Adam Romney

Adam Romney

Davis Wright Tremaine LLP

Contact  |  View Bio  |  RSS

Latest Publications


New Year, New Possibilities: OIG Final Rule Amends Beneficiary Inducement Rules

The Office of Inspector General (“OIG”) of the Department of Health and Human Services has issued a final rule (“Final Rule”) adding new safe harbors to the federal anti-kickback statute, amending existing safe harbors, and...more

1/16/2017 - Anti-Kickback Statute Civil Monetary Penalty Cost-Sharing FQHC Generic Drugs Health Care Providers HHS Medicare OIG Pharmacies Remuneration Rural Areas Safe Harbors

“Bundles of Bundles”: CMS Announces New Mandatory Bundled Payment Programs for Heart Attack, Heart Surgery, and Hip and Femur...

The Centers for Medicare and Medicaid Services (“CMS”) is forging ahead with the implementation of innovative and value-based payment programs, despite Donald Trump’s win in the presidential election and Republican...more

1/9/2017 - Alternative Payment Models (APM) CMS Health Care Providers HHS Medicare Medicare Access and CHIP Reauthorization (MACRA)

Materiality Matters: SCOTUS Rules on FCA Implied Certification

In a unanimous decision issued on June 16, 2016, in Universal Health Inc. v. U.S. et al. ex rel. Escobar et al. the United States Supreme Court resolved a circuit split and held that an “implied certification” theory can...more

6/20/2016 - Conditions of Payment False Claims Act (FCA) False Implied Certification Theory Implied Certification Medicaid SCOTUS Universal Health Services Inc v United States ex rel Escobar

M.D. Phone Home: New Legislation Expands Telemedicine in Washington

On March 29, 2016, as Governor Inslee signed Senate Bill 6519, Washington became a friendlier state for telemedicine. The new law or “Telemedicine Advancement Law” has a long-winded official title: “Expanding patient access...more

4/1/2016 - Health IT HIPAA HITECH New Legislation Telemedicine

Tick, Tock, Shock: CMS Provides Welcome Guidance in the Final Regulation for 60-Day Rule

On Feb. 12, 2016, CMS published the much anticipated final regulations implementing the so-called “60-Day Rule.” Congress adopted the 60-Day Rule as part of the Affordable Care Act (ACA). The Rule requires health care...more

2/16/2016 - 60-Day Rule CMS False Claims Act (FCA) Health Care Providers Medicaid Medicare Overpayment Recovery Time Limits

[Event] Preparing for the Comprehensive Care Joint Replacement Program - Jan. 5th, 6th, & 7th - Seattle, Portland, Los Angeles

Please join Davis Wright Tremaine partners Bob Homchick and Adam Romney, and associate Kyle Gotchy for a briefing regarding the final rule for the Comprehensive Care Joint Replacement (CJR) Program. They will discuss the...more

12/24/2015 - Bundled Payments Events Health Care Providers Hospitals Medicare

Medicare to Implement CJR: Mandatory Bundled Payment Program for Joint Replacement Surgeries

On Nov. 24, the Centers for Medicare & Medicaid Services will publish in the Federal Register the final rule for the Comprehensive Care Joint Replacement (CJR) Program. The CJR Program is a new payment model that requires...more

11/24/2015 - CMS Fee-for-Service Healthcare Healthcare Fraud Payment Methods Telehealth

Changes to the “Two-Midnight Rule” on the Horizon

On July 1, CMS published proposed changes to the so-called “Two-Midnight Rule,” which currently governs when inpatient hospital admissions are entitled to Medicare Part A payment. The proposed changes were announced in a...more

7/7/2015 - CMS Healthcare Hospitals Inpatient Billing Medicare Patient Prospective Payment System Proposed Amendments Two-Midnight Rule

Hold the Phone! Washington Adopts Telemedicine Parity Law

On April 17, Washington Governor Jay Inslee signed Substitute Senate Bill 5175 (the “Parity Law”), which expands coverage for telemedicine services paid by health plans in the state of Washington. With the new law, Washington...more

5/1/2015 - Governor Inslee Health Insurance Healthcare New Legislation Popular Telemedicine

The SGR Fix: Congress Charts a New Course for Physician Payments and Gainsharing

On April 16, President Obama signed into law the “Medicare Access and CHIP Reauthorization Act of 2015,” (“MACRA”) which repealed the Sustainable Growth Rate (“SGR”) payment formula used to limit annual updates to Medicare...more

4/23/2015 - CHIP Gainsharing Medical Devices Medicare Access and CHIP Reauthorization (MACRA) New Legislation Physician Medicare Reimbursements Physician SGR Formula Physicians Repeal

The Dark Side of Health Care Reform: The First “60-Day Rule” False Claims Act Case

The U.S. Department of Justice and New York State Attorney General’s Office recently intervened in a federal False Claims Act case in federal District Court based on allegations that a provider failed to report and refund an...more

7/11/2014 - Affordable Care Act DOJ False Claims Act (FCA) Healthcare Reform Hospitals Overpayment Reporting Requirements

Finishing at the Top of the Class: The Risks Faced by High Achievers on the Medicare Billings List

In this increasingly competitive world, providers generally want to be at the top of almost any official ranking. CMS’s recently released list of medical groups and physicians receiving the most Medicare reimbursement dollars...more

6/26/2014 - CMS Healthcare Medicare

Emerging EHR Risks: When Documentation May Not Be Enough (or Too Much)

Today’s Electronic Health Record (EHR) technologies feature many tools that help providers practice more efficiently and allow them to spend more time caring for patients. However, the federal government recently has posted...more

4/17/2014 - Audits CMS EHR Electronic Records MACs Medicare OIG Required Documentation Risk Mitigation

13 Results
View per page
Page: of 1

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.