Publications by Lisa A. Lucido

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OIG Releases Report Calling for Additional Oversight of Remote Patient Monitoring

[10/18/24]

Key Highlights from the 2025 Medicare Physician Fee Schedule Proposed Rule

[09/10/24]

No Surprises Act IDR Extension

[07/08/24]

CMS Imposes New Requirements on Payers to Improve Prior Authorization Process and Payer, Patient and Provider Communications

[03/20/24]

Federal Government Finalizes 2024 No Surprises Act IDR Fees

[01/16/24]

CMS Finalizes Major Changes to Hospital Price Transparency Rule

[12/04/23]

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]

No Surprises Act Enforcement Begins

[02/20/23]

CMS Publishes RADV Audit Methodology and Intent to Recover Overpayments

[02/14/23]

Medicare Physician Fee Schedule for 2023: What Providers Need to Know

[12/30/22]

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]

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

[07/01/22]

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.

"Federal Surprise Billing Regulations Round 2," AHLA (December 2021).

AHA & AMA Sue Over No Surprises Act Dispute Resolution Process

[12/10/21]

CMS Finalizes Co-Location Guidance: Uncertainty Remains

[11/18/21]

Key Medicare Payment Policy Changes from the CMS CY 2022 MPFS Final Rule

[11/16/21]

Final Rule for 2022 OPPS/ASC Payment Addresses Price Transparency Penalties, Covered Procedures Criteria and Much More

[11/16/21]

Federal Surprise Billing Round 2 – The IDR Process

[11/02/21]

Federal Surprise Billing Round 2 – Good Faith Estimate for Uninsured/Self-Pay Patients & Patient‑Provider Dispute Process

[11/02/21]

Temporary Relief: Federal Government Defers Enforcement of Certain Transparency and Disclosure Requirements Under the No Surprises Act

[09/10/21]

"A Federal Solution to Surprise Billing," AHLA (August 2021).

Webinar Q&A: Surprise Billing and Price Transparency Update

[08/23/21]

Federal Surprise Billing Rules: The First Round Arrives

[07/26/21]

Federal Appeals Court Upholds Hospital Price Transparency Rule

[12/30/20]

Holiday Surprise for Health Care Providers: Spending Package Includes Surprise Billing Fix

[12/28/20]

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

[12/21/20]

CMS Finalizes 2021 MPFS Final Rule – 3 Key Policy Changes Impacting Flexibility for Non-Physician Practitioners

[12/16/20]

CMS Announces Geographic Direct Contracting Model

[12/14/20]

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

[12/02/20]

CMS Flexibilities for Relocation of Provider-Based Hospital Departments During the COVID-19 Public Health Emergency

[05/07/20]

CMS Flexibilities for Billing Hospital Outpatient Therapeutic Services During the COVID-19 Public Health Emergency

[05/05/20]

CMS Announces Relief for MIPS Reporting in Response to COVID-19

[04/29/20]

Hospital Exact Match Claim Edits Further Delayed Amidst COVID-19 Pandemic

[03/25/20]

Key Takeaways from 2020 Hospital Outpatient Prospective Payment System Final Rule

[11/08/19]

Hospitals Win Battle Over Site-Neutral Pay Cuts

[09/18/19]

No Surprise Here…the Debate Continues on Surprise Billing

[08/28/19]

Need a Lyft to See Your Doctor? Arizona Medicaid Will Now Cover Ridesharing Service

[08/06/19]

CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services – What You Need to Know

[08/02/19]

Location Matters Update: CMS Postpones Exact Match Billing Rule – AGAIN

[07/02/19]

Michigan Medicaid Implements New Enrollment and Billing Requirements for Clinical Nurse Specialists and Nurse Practitioners

[06/06/19]

Is It Fee-for-Service or Managed Care? CMS Launches Direct Contracting Models

[05/10/19]

Medicare Hospital Co-Location Fix? Not There Yet…

[05/07/19]

CMS Postpones Rules for Billing Off-Campus Provider-Based Departments Until July 2019

[03/29/19]

Location Matters: Get It Right or Don’t Get Paid

[03/06/19]

CMS Proposes to Simplify Coding and Documentation Requirements for E/M Services but with a Catch

[09/28/18]

CMS Proposes Several Changes for Off-Campus Provider-Based Clinics

[08/03/18]

CMS Proposes to Eliminate Written Physician Order Requirement as a Condition for Payment for Inpatient Admissions

[05/08/18]

CMS Adopts National Targeted Probe and Educate Program

[02/06/18]

D.C. Circuit: CMS Manuals Are Policy Statements, Not Binding Authority

[01/30/18]

Provider-Based Mid-Build Exception Starts to Pay Off for Hospitals

[01/15/18]

CMS Removes Total Knee Replacement from Inpatient-Only List 

[11/28/17]

CMS’s Unfounded “Theory of Relativity” – Major Payment Decrease Proposed for Non-Grandfathered Provider-Based Clinics

[07/24/17]

Sleep Centers Wake Up to Medicare Accreditation Changes

[05/05/17]

Title X of the 21st Century Cures Act Strengthens Mental Health and Substance Abuse Disorder Care for Women, Children and Adolescents

[03/17/17]

Lack of Written Agreement Fatal to Hospital Reimbursement for Medical Resident Off-Site Training; Is Your Hospital Sharing Resident Costs at Nonprovider Sites Now?

[02/20/17]

Proposed Michigan Legislation Expands Protections to Health Care Workers

[01/30/17]

SAMHSA Releases Changes to “Part 2” Confidentiality Regulations

[01/25/17]

21st Century Cures Act Provides Legislative Remedy for Mid-Build Off-Campus Provider-Based Departments

[12/09/16]

OIG Increases the Nominal Value Dollar Limit Under the CMP Law

[12/07/16]

CMS Final Rule Implements Section 603 Limitations on Payment for Off-Campus Provider-Based Departments

[11/03/16]

CMS Leaves Many Unanswered Questions in Proposed Rules for Off-Campus Provider-Based Exclusion

[07/08/16]

Provider-Based Takes Another Hit in a Recent OIG Report

[07/01/16]

OIG Approves Financial Assistance Programs in Two Favorable Advisory Opinions

[02/19/16]