Christina Ann McNamara

King & Spalding

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CMS Reminds Providers to Identify Off-Campus Provider-Based Departments on Enrollment Forms

In connection with CMS’s implementation of Section 603 of the Bipartisan Budget Act of 2015 (BBA15), which directs CMS to no longer pay hospitals the full OPPS rate for services furnished in non-excepted off-campus...more

12/15/2016 / Bipartisan Budget Act , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Off-Campus Departments , OPPS

House Files Motion to Delay Affordable Care Act Suit in Light of Change in Administration

On November 21, 2016, the U.S. House of Representatives filed a motion with the D.C. Court of Appeals requesting a temporary hold on briefing in U.S. House of Representatives v. Burwell as a result of Donald Trump’s election...more

12/1/2016 / Affordable Care Act , Cost-Sharing , Healthcare Reform , Presidential Elections , Trump Administration

OIG Finds New Jersey Medicaid Overpaid $2.2 Million in EHR Incentives

The HHS Office of Inspector General (OIG) recently reported that the New Jersey Department of Human Services (NJ DHS) made incorrect Medicaid electronic health record (EHR) incentive payments to 15 hospitals for a total of...more

9/9/2016 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , EHR , Medicaid , OIG , Overpayment

FCA Penalties to Nearly Double After Inflation Adjustment

In an Interim Final Rule effective August 1, 2016, the Department of Justice (DOJ) confirmed increased statutory penalties under the False Claims Act (FCA) to adjust for inflation, almost doubling current penalty amounts. ...more

7/6/2016 / Civil Monetary Penalty , Department of Justice (DOJ) , False Claims Act (FCA) , Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 , Interim Rule , Public Comment

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