Topic
Medicare
1,734 published works
Medicaid & Medicare: A Legal Blog
CMS Targets Basivertebral Nerve Ablation for Complex Medical Record Review
What the Audit Covers CMS has added Recovery Audit topic 4A346, “Intraosseous Basivertebral Nerve Ablation: Medical Necessity and Documentation Requirements,” to its complex review program. Basivertebral nerve ablation (BVNA) treats…
Medicaid & Medicare: A Legal Blog
Four New RAC Topics, One Clear Message: Medicare Is Watching the Margins!
On October 20, 2026, CMS added four new proposed topics to its Recovery Audit Contractor (RAC) list. They cover a fairly new spine procedure, home health care for hospice patients,…
Religion Clause
New Law Allows Clergy to Opt Back Into Social Security and Medicare
On Oct. 20, President Trump signed into law H.R. 227, the Clergy Act. The new law (P.L. 119-125) (full text) is summarized by the Congressional Research Service in part as follows:This…
Fennemore
Medicare and Cybersecurity Changes to Prepare for in 2027
By Fennemore
Practical priorities for providers and health plans Medicare changes taking effect in 2027 will reach well beyond the billing department. New requirements for electronic prior authorization, changes in health-plan payment…
Medicaid & Medicare: A Legal Blog
Two Days and Counting: What Medicare’s New Probationary Prior Authorization Means for DMEPOS Suppliers
Getting enrolled in Medicare has long been the main hurdle for a new supplier of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Starting October 15, 2026, newly enrolled suppliers…
Medicaid & Medicare: A Legal Blog
Accused, Then Abandoned: The Empty Chair in Medicare Overpayment Appeals
Imagine a prosecutor who files charges, seizes the defendant’s assets before trial, and then never appears in court. No opening statement, no witnesses, no cross-examination. The defendant hires counsel, assembles…
Don’t Mess With Taxes
Tax consequences of the $90 Medicare premium rebate
By Kay Bell
Reconciling expenses is a challenge for many senior citizens. Some on original Medicare are getting a bit of help this week thanks to an unexpected $90 payment from Uncle Sam.…
Mintz Levin Cohn Ferris Glovsky and Popeo
Pharmacies Have Opportunity to Shape Medicare and Medicaid Contracting Rules
By Mintz Levin Cohn Ferris Glovsky and Popeo
Theresa Carnegie was quoted in a Law.com article discussing the Centers for Medicare & Medicaid Services' request for information as it develops rules governing pharmacy participation in Medicare Part D…
Medicaid & Medicare: A Legal Blog
Medicare Audit Pressure Intensifies: CMS’s Newest RAC and UPIC Policies and Targets
Federal Medicare enforcement continues to accelerate. CMS seems to be deploying more contractors, broader audit authority, and sharper analytics than at any point in the program’s history. Always be on…
Agricultural Law & Rural Practice | Solo Small Firm & General Practice Section
CMS Modernizes Medicare Coverage for TAVR
By Hall Render
On September 10, 2026, the Centers for Medicare and Medicaid Services (“CMS”) issued a Decision Memorandum, finalizing significant updates to Medicare’s National Coverage Determination (“NCD”) for Transcatheter Aortic Valve Replacement…