The rule is an effort by CMS to improve the electronic exchange of healthcare data and streamline processes related to prior authorization, while continuing CMS’ drive toward interoperability in the healthcare market.
Antitrust Division of the U.S. Department of Justice DOJ and Department of Health and Human Services HHS entered into Memorandum of Understanding MOU effective December 9 2022 enhance and maximize enforcement of federal laws administered and enforced by the two agencies.
Three CA healthcare providers have agreed to pay a total of $22.5 million pursuant to two separate settlements to resolve allegations that they violated the federal False Claims Act and the California False Claims Act.
Centers for Medicare and Medicaid Services CMS finalized new policies related to remote therapeutic monitoring RTM services reimbursed under the Medicare program. The changes, part of the 2023 Physician Fee Schedule final rule, clarify CMS’ position on RTM services.
Intersection between Medicare and state Medicaid regulatory schemes and bankruptcy proceedings is source of bankruptcy litigation. Debate is if provider agreements are executory contracts or statutory entitlements which debtor is authorized to sell under Bankruptcy Code.