Elizabeth Tyrrell

Elizabeth Tyrrell

McAfee & Taft

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CMS authorizes contractors to deny ‘related’ claims of physicians who are not undergoing review

The Centers for Medicare and Medicaid Services (CMS) of the Department of Health and Human Services recently issued Transmittal 505 modifying Section 3.2.3 of the Medicare Program Integrity Manual. CMS employs a variety of...more

3/7/2014 - CMS Contractors Healthcare MACs Medicare Physicians ZPIC

OIG rejects management arrangement that carves out federal healthcare program patients

The Office of Inspector General of the Department of Health and Human Services recently posted an Advisory Opinion describing a proposed arrangement by a clinical laboratory. ...more

8/13/2013 - Advisory Opinions Anti-Kickback Statute Clinical Laboratories Healthcare HHS Medicare OIG Patients

Court rules employers who provide services to federal government employees subject to federal contracting regulations

A federal court recently ruled that hospitals affiliated with the University of Pittsburgh Medical Center became “federal subcontractors” when they entered into contracts with an HMO that provided health services for federal...more

6/6/2013 - DOL Federal Employees HMOs Hospitals OFCCP Subcontractors TRICARE

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