Articles and Blogs

On April 30, 2025, the Centers for Medicare and Medicaid Services (“CMS”) released the Fiscal Year 2026 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (the “Proposed Rule”) containing several impactful changes to reimbursement for medical, nursing and allied health education programs at teaching hospitals. These CMS developments include: Proposing to revise the calculations for... READ MORE

If your organization is a teaching hospital that disputes data in the CMS Hospital Cost Report Information System (“HCRIS”) file in connection with Section 131 of the Consolidated Appropriations Act (“CAA”), you have a deadline of November 18, 2022, to submit information to your Medicare Administrative Contractors (“MACs”). The official CMS posting is available... READ MORE

This client alert is Part 5 of our series providing insight into Medicare graduate medical education (“GME”) reimbursement changes that occurred in 2021. Part 1, which addressed resident moonlighting and redocumentation requirements, is available here. Part 2, which addressed billing requirements for physicians at teaching hospitals (the “PATH” rules) and the rules regarding cap... READ MORE

On July 23, 2021, CMS published its proposal for changes to its Medicare Part B payment policies for calendar year 2022, including proposed changes for teaching physician billing. In addition, in the same proposed rule, CMS published a proposal to modify the reporting relating to teaching hospitals under the Open Payments system. This article... READ MORE

Mergers and acquisitions in the health care industry present unique challenges that are not often present when undertaking transactions in other industries. Because of health care’s highly regulated nature, parties may falter if a health care transaction is not reviewed and negotiated carefully with respect to all of the components of health care regulation.... READ MORE