Publications by Benjamin C. Fee

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Medicare Finalizes New Labor Market Areas Based on Census Data – Impact on Special Rural Status

[08/06/24]

Medicare’s Proposed Updates to Labor Market Areas and Impact on Special Rural Status

[04/12/24]

Federal Government Finalizes 2024 No Surprises Act IDR Fees

[01/16/24]

CMS Finalizes Major Changes to Hospital Price Transparency Rule

[12/04/23]

Federal Departments Update No Surprises Act IDR Process Again

[11/17/23]

Proposed Rule Sets New IDR Fees in Response to Federal Court Ruling

[10/05/23]

Federal Court Strikes Down Seven-Fold IDR Fee Increase: The Texas Medical Association Again Defeats HHS in Court

[08/28/23]

CMS Finalizes FFY 2024 Changes for Rural Floor Wage Index Policy

[08/10/23]

Proposed CMS Rule Targets PBM Price Transparency for Medicaid Managed Care Organizations

[06/23/23]

CMS Releases FFY 2024 IPPS Proposed Rule; Proposed Change in Rural Floor Wage Index Policy & Wage Index Deadlines

[04/18/23]

Hospitals Have Until March 23 to Object to Release Provider Relief Fund High Impact Data

[03/14/23]

No Surprises Act Enforcement Begins

[02/20/23]

CMS Delays Looming Good Faith Estimate Co-Provider Requirement

[12/05/22]

Déjà Vu – Texas Medical Association Challenges No Surprises Act Again

[11/03/22]

Federal Surprise Billing Round 3 – Clarifying the QPA and IDR Process

[08/31/22]

HHS Publishes Proposed Payments for Rural Emergency Hospitals

[08/01/22]

CMS Proposes Regulations for Rural Emergency Hospital CoPs and CAH Updates; Providers Wait for Clarification on Payment Policies

[07/07/22]

Reminder: Transparency in Coverage Rule Takes Effect July 1, 2022

[07/01/22]

CMS Issues First Penalties for Non-Compliance with Hospital Price Transparency Rule

[06/15/22]

CMS Releases FFY 2023 Proposed Rule; Proposed Cap on Wage Index Decreases & Wage Index Deadlines

[04/20/22]

Provider Relief Fund Update: New Option to Submit Late Reports

[04/08/22]

Federal Court Strikes Down Qualifying Payment Amount Presumption Under No Surprises Act Dispute Resolution Process

[02/25/22]

CMS Releases Guidance on No Surprises Act Implementation

[01/25/22]

"Full Disclosure - Surprise Billing and Hospital Price Transparency in 2022," AHLA Health Law Connections - January 2022.

AHA & AMA Sue Over No Surprises Act Dispute Resolution Process

[12/10/21]

CMS Finalizes Co-Location Guidance: Uncertainty Remains

[11/18/21]

Provider Relief Fund Updates: Application Deadline for Additional Funding Approaching as Phase One Reporting Continues

[10/11/21]

Webinar Q&A: Surprise Billing and Price Transparency Update

[08/23/21]

Provider Relief Fund Update: Reporting Begins July 1 and Other Changes

[06/16/21]

Latest COVID-19 Relief Package Includes $8.5 Billion for Rural Providers

[03/19/21]

OMB Census Recommendations Could Have Huge Downstream Impacts on Medicare Payments

[03/08/21]

HHS Advisory Opinion: Drug Manufacturers Must Offer 340B Program Discounts to Contract Pharmacies

[02/25/21]

Latest COVID Relief Establishes New Rural Provider, Increases Payments for Some Rural Health Clinics

[01/26/21]

Provider Relief Fund Next Steps – Reporting and Audits

[01/14/21]

Federal Appeals Court Upholds Hospital Price Transparency Rule

[12/30/20]

UPDATE: Congress Delivers Legislative Relief to Provider Relief Fund Recipients

[12/22/20]

REMINDER: Hospital Price Transparency Requirements Begin January 1, 2021 (Now with CMS Audits)

[12/21/20]

New CMS Most Favored Nation Drug Pricing Rule Could Negatively Impact the Bottom Lines of Hospitals, Physician Practices

[12/04/20]

Pulling Back the Curtain: Final Rule Requires Payors to Disclose Rates

[12/02/20]

Provider Relief Fund FAQs: HHS Just Rewrote the Playbook

[10/30/20]

HHS Revises Provider Relief Fund Reporting Guidelines in Response to Stakeholder Concerns

[10/23/20]

Provider Relief Fund Phase 3: 43 New FAQs & Instructions Posted

[10/07/20]

Additional $20 Billion Allocation – Apply Starting October 5; Payback Delay for Medicare Accelerated Payments

[10/01/20]

HHS Publishes Provider Relief Fund Detailed Reporting Guidelines: Where Did Lost Revenue Go?

