Blog Archive

The ICD-10-CM

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] The International Statistical Classification of Diseases and Related Health Problems, commonly known as the ICD, is a globally recognized system of medical data management. Developed,…

Discarded drug policy moves forward

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] As Applied Policy reported in January, under Section 90004 of Infrastructure Investment and Jobs Act (Infrastructure Act) which was passed in November 2021, manufacturers of drugs, including…

MACPAC holds September 2023 meeting

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On September 21 and 22, 2023, the Medicaid and CHIP Payment and Access Commission (MACPAC) held a virtual public meeting. The meeting included sessions on…

FDA releases Proposed Rule on the regulation of laboratory developed tests as medical devices

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On September 29, 2023, the Food and Drug Administration (FDA) released its highly anticipated proposed rule, Medical Devices; Laboratory Developed Tests. This proposed rule aims…

HHS proposes rule to protect people with disabilities

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On September 7th, the U.S. Department of Health and Human Services (HHS), through its Office for Civil Rights (OCR), issued the Discrimination on the Basis…

MedPAC holds September 2023 meeting

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On September 7 and 8, 2023, the Medicare Payment Advisory Commission (MedPAC) held a virtual public meeting. The meeting included the following sessions: Context for…

Current challenges in risk adjustment

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] As the United States transitions from a fee-for-service (FFS) model of healthcare delivery to value-based payments (VBP), both payers and providers have recognized the importance…

CMS proposes minimum staffing requirements for long term care (LTC) facilities

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On September 1st, the Centers for Medicare & Medicaid Services (CMS) issued the long-awaited Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment…

AI at HHS

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] The Department of Health and Human Services piqued interest last month with notification that its case use inventory for artificial intelligence (AI) had tripled in…

Skilled Nursing Facilities Get Four Percent Pay Bump, CMS Finalizes Quality Reporting Program Changes (CMS 1779-F)

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On July 31, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS)…

CMS Finalizes FY 2024 Inpatient Payment Policies for Hospitals, Changing Payment Rates, Limiting Physician-Owned Hospital Expansion Criteria, and Finalizing Quality Reporting Changes

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On August 1, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2024 Hospital Inpatient Prospective Payment Systems (IPPS) for Acute…

Administrative Law Judges in the Office of Medicare Hearings and Appeals

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] Federal Administrative Law Judges (ALJs) exercise considerable authority in our national healthcare system. ALJs in the Food and Drug Administration routinely make adjudicatory decisions regarding…

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