The decision unexpectedly expands potential liability.
On January 8, the U.S. Court of Appeals for the Fourth Circuit issued a panel decision that established a new and potentially significant False Claims Act (FCA)...more
Hospitals and physician-owned entities should consider new report’s cost and utilization concerns.
On October 24, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) released...more
Final regulations required for October 1, 2013 open enrollment are largely unchanged from the proposed rule.
On August 30, the Centers for Medicare & Medicaid Services (CMS) of the Department of Health and Human...more
Many organizations continue to face challenges with the technology and integration of some of the more complex interpretations.
On August 1, the U.S. Sunshine Act and its data collection obligations took effect....more
Final rule aims to improve the quality and consistency of care between long-term care facilities and hospice providers but may increase conflict between facility and provider staff.
New marketing integrity and oversight provisions warrant review and comment.
On June 14, the Centers for Medicare and Medicaid Services (CMS) in the U.S. Department of Health and Human Services (HHS) published its...more
Alert notes attributes and practices that produce substantial fraud and abuse risk.
On March 26, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) issued its "Special Fraud...more
Amid alleged failures of skilled nursing facilities to meet care and discharge planning requirements, OIG identifies substantial payment errors....more
The Centers for Medicare and Medicaid Services (CMS) issued the final regulations on the U.S. Sunshine Act on February 8, 2013. Transparency Reports and Reporting of Physician Ownership or Investment Interests, 78 Fed. Reg....more