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Supreme Court Rules in Favor of Hospitals in HHS DSH Payment Dispute

On June 3, 2019, the Supreme Court of the United States (SCOTUS) issued an opinion in Azar v. Allina Health Services whereby it ruled that the United States Department of Health and Human Services (HHS) violated the Medicare...more

Summary Recap and Key Takeaways from AHLA’s Medicare and Medicaid Payment Issues Conference

Every year, health lawyers, providers, consultants, and government experts from across the country convene in Baltimore for the American Health Lawyers Association’s Institute on Medicare and Medicaid Payment Issues, the most...more

OIG Advisory Opinion Says Hospital Can Provide Free In-Home Services

On March 6, 2019, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) posted Advisory Opinion No. 19-03, which permits a non-profit medical center (Requestor), and its affiliated...more

Georgia Attorney General Chris Carr Among Nationwide Attorneys General to Reach $120 Million Settlement Involving False and...

On January 23, 2019, Georgia’s Attorney General Chris Carr announced that he and forty-five (45) other attorneys general reached a $120 million Consent Judgment with Johnson & Johnson and DePuy, regarding allegations that...more

CMS Miscalculates 2019 MIPS Payment Adjustments / Extends MIPS Targeted Review Request Deadline 15 Days

On September 13, 2018, in an update entitled “CMS Updates 2017 MIPS Performance Feedback,” the Centers for Medicare and Medicaid Services (CMS) disclosed that it made errors in the scoring logic used for the merit-based...more

CMS Issues Update for Contractors Defending Medical Review Decisions at Medicare ALJ Hearings

On October 13, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a CMS Transmittal to update the Medicare Program Integrity Manual (MPIM) on recent regulatory changes in the Office of Medicare Hearings and...more

GHA Implements Georgia Rural Hospital Expense Tax Credit Program for Employees

In 2016, the Georgia Legislature passed the Rural Hospital Tax Credit Program that provides a state income tax credit that is designed to encourage Georgians to financially contribute to qualified rural hospital...more

CMS Issues Proposed Rule to Increase Flexibility and Reduce Burden in the Second Year of MACRA’s Quality Payment Program

On June 20, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (CMS-5522-P) that would make changes to the second year requirements of the Medicare Access and CHIP Reauthorization Act of 2015...more

CMS Awards First $20 Million of $100 Million to Help Small Practices Succeed in MACRA

On February 17, 2017, the Centers for Medicare and Medicaid Services (CMS) announced its first round of awards of approximately $20 million to eleven organizations for the first year of the five-year program, designed to...more

2016 Health IT Leadership Summit Insights

On December 7, 2016, lawyers from Arnall Golden Gregory LLP’s Healthcare Technology team attended the annual Health IT Leadership Summit. While there, we noted several overarching themes. At the forefront were the topics of...more

OIG FY 2017 Work Plan Released: New Areas of Focus for Skilled Nursing Facilities, Hospices, and Home Health Agencies

In early November, the Office of Inspector General (OIG) released its 2017 Fiscal Year Work Plan, which summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to Health and Human Services...more

New FBI Ransomware Alert: Bureau Provides Key Guidance for Prevention and Business Continuity Planning

The Cyber Division of the Federal Bureau of Investigation (FBI) recently issued a new ransomware notice. The notice encourages organizations, regardless of industry and size, to focus on two areas in their efforts to minimize...more

OIG Issues Favorable Advisory Opinion Regarding Proposed Ownership Structure of Group Purchasing Organization

On May 2, 2016, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) issued a favorable advisory opinion regarding a proposed arrangement, under which a group purchasing organization (GPO)...more

AGG Food & Drug Newsletter - March 2016

Arnall Golden Gregory LLP's Food and Drug Newsletter is a monthly update of legal and regulatory issues that affect the FDA-regulated community, including regular updates on legislative initiatives from AGG’s Washington, DC...more

Telehealth and Medicare: MedPAC Presents Updated Research to the Commission

The status of expanