Lexology February 14, 2022
DLA Piper

Healthcare Alert

Providers are taking note of recent changes proposed by the Centers for Medicare & Medicaid Services (CMS) regarding payment rules and updates to certain policies in its Calendar Year (CY) 2022 Physician Fee Schedule (PFS) proposed rule. These broad revisions provide CMS with greater authority to revoke Medicare billing privileges.

Among these policies, proposed in July 2021, was a proposal related to provider enrollment to “increase [CMS’] flexibility to address periods of abusive billing that, though comparatively brief, have or could have harmed the Medicare program.” In making this proposal, CMS acknowledged that it sees itself as the “gatekeeper” to the Medicare program, preventing unqualified and potentially fraudulent individuals and entities from being able to enroll in and...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Insurance, Medicare, Provider
39 physician specialties ranked by total pay from 2013-2022
Understanding CMS’ AHEAD Model: Medicare Hospital Global Budget Design and Implications
‘Borderline Useless’ CMS Data Needs an Overhaul, Starting with the Addition of Medicare Advantage to Cost Reports
Medicaid Financing Requires Reform: The North Carolina Case Study
CMS releases tool to validate price transparency file compliance

Share This Article