February 2020

Polsinelli is pleased to share the Health Care Reimbursement and Payor Dispute Update. This newsletter is a designated source of news, information and guidance on the constantly evolving reimbursement industry.

In This Issue:

  • Why You Should Attend the 2020 Reimbursement Summit!
  • CMS Outlines New Standard for Challenging Medicare Payment Denials, Echoing Brand Memo on Force of Sub-Regulatory Guidance
  • CMS Issues New Final Rule on Pricing Transparency
  • “Primarily Engaged” in Hospital Services: What Critical Access and Other Small Hospitals Need to Know
  • Certain ACOs — Expanded Medicare Reimbursement for Telehealth Services
  • State Surprise Billing Laws: Five Key Macro Operational Takeaways
  • Auto Insurance Companies Are Filing Fraud and RICO Claims Against Providers

View the full newsletter here.