22 The Good Faith Estimate Requirement and Further Guidance from CMS Insights 03.30.22 Texas Federal District Court Vacates Key Parts of the No Surprises Act Interim Final Rule Relating to the IDR Process Insights 02.28.22 MAC Denials of Pass-Through Treatment of Costs of Allied Health Programs Operated by Hospitals Continue and are Spreading Insights 11.12.21 Medicare Physician Fee Schedule Brings Sweeping Changes Insights 10.29.21 Mandatory Electronic Filing and PRRB Rule Changes Are Effective November 1, 2021; Join Us for a Webinar on November 18, 2021 Insights 08.13.21 CMS Proposes Major Changes to Split/Shared Billing Requirements – Opportunity for Comment Insights 06.17.21 PRRB Announces New Address, Mandatory Electronic Filing, and Significant Proposed Changes to Rules, Inviting Comments on or before July 30, 2021 Insights 01.11.21 New Year Brings New Health Care Legislation in Massachusetts Insights 12.08.20 Advisory Opinion on Sub-Regulatory Medicare Guidance Insights 08.24.20 DHCS 340B Drug Pricing Self-Audit Requests Insights 05.07.20 Flexibilities for the California Medi-Cal Program and Medi-Cal Providers Provided by Executive Order N-55-20 Insights 05.02.20 CMS Issues Second Interim Final Rule to Expand Provider Flexibility and Coverage During the COVID-19 Pandemic Insights 04.29.20 PRRB and CMS Suspend or Extend Many Appeal and Medicare Cost Report Deadlines Due to Covid-19 But Some Critical Deadlines Remain Unchanged Insights 04.23.20 Congress Passes Emergency Funding Bill to Assist Providers and Small Businesses Insights 04.22.20 HHS Announces Allocations from Provider Relief Fund; Hospitals Must Submit Data by Saturday, April 25 for Targeted Allocation Events 04.21.20 NAMSS Webinar: Practical Pointers for Addressing the Impact of COVID-19 on Medical Staffs Insights 04.11.20 HHS Distributes $30 Billion in CARES Act Relief Payments to Providers Insights 03.31.20 CMS Grants Massachusetts 1135 Waiver Request Insights 03.31.20 CMS Grants Colorado 1135 Waiver Request Insights 03.31.20 CMS Expands the Accelerated and Advance Payments Program During COVID-19 Pandemic Insights 03.26.20 CMS Grants Rhode Island 1135 Waiver Request Insights 03.20.20 Increased Flexibility for Out-of-State Physicians to Assist with COVID-19 Response Insights 03.18.20 Section 1135 Waivers Issued Following President’s Emergency Declaration Insights 02.26.20 MACs Impose New “Continuous” Collection Effort Requirement for Medicare Bad Debts Insights 09.19.19 AseraCare Court Confirms that Difference of Reasonable Clinical Opinion Cannot Alone Establish Objective Falsity in False Claims Cases Insights 09.04.19 Medicare Bad Debts — New Requirements Concerning “Sub-ledgers” Violate Longstanding Practices Insights 08.27.19 Medi-Cal Releases Updates to Telehealth Manual Insights 07.31.19 CMS Proposes Significant and Far-Reaching Hospital Price Transparency Requirements in CY 2020 OPPS Proposed Rule Events 07.09.19 The First Half is In the Books — What’s In Store for the Rest of 2019 Insights 06.04.19 What the Supreme Court’s Azar v. Allina Ruling Means for Health Care Providers Insights 04.17.19 Medicare Advantage Final Rule – Telehealth Expansion Events 04.09.19 The First Quarter is In the Books — What’s In Store for the Rest of 2019 Events 04.18.19 HLB Webinar – A Regulatory Shift In Knox-Keene Licensing Requirements News 03.25.19 Jeremy Sherer recognized by ABA as an “Emerging Young Lawyer in Healthcare” Events 03.13.19 ABA 20th Annual Emerging Issues in Healthcare Law Conference Events 01.24.19 Academic Medical Centers and Teaching Hospitals Institute Insights 07.15.18 Application Due Soon for Two New Rounds of Residency Slot Redistribution Insights 07.14.18 CMS Proposes Changes to Telehealth Reimbursement, Stark, Substance Use Disorder Treatment Reimbursement, and Evaluation & Management Reimbursement in the CY 2019 Physician Fee Schedule Proposed Rule News 05.03.18 Hooper, Lundy & Bookman Recognized as a Top Health Law Firm by Chambers Insights 02.01.18 Significant MassHealth Reform Commencing March 1, 2018 News 01.01.18 HLB Announces Promotions Insights 12.21.17 Congress Passes Sweeping Tax Reform Bill Insights 12.11.17 Texas Telemedicine Update: Texas Dispute with Teladoc Leads to Revisions to Telemedicine Clinical and Reimbursement Standards Events 11.02.17 BHC 2017 Annual Conference on Current Healthcare Developments Insights 10.25.17 Proposed Massachusetts Legislation Aims to Contain Health Care Costs: Highlights for Providers Insights 06.23.17 The Better Care Reconciliation Act of 2017 – A First Look Events 06.07.17 California Hospital Association Hospital Finance & Reimbursement Seminar Insights 05.10.17 The American Health Care Act of 2017 (AHCA): The Political Calculus Moving Forward and the Potential Impact on Medicaid, the Exchange and Individual Insurance Markets Events 03.29.17 AHLA Institute on Medicare and Medicaid Payment Issues Insights 03.06.17 Federal Court Permanently Enjoins CMS’ Policy Reducing the Hospital-Specific Medicaid Disproportionate Share Hospital Limit Insights 01.18.17 Hooper, Lundy & Bookman Opens Boston Office Insights 03.16.16 HLB Attorneys’ In-Depth Analysis of the CMS’s Final Rule Implementing the 60-Day Report and Return Statute for Medicare Parts A and B Insights 05.01.15 Observable Flaws in CMS’s Dialysis Star-Rating System and a Proposed Alternative Insights 04.02.15 Supreme Court Says Providers Can’t Sue States to Force Increase in Medicaid Pay Events 03.05.24 Katrina Pagonis and Nina Marsden are speaking at AHLA’s Institute on Medicare and Medicaid Payment Issues Insights 05.07.24 CMS Broadens Medicare Outlier Reconciliation Criteria to Claw Back More Payments Insights 06.28.24 Supreme Court Decision Overturns Deference to Agency Interpretations of the Law Insights 07.30.24 2025 Medicare Physician Fee Schedule Proposed Rule Highlights News 07.25.24 Katrina Pagonis and Kelly Carroll’s Case Reported in Law360 Article, “DC Circ. Nixes Medicare Hospital Inpatient Payment Rule” News 07.24.24 Katrina Pagonis and Kelly Carroll’s Case Reported in Bloomberg Law Article, “Disputed Medicare Hospital Pay Rule Vacated by Appeals Court” News 10.18.24 Catherine Wicker and David Vernon Quoted in McKnight’s Long-Term Care News Article Insights 10.08.24 Important Changes to SNF Disclosure Requirements for Medicare Certification, New 855A SNF Attachment Form, and Off-Cycle Revalidations Case Studies 10.14.22 HLB Helps Posit Science Advocate for Medicare Benefits Expansion and Develop Dementia Prevention Program Model Involving Memory Fitness Advances Previous Next
