Health Care Reimbursement and Payor Dispute Update

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:

• Medicaid Enrollment Overtakes Medicare – But Challenges are Around the Corner
• Providers Aren’t Off the Hook Yet – PRF Audits Have Started
• Key Takeaways Regarding Telehealth from the 2023 Physician Fee Schedule
• The No Surprises Act in 2022 – Unsettled Issues and All Eyes on Texas Litigation
• 340B 2022 Year-End Review: What Covered Entities Should Do in 2023 to Maximize 340B Savings
• CMS Issues Proposed Rule Aimed at Improving the Medicare Advantage Program
• Provider-Payor Contracting: Top Five Terms to Focus on in Negotiation or Renewal
• Reimbursement Audits and Disputes: What We Learned from 2022 and What to Expect Moving Forward
• Changes in Clinical Research Reimbursement Present New Opportunities and New Risks for Academic Medical Centers
• Select Highlights of FY 2023 Inpatient Prospective Payment (IPPS) Rule
• Highlights from Outpatient Prospective Payment System/Ambulatory Surgical Center Final Rule
• Medicare Physician Fee Schedule / Medicare Shared Savings Program
• CMS Finalizes Rural Emergency Hospital Requirements – But Will Hospitals Make the Jump?
• Appropriations Act 2023 Provides Good News for FQHC/RHC Reimbursement
• SNF Payments Still Driven by COVID-19 Quality Initiatives
• Highlights from the Final Home Health and Hospice Payment Rule
• End Stage Renal Disease (ESRD) Final Rule