The Centers for Medicare & Medicaid Services (CMS) released a ruling and an interim rule that, effective immediately, will allow hospitals to rebill certain inpatient hospital services as outpatient services for one year...more
3/21/2013 - American Hospital Association Audits Billing CMS Hospitals Medicare
On January 22, 2013, the U.S. Supreme Court issued a unanimous decision in Sebelius v. Auburn Regional Medical Center, 568 U.S. _____ (2013), holding that hospitals cannot appeal Medicare inpatient reimbursement...more
1/28/2013 - Administrative Appeals Equitable Tolling Kathleen Sebelius Medicare Physician Medicare Reimbursements SCOTUS Sebelius v Auburn Regional Medical Center
On November 29, 2012, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report raising concerns about the Centers for Medicare and Medicaid Services’ (CMS) oversight of the...more
12/7/2012 - Electronic Health Record Incentives HHS Medicaid Medicare
On December 3, 2012, in United States v. Caronia, a three-judge panel of the Second Circuit reversed a drug salesperson’s conviction for conspiracy to introduce a misbranded drug into interstate commerce, a misdemeanor...more
12/7/2012 - FDCA First Amendment Off-Label Promotion Off-Label Use Pharmaceutical
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