Articles and Blogs

On July 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued its calendar year 2025 Medicare Physician Fee Schedule (“MPFS”) proposed rule (“Proposed Rule”), to implement certain payment updates effective January 1, 2025. Several major proposals are summarized below and the fact sheet accompanying this Proposed Rule may be found here. Telehealth... READ MORE

In early December, the Centers for Medicare & Medicaid Services (“CMS”) issued its Calendar Year (“CY”) 2021 Medicare Physician Fee Schedule (“MPFS”) final rule (“Final Rule”). Among many other changes, CMS finalized three key payment policy updates impacting non-physician practitioners (“NPPs”), including: (1) clarification that pharmacists may provide services on an incident-to basis; (2)... READ MORE

CMS was dealt a blow from the D.C. District Court on September 17, 2019 when the court determined the agency’s “site neutral” payment policy in the CY 2019 Outpatient Prospective Payment System (“OPPS”) Final Rule exceeded its statutory authority to adjust payments under the OPPS. Refusing to accept the government’s argument that the plaintiffs... READ MORE