Corporate Compliance

Regulations: CMS publishes OPPS final rule, requires manufacturers to report payments, and more

Medicare Update for Physician Services, January 5, 2012

CMS publishes the 2012 OPPS final rule

As promised, CMS published the OPPS final rule in the Federal Register on November 30. The rule includes changes to cancer center payments and separately payable drug payments, for facilities as well as changes to payment for intensity modulated radiation therapy. On January 4, 2012 CMS issued several corrections to the final rule including changes to sections about payments for ambulatory surgical centers and value based-purchasing.

View the final rule

View the corrections

Proposed rule would require manufactures to report payments to covered recipients

On December 19, CMS published a proposed rule in the Federal Register that would require applicable manufacturers of drugs, devices, biologicals, or medical supplies covered by Medicare, Medicaid or the Children’s Health Insurance Program (CHIP) to annually report annually certain payments or transfers of value provided to physicians or teaching hospitals. In addition, applicable manufacturers and applicable group purchasing organizations are required to report annually certain physician ownership or investment interests.

View the Federal Register 

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View the associated fact sheet  

OIG publishes solicitation for safe harbors, special fraud alerts

On December 29, the OIG published in the Federal Register its annual notice soliciting proposals and recommendations for developing new and modifying existing safe harbor provisions under the Federal anti-kickback statute (section 1128B(b) of the Social Security Act), as well as developing new OIG Special fraud alerts.

View the OIG solicitation.

CMS publishes corrections to the 2012 MPFS final rule

On January 4, CMS issued a document that corrects several errors that were contained in the Medicare physician fee schedule (MPFS) final rule, which appeared in the November 28, 2011 edition of the Federal Register. The corrections include changes to the preamble, the section about annual wellness visit, practice expense relative value units, and more.

View the federal register.

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