Kristen Cilento Carter

Kristen Cilento Carter

Ober|Kaler

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Part II: Exploration of Common Exceptions to the Stark Law

In this Presentation: Kristin Cilento Carter presented “Exploration of Common Exceptions to the Stark Law” as part of the program “Stark Physician Self-Referral Law,” an installment in the Fraud and Abuse Basics...more

3/13/2014 - Fraud Fraud and Abuse Healthcare Healthcare Fraud Stark Law

CMS Releases CY 2014 Hospital OPPS and ASC Final Rule

CMS has published its Calendar Year (CY) 2014 Final Rule for Medicare policy and payment rates for hospital outpatient prospective payment systems (OPPS) and Ambulatory Surgical Center (ASC) services. This final rule with...more

12/13/2013 - Affordable Care Act Ambulatory Surgery Centers CMS Healthcare Hospitals Medicare Medicare Part B Outpatient Quality Reporting Patient Prospective Payment System Pharmaceutical Value-Based Purchasing

OIG Report Concludes that Physician-owned Distributors Increase Utilization

In response to the U.S. Senate Committee on Finance’s continued questioning of physician-owned distributorships (PODs), the U.S. Department Health and Human Services Office of the Inspector General issued its long-awaited...more

11/8/2013 - Anti-Kickback Statute Healthcare HHS Hospitals Medical Devices Medicare OIG Physician-Owned Distributors

CMS Issues FAQs Regarding Self-Referral Disclosure Protocol

CMS has released its responses to eight frequently asked questions [PDF] regarding its Self-Referral Disclosure Protocol (SRDP). The questions fall into three categories, listed below, and respond to issues that are often...more

10/11/2013 - CMS DOJ Medical Liability OIG Patient Self-Referral Required Documentation Self-Disclosure Requirements Stark Law Voluntary Disclosure

CY 2014 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rules Released by CMS

CMS released its Calendar Year (CY) 2014 Proposed Rule for outpatient services furnished in hospitals and ambulatory surgical centers (ASCs). CMS anticipates that payments under the outpatient perspective payment system...more

7/15/2013 - Ambulatory Surgery Centers CMS Healthcare Hospitals Medicaid Medicare Prescription Drugs

Court Rules That Supervision and Enrollment Issues Don't Give Rise to False Claims Act Liability

Following the ever-growing progeny of cases holding that Medicare conditions of participation do not give rise to False Claims Act (FCA) liability, the United States Court of Appeals for the Sixth Circuit overturned an $11...more

4/19/2013 - CIGNA False Claims Act Medicare MedQuest Supervision

American Taxpayer Relief Act of 2012: Physician Cuts Averted, Hospitals to Carry Portion of Price Tag

Avoiding sending American taxpayers over the so-called “fiscal cliff,” Congress enacted the American Taxpayer Relief Act of 2012 (the “Act”) [PDF] that was signed into law on January 2, 2013. Of biggest note, the Act included...more

1/17/2013 - Ambulance Providers American Taxpayer Relief Act Diagnostic Imaging Services Dialysis Providers Disproportionate Share Adjustments Fiscal Cliff Hospitals Medicare Physician Medicare Reimbursements

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