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Showing 2 posts from May 2018.

On April 27, 2018, the U.S. Department of Health and Human Services, Department of Labor, and the Treasury Department (collectively the Departments) issued a “Clarification” of its previously-issued Greatest of Three (GOT) rule regarding payment for out-of-network emergency services.  While the immediate impetus was a court order requiring the Departments to clarify the basis for the GOT rule, the Departments have provided valuable guidance that will assist providers in challenging the level of payment for such services. Read More ›

On April 27, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining proposed quality program changes for skilled nursing facilities (SNFs) that includes a new Patient-Driven Payment Model (PDPM).  Read More ›

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