Tagged: Physician Fee Schedule

Healthcare Fraud and Abuse / Medicare / Medicaid

2020 CPI-U and DHS Code List Updates Posted on CMS Website

The Centers for Medicare & Medicaid Services (“CMS”) recently posted two annual updates related to the physician self-referral law (“Stark Law” or “Stark”) on its Stark website: (1) CPI-U updates related to the nonmonetary compensation exception and medical staff incidental benefits exception; and (2) CPT/HCPCS codes used to identify certain categories of Stark designated health...

Medicare / Medicaid

CMS Finalizes Site-Neutral Payments for Hospital Outpatient Clinics; Legal Battle with Hospitals Looms

On Friday, November 2, 2018, the Centers for Medicare and Medicaid Services (“CMS”) issued its calendar year 2019 Medicare Hospital Outpatient Prospective Payment System (“OPPS”) and Ambulatory Surgical Center Payment System final rule. Despite significant resistance and concerns from hospitals, CMS finalized its proposed site-neutral payment policy for clinic visit services provided at off-campus provider-based...

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avatar for Alissa SmithAlissa Smith

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Randall is an associate in Dorsey’s health transactions and regulations practice group.

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Alan is a litigator in Dorsey’s trial group with a focus on clients in...

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Vanessa's practice focuses on litigation in the healthcare industry, including gen...

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Claire works in three diverse sectors – health care, tax exempt organizations,...

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