Topic
Site Neutrality
17 published works
Healthcare Law Blog
Site-Neutral Payments Stand: SCOTUS Declines to Hear AHA Appeal, Preserving Lower Payments to Off-Campus Provider-Based Departments
By Michael Paddock, Erica Kraus
In July 2020, we discussed a ruling by the D.C. Court of Appeals upholding the Department of Health and Human Services’ (HHS) site-neutral payment rules. On Monday, June 28, 2021,…
Healthcare Law Blog
Forthcoming Medicare Rule Furthers Push for Site Neutrality
On December 2, 2020, the Centers for Medicare & Medicaid Services (“CMS”) finalized policies that “aim to increase choice, lower patients’ out-of-pocket costs, empower patients, and protect taxpayer dollars” with changes…
Healthcare Law Blog
Site-Neutral Payments Stand: D.C. Court of Appeals Overturns Ruling and Allows Lower Payments to Off-Campus Provider-Based Departments
By Erica Kraus, Michael Paddock, Theresa Thompson
On July 17, 2020, in a blow to health care providers, the U.S. Court of Appeals for the D.C. Circuit overturned a lower court’s more favorable ruling and held that…
Health Law Diagnosis
CMS to Repay Hospitals Millions After Court Finds Reduction in Rates Improper
By Robinson+Cole's Health Law Group
On December 12, 2019, the Centers for Medicare and Medicaid Services (CMS) announced that it will automatically reprocess claims which had been reimbursed at a reduced rate in 2019 under the site-neutral…
Triage Health Law
Court Sides with Hospitals on CMS Site Neutral Payment Rule for Hospital Outpatient Departments
By John Wyand
In a ruling on September 17, 2019 by Judge Rosemary M. Collyer, the U.S. District Court for the District of Columbia vacated portions of a 2018 Centers for Medicare &…
Health Industry Washington Watch
CMS Finalizes Medicare OPPS, ASC Rates and Policies for 2019
By Gail L. Daubert, Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has finalized Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) rates and policies for calendar year 2019. Notably,…
Health Industry Washington Watch
CMS Proposes CY 2019 Medicare OPPS, ASC Update, with Emphasis on Promoting Site-Neutrality
CMS has issued its proposed rule to update Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2019. …
Health Law Update
21st Century Cures: Not Just a Biomed Bill
By Kristen McDermott Woodrum, Ernessa McKie
The 21st Century Cures Act signed into law on December 13, 2016 is gaining significant attention as landmark legislation promoting medical innovation. But the massive Cures Act goes much further…
Health Law Update
The Wait is Over: CMS Delivers Post-BBA Provider-Based Policies in Final 2017 OPPS
By Kristen McDermott Woodrum, Susan Feigin Harris, Ernessa McKie
Now that the rule is out, work to implement the BBA changes begins in earnest. CMS commemorated the one-year anniversary of the Bipartisan Budget Act of 2015 (BBA) with the…
Triage Health Law
CMS Releases Final Rule Implementing Site Neutral Payment Rule for Hospital Outpatient Departments
On November 1, CMS released final rules implementing Section 603 of the Bipartisan Balanced Budget Act of 2015 (the Final Rule). Section 603 effectively reduces Medicare compensation paid to certain…