The Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule on October 17, 2019 that would amend and provide new exceptions for certain value-based compensation arrangements under the physician self-referral law or Stark la… Read More

Introduction Effective on January 1, 2020, the 2020 Revisions to Payment Policies Under the Physician Fee Schedule provides numerous updates from the Centers for Medicare and Medicaid Services (“CMS”) concerning Medicare payment rates, documentat… Read More

Starting January 1, 2020, all physicians, providers, and suppliers submitting claims to Medicare Administrative Contractors (MACs) for all services provided to Medicare beneficiaries, including Durable Medical Equipment, Home Health, and Hospice, mus… Read More

On November 4, 2019, a new final rule went into effect that dramatically expands affiliation disclosure requirements for enrolling and revalidating providers and suppliers in Federal health care programs. The new rule enhances CMS’s authority to de… Read More

On December 9, 2019, the Virginia State Corporation Commission (“SCC”) launched a new online filing system. The new, modernized computer information system (“CIS”) will manage the Commission’s business entity and Uniform Commercial Code rec… Read More

On October 7th, 2019, CMS announced abrupt changes to the Five Star Quality Ratings System and the Nursing Home Compare website. The two changes are scheduled to go into effect on October 23, 2019 and include: 1) a conspicuous new warning icon to lab… Read More

Introduction Part 2 of Title 42 of the Code of Federal Regulations imposes limits on “the disclosure and use of substance use disorder patient records which are maintained in connection” with a federally assisted program that “holds itself out… Read More

A new Final Rule, effective September 16, 2019, revises Medicare’s Requirements of Participation (ROPs) to permit and regulate the use of pre-dispute, binding arbitration agreements in nursing facility admission agreements. Nursing facilities using… Read More