There were no major surprises when the Medicare hospital outpatient prospective payment system (OPPS) and physician fee schedule (PFS) Final Rules were released on November 2, 2021, but there are still several financial and compliance areas that healthcare providers must prepare for as we head into 2022. Today’s update provides a brief summary of the key issues affecting the most providers across the country. Read our legal update here: https://bit.ly/31BhFYn.

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Photo of Daniel Avants Daniel Avants

Dan advises healthcare provider clients in connection with a variety of legal and operational challenges, blending a business-centric approach to healthcare with regulatory considerations, including compliance with the 340B Drug Pricing Program, vendor and payor contract negotiations, provider-based conversion assessments and compliance, reimbursement…

Dan advises healthcare provider clients in connection with a variety of legal and operational challenges, blending a business-centric approach to healthcare with regulatory considerations, including compliance with the 340B Drug Pricing Program, vendor and payor contract negotiations, provider-based conversion assessments and compliance, reimbursement strategies, mergers and acquisitions, and establishing value-based care models.

Photo of Amanda Bogle Amanda Bogle

Amanda provides counsel on healthcare transactional, regulatory and operational issues, assisting clients as they navigate an ever-evolving regulatory landscape. She frequently addresses questions regarding:

  • Mergers & Acquisitions, including Medicare changes of ownership (CHOW)
  • Fraud and abuse laws, such as the Anti-Kickback Statute, Stark

Amanda provides counsel on healthcare transactional, regulatory and operational issues, assisting clients as they navigate an ever-evolving regulatory landscape. She frequently addresses questions regarding:

  • Mergers & Acquisitions, including Medicare changes of ownership (CHOW)
  • Fraud and abuse laws, such as the Anti-Kickback Statute, Stark Law and False Claims Act
  • Reimbursement (e.g. Outpatient Prospective Payment System, Medicare Physician Fee Schedule)
  • 340B Program
  • Telehealth expansion, particularly during the COVID-19 pandemic
  • Hospital licensure
  • Joint Commission accreditation
  • Certificates of Need