Attached is the link to the new CMS webpage “Ending Surprise Medical Bills”.
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2022 Budget Bill Includes Mandatory Healthcare Cyber Incident Reporting
The Cyber Incident Reporting for Critical Infrastructure Act (CIRCIA), was passed as part of the consolidated Budget Act for 2022, which also included the telehealth provisions I posted about last week.
The definition of “covered entity” in the Act is…
HHS Requesting Physician COVID Relief Payback of $100 Million
HHS sent notices to noncompliant physicians and facilities on March 10, 2022 giving them 30 days to return funds paid to healthcare providers who have not complied with the agency’s reporting requirements. Attach is the PDF from HRSA (Health Resources…
Employment Contract Issues for New (and maybe old) Physicians
Mike Cassidy was published in this month’s ACMS Bulletin. Find the article here.
Congress Extends Telehealth Coverage
The President and Congress extended Medicare telehealth coverage in the Consolidated Appropriations Act, which also included additional Ukrainian relief.
On Tuesday, March 15, 2022, President Biden signed the Consolidated Appropriations Act, 2022 (“2022 CAA”). This new law includes several provisions…
Highmark Fraud Waste and Abuse Results
Highmark Health issued a Press Release on February 7, 2022 announcing that it’s Financial Investigations and Provider Review (FIPR) department generated more than $245 million in savings related to fraud waste and abuse in 2021, the majority of which was…
2022 Medicare Rules for Facility-Based Split/Shared Visits
There has been much discussion and controversy over the new CMS position on billing for split/shared services in facility settings.
As originally proposed, and starting in January 2022, if the service was shared among providers (such as physicians and physician…
2022 Federal Compliance Enforcement Outlook
There is almost universal agreement regarding predictions for 2022 federal enforcement in the following areas:
…
“Stark” Rules: Navigating Physician Leases and Subleases
Under the Federal Ethics in Patient Referrals Act (more commonly known as “Stark”), if a physician[1] has a financial relationship with an entity, the physician may not refer patients to the entity for medical services payable by Medicare unless…
CMS Policy Summary: 2022 Medicare Physician Fee Schedule, Telehealth Originating Site Facility Fee and Services List, and Physician Assistant Billing
In MLN Matters article MM 12159, CMS has published summaries of the following:
- Updates to payment policies and Medicare payment rates for services provided by physicians and non-physician practitioners (NPP)
- Updates to Medicare telehealth services and telehealth originating site
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