John S. Linehan

John S. Linehan

Ober|Kaler

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CMS Releases Final Rule for 2014 Medicare Physician Fee Schedule

CMS has released its much-anticipated final rule with comment for the Calendar Year (CY) 2014 Medicare Physician Fee Schedule (PFS). The final rule prescribes physician payment rates that will go into effect on January 1,...more

12/12/2013 - CMS Critical Access Hospitals Healthcare Medicare Physician Fee Schedule Physician SGR Formula Physicians Reimbursement Codes Telemedicine

CMS Proposes Policy and Payment Changes for the CY 2014 Medicare Physician Fee Schedule

On July 8, 2013, CMS issued a proposed rule setting forth a range of program changes and initiatives relating to the Medicare Physician Fee Schedule (PFS) for Calendar Year (CY) 2014. Most notably, the proposed rule announces...more

7/16/2013 - CMS Fees Healthcare Medical Expenses Medicare Physicians Telehealth Telemedicine

CMS Proposes FY 2014 Payment Rates and Policies for Medicare Inpatient Rehabilitation Facilities

On May 2, 2013, CMS released a proposed rule [PDF] for the Inpatient Rehabilitation Facility Prospective Payment System for fiscal year (FY) 2014. The proposed rule sets forth Medicare payment policies and rates governing...more

5/31/2013 - Affordable Care Act CMS Healthcare Inpatient Rehab Facilities Medicare Payment Plans Rehabilitation Benefits Reporting Requirements

Deferred Prosecution Agreements: How an Effective Compliance Program Can Help You Plan for the Unpredictable

During the past several years, prosecutors have increasingly used Deferred Prosecution Agreements (DPAs) against corporations in enforcing white collar criminal statutes. DPAs have enabled companies to avoid the costs and...more

2/27/2013 - Anti-Kickback Statute CMS Compliance Corporate Integrity Agreement Deferred Prosecution Agreements DOJ False Claims Act False Statements Investigations Medicare Overpayment WakeMed

Recent CMS Guidance Partially Lifts Veil on Stark Self-referral Disclosure Protocol

In 2012, the Centers for Medicare and Medicaid (CMS) issued much-anticipated guidance on the Self-Referral Disclosure Protocol (SRDP) through its publication of thirteen settlements and its statutorily-mandated “Report to...more

1/30/2013 - Affordable Care Act CMS Disclosure Requirements Medicaid Medicare Self-Referral Disclosure Protocol Stark Law

New Medicare and Medicaid Rules Boost Primary Care Reimbursement and Implement Value-Based Payment Methodology

On November 1, 2012, CMS released two final rules that included a series of Medicare and Medicaid payment policies and rates for physicians and other health professionals. Among other things, the rules contain payment reforms...more

12/5/2012 - CMS Healthcare Medicaid Medicare

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