Topic
Physician Payment
98 published works
Health Industry Washington Watch
Senate Committee Calls for Sunshine Act/Open Payments Enforcement
By Elizabeth B. Carder-Thompson, Sarah Cummings Stewart, Debra A. McCurdy
The Senate Finance Committee recently called for federal agencies to begin investigating physician owned distributors’ (PODs) alleged noncompliance with the U.S. Physician Payment Sunshine Act (Sunshine Act, or Open Payments).…
Health Law Diagnosis
2019 Physician Fee Schedule Rule Review: Option to Extend MSSP Agreements for Currently-Expiring ACOs Finalized
By Conor Duffy
On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) released its 2019 Physician Fee Schedule Final Rule (PFS Rule), which contains a number of significant substantive changes…
Med Law Blog
2019 Proposed Medicare Fee Schedule
The 2019 proposed Medicare Fee Schedule was published on July 27, 2018 by CMS at https://s3.amazonaws.com/public-inspection.federalregister.gov/2018-14985.pdf. Pages 61 through 91 of the Executive Summary are devoted to: Modernizing Medicare Physician…
Health Industry Washington Watch
CMS Wants Physicians to Speak Up on Reducing E/M Services Documentation Burden (March 21)
CMS is hosting a call on March 21, 2018 to get feedback from physicians and non-physician practitioners on Evaluation and Management (E/M) services. According to the CMS announcement, the agency…
Life Sciences Legal Update
No (Expensive) Lunch For You! New NJ Regulation Caps Payments To Doctors
By Kevin Madagan, Katie Pawlitz, Betty Yan, Julia Lake, Wayne R. Janke
Last month, New Jersey joined several other states in adopting a new regulation limiting payments and gifts that can be made by pharmaceutical manufacturers to health care providers. The regulation…
Health Care Law Matters
Are You Ready for the New Medicare Quality Payment Program? (Part 2): Basics of the MIPS and How to Qualify in 2017
The Medicare incentive programs with which you and your medical practice are familiar will soon be no more. As of January 1, 2017, these programs (including the Electronic Health Records…
Health Industry Washington Watch
CMS Publishes Final Rule Updating 2017 Medicare Physician Fee Schedule Rates and Policies
The Centers for Medicare & Medicaid Services (CMS) has issued its final Medicare physician fee schedule (MPFS) for calendar year (CY) 2017. In addition to updating MPFS rates and policies, the…
Health Law Rx
Now is the Time to Prepare for MACRA: 2017 Will Bring Major Changes to Physician Medicare Reimbursement
MACRA (the Medicare Access and CHIP Reauthorization Act of 2015) is bi-partisan legislation that was enacted to change Medicare reimbursement from being based on the current system of volume of…
Healthcare Law Insights
Managing MACRA – Part I: What is MACRA?
MACRA is the Medicare Access and CHIP Reauthorization Act of 2015. MACRA ends the Sustainable Growth Rate (SGR) formula that has been in place since 1997 (and was the source…
Health Industry Washington Watch
PTAC Announces Timeline for Submission of Physician-Focused Alternative Payment Model Proposals
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Physician-Focused Payment Model Technical Advisory Committee (PTAC) to provide recommendations on arrangements that meet the criteria for a…