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Deadline to request MIPS targeted review approaching
Clinicians who participated in the Merit-based Incentive Payment System in 2019 have until Oct. 5 at 8 p.m. ET to review their final score and payment adjustment factor(s) for 2021 and request a targeted review if they suspect an error.
House Leadership Urged to Address Impending MACRA Changes
Nearly 30 representatives encourage House leaders to modify in the next COVID-19 response package impending thresholds for qualifying participants in Advanced Alternative Payment Models, which they said threaten to “derail” the movement to value-based care under the Medicare Access and CHIP Reauthorization Act.
AHA Member Only Webinar: The CY 2021 Physician Fee Schedule Propose Rule
The CY 2021 Physician Fee Schedule Propose Rule Webinar, September 16, 2020
CMS delays releasing rule on physician self-referral law
The Centers for Medicare & Medicaid Services extended its timeline for issuing a final rule modernizing the physician self-referral regulations until Aug. 31, 2021.
AHA Urges OMB to Release Physician Self-Referral and Anti-Kickback Statute final rules
The AHA urges an expeditious review and release of the Physician Self-Referral and Anti-Kickback Statute final regulations that were submitted by the Centers for Medicare & Medicaid Services and the Health & Human Services Office of Inspector General in July.
AHA, others urge DOJ to match CMS and OIG relief from certain fraud and abuse sanctions
The AHA, along with five other health organizations, urged Attorney General Bill Barr in providing “relief from the technical requirements of the Federal fraud and abuse laws and the unnecessary risk they pose to hospitals during a declared public health crisis.”
AHA, Others Urge DOJ Temporarily Suspended Enforcement of Stark Law and Anti-Kickback
AHA, together with five other organizations, urges Attorney General Barr to announce that the Department of Justice will exercise prosecutorial discretion and decline to pursue or prosecute alleged violations of the Medicare and Medicaid Anti-Kickback Statute and the Physician Self-Referral Administration as hospitals respond to the COVID-19 public health crisis.
Amicus Brief: AHA, Others Urge Supreme Court to Review 3rd Circuit FCA Decision
The AHA, joined by the Association of American Medical Colleges, Federation of American Hospitals, Hospital and Healthsystem Association of Pennsylvania and New Jersey Hospital Association, urged the U.S. Supreme Court to review a 3rd Circuit Court of Appeals decision that gives whistleblowers “broad license” to bring False Claims Act lawsuits against hospitals and other health care providers.
AHA Recommends Enforcement of Stark Law and Anti-Kickback Statute Be Temporarily Suspended
AHA urges the HHS Secretary, the Centers for Medicare & Medicaid Services Administrator, the Acting IG and the Attorney General to temporarily suspend enforcement of both the Stark Law and the Anti-Kickback Statute to enable hospitals to efficiently meet the demands of the public health crisis and compensate referring physicians and their family members.
Watch Replay of AHA Webcast with CMS Administrator
AHA members can watch a replay of today’s Town Hall webcast featuring Centers for Medicare & Medicaid Services Administrator Seema Verma. AHA President and CEO Rick Pollack and Verma discussed two proposed rules released last week to modernize the Stark Law and Anti-kickback Statute.