On August 18, 2022, the Centers for Medicare & Medicaid Services (“CMS”) issued guidance regarding the looming end of the COVID-19 public health emergency (“PHE”) and the associated emergency authority
Continue Reading CMS Advises Healthcare Providers to Prepare for End of PHE Flexibilitiesprovider
Offering Discounts (or Waivers) of Coinsurance/Copayments to Patients as an Out-of-Network Provider
By Edward J. Cyran on
Commercial payors are actively looking for ways to reduce payments to out-of-network providers. One area of focus is discounts and waivers of patient copayments and deductibles by out-of-network providers. In…
Continue Reading Offering Discounts (or Waivers) of Coinsurance/Copayments to Patients as an Out-of-Network Provider
First Court Decision on the Medicare/Medicaid 60-day Overpayment Rule
By Edward J. Cyran on
You may have heard some years ago that the Affordable Care Act established a “60-day overpayment rule” that requires a provider to report and return any overpayment from a federal…
Continue Reading First Court Decision on the Medicare/Medicaid 60-day Overpayment Rule