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HTMLFinal Rule to Implement Medicare Payments for New Off-Campus Clinics
Powers Pyles Sutter Verville PC;
Legal Alert/Article
November 24, 2016, previously published on November 4, 2016
On November 1, 2016, the Centers for Medicare and Medicaid Services (CMS) issued an advance copy of the final outpatient prospective payment system (OPPS) rule for 2017, which includes provisions to implement Section 603 of the Bipartisan Budget Act of 2015 (BBA 2015).¹ This memorandum summarizes...

 

HTMLFinal Rules Implementing MACRA Merit-Based Incentive Payment System and Advanced Alternative Payment Models
Powers Pyles Sutter Verville PC;
Legal Alert/Article
November 24, 2016, previously published on November 3, 2016
On October 14, 2016, the Centers for Medicare and Medicaid Services (CMS) released its final rule with comment period (final rule) implementing provisions of the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA). Set forth below is an overview of the most significant elements of the...

 

HTML2016 Election Synopsis
Powers Pyles Sutter Verville PC;
Legal Alert/Article
November 23, 2016, previously published on November 11, 2016
The Republican Party won the Presidency and maintained control of the United States Congress, with businessman Donald J. Trump (R) winning the Presidential election to become the 45th President of the United States. In the Congressional races, Senate Republicans maintained their control of the...

 

HTMLWhat Does a Trump Presidency Mean for Health Care?
Powers Pyles Sutter Verville PC;
Legal Alert/Article
November 23, 2016, previously published on November 11, 2016
Throughout the presidential campaign, candidate Donald J. Trump repeatedly stated that he will seek to dismantle the Affordable Care Act (ACA). Whether a Republican-led House and Senate will repeal the ACA, engage in negotiations for significant reform, or completely replace the ACA with their...

 

Adobe PDFSite Neutral Medicare Payments for Off-Campus Hospital Clinics
Joel M. Hamme, Barbara Straub Williams; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
August 17, 2016, previously published on July 11, 2016
This memorandum is an update on implementation of Section 603 of the Bipartisan Budget Act of 2015 (BBA 2015)1, which provides for “site neutral” Medicare reimbursement for certain off-campus outpatient clinics. On July 6, 2016, the Centers for Medicare and Medicaid Services (CMS)...

 

Adobe PDFEmerging Issues Regarding Provider-Based Status
Joel M. Hamme, Barbara Straub Williams, William H. von Oehsen; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
December 23, 2015, previously published on November 19, 2015
This memorandum reports on several recent developments pertaining to Medicare provider - based status and their implications for providers and certain covered entities participating in the 340B drug discount program.