13+ hour, 37+ min ago  (190+ words) The National Law Review On April 6, 2026, the Department of Health and Human Services (HHS) published a final rule formally excluding account-based group health plans from the requirement to provide a Medicare Part D-creditable coverage notice to Part D-eligible individuals. This…...

9+ mon, 2+ day ago  (499+ words) On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released the'Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule [CMS-1834-P], which includes proposals to update payment rates and regulations affecting Medicare services furnished…...

2+ week, 4+ day ago  (169+ words) A proactive, systematic compliance review conducted with legal guidance is one of the most effective tools employers have to reduce legal exposure, strengthen plan governance, and prepare for regulatory inquiries. The following overview identifies the key compliance areas that such…...

3+ week, 14+ hour ago  (223+ words) These requirements apply to all off'campus departments paid under OPPS, including sites previously "excepted" or grandfathered. Congress also allocated funding to CMS for implementation and directed the U. S. Department of Health Human Services Office of Inspector General to report to Congress…...

3+ week, 5+ day ago  (353+ words) The National Law Review As previously reported by Sheppard, the Centers for Medicare & Medicaid Services (CMS) has announced several program integrity actions to combat health care fraud. Among these actions was the issuance of a Request for Information (RFI) on…...

1+ mon, 2+ week ago  (254+ words) Table 1. Projected Impact of Proposed Changes to Medicare Advantage Payment Components Announced in'the CY 2027 Advance Notice [1] Below we distill in brief some of the updates announced in the CY 2027 Advanced Notice. A.'Effective Growth Rate" The Effective Growth Rate reflects current…...

1+ mon, 2+ week ago  (145+ words) CMS warns impacted suppliers that the provision of false or misleading information in an enrollment application for purposes of entering the Medicare program and subverting the moratorium can result in enrollment denials, revocations, imposition of a reapplication bar up to…...

1+ mon, 2+ week ago  (120+ words) Best of 2026 Home Health Care "We are incredibly honored to receive the "Best of 2026" award for Best Home Health Care" Horizon Care Services has been a trusted provider for families throughout North Palm Beach and surrounding communities, earning a 5-star…...

1+ mon, 3+ week ago  (151+ words) The National Law Review - Hospitals must submit an initial provider-based attestation prior to December 31, 2027 for any existing off-campus outpatient department of a provider. - Thereafter, hospitals must submit subsequent attestations in accordance with a timeframe to be specified by the Secretary…...

2+ mon, 4+ day ago  (15+ words) The National Law Review...