[09/22/20]

COVID-19 CARES Funding Relief to Assisted Living Facilities – Five Keys and Five Actions to Take Now

[09/03/20]

HHS Rolls Out Medicaid Targeted Distribution, Clarifies Quarterly Reporting Deadline and Updates Other FAQs

[06/26/20]

Court Rules that Hospital Price Transparency Requirements Can Take Effect

[06/26/20]

$175 Billion Health Care Relief Fund: How Much Is Left After New Medicaid/CHIP and Safety Net Hospital Payments Announced?

[06/12/20]

IMMEDIATE ACTION REQUIRED – HHS Requesting Updated COVID-19 Patient Data to Inform New Round of High Impact Payments

[06/10/20]

Eligible Outpatient Facilities of 340B Hospitals Can Now Bypass Registration Delays

[06/05/20]

The FAQ Carousel: HHS Continues with More Updates to CARES Act Relief Fund FAQs

[06/01/20]

HHS Extends Deadline for Submitting Relief Fund Attestations (Again)

[05/23/20]

HHS Distributing $4.9B in COVID-19 CARES Funding Relief to Skilled Nursing Facilities – Five Actions to Take Now

[05/22/20]

HHS Updates Its CARES Act Provider Relief Fund FAQs Again

[05/22/20]

IMMEDIATE ACTION REQUIRED – Upcoming CARES Act Relief Fund Deadlines and Latest Updates

[05/21/20]

Did the Ground Just Shift? CMS Proposes Changes to Hospital Wage Index Areas

[05/13/20]

HHS Extends Deadline for Submitting Relief Fund Attestations

[05/07/20]

Attention 340B Hospitals: CMS Cost Data Survey Due May 15 Raises Important Compliance Questions

[05/01/20]

New/Updated Terms and Conditions and Hall Render Briefing Document

[04/26/20]

HHS Relief Fund Payment Portal Now Open

[04/26/20]

New Provider Relief Fund Application Guide Website and FAQ Document

[04/26/20]

CARES Act Relief Funding: Additional Tranches Announced

[04/23/20]

HHS Outlines Framework for Reimbursing Hospitals and Providers for COVID-19 Testing and Treatment Provided to Uninsured Patients

[04/23/20]

IMMEDIATE ACTION REQUIRED – HHS Requests Data from Hospitals to Inform COVID-19 Provider Funding Distributions

[04/22/20]

First Tranche of Payments from the $100B CARES Funding Relief Being Delivered

[04/10/20]

Updates on $100 Billion Health Care Relief Fund and Medicare Accelerated Payment Program

[04/09/20]

CMS Activates Accelerated Payment Program Nationwide as Part of COVID-19 Response

[03/29/20]

Latest Stimulus Bill Includes Over $100 Billion in Health Care Industry Relief: Providers Should Start Preparing Now

[03/27/20]

A COVID-19 340B Update: OPA Updates Its GPO Prohibition Guidance and Other Outstanding 340B Program Issues

[03/25/20]

Informational Bulletin from CMS Addresses Best Practices to Avoid 340B Duplicate Discounts

[01/17/20]

The Price May Not Be Right, But It Will Be Public: CMS Finalizes Price Transparency Rule Requiring Hospitals to Publish Payer-Specific Rates

[11/18/19]

CMS Finalizes Changes for Low Wage Hospitals and Rural Floor

[08/19/19]

D.C. Court Decides Medicare 340B Program Payment Reduction Lawsuit Remedy: Spoiler Alert – The End Is Not Here

[05/08/19]

Medicare Hospital Co-Location Fix? Not There Yet…

[05/07/19]

Wage Index Fix? CMS Proposes Changes for Low Wage Hospitals and Rural Floor

[04/30/19]

340B Moving Forward: Legislative and Executive Branch 340B Priorities for 2019-2020

[04/19/19]

The 340B Crystal Ball: New Clarity on 340B Prices and the Program’s Future

[04/05/19]

Health System Pays Close to $4 Million to Resolve Self-Disclosed Stark Violations

[05/06/13]

OIG Issues Updated Self-Disclosure Protocol

[04/22/13]

What’s Going on with the CMS Self-Referral Disclosure Protocol? – Recent Developments

[04/06/12]

CMS Issues Proposed Rule to Implement Statutory Obligation to Report and Return Overpayments

[02/17/12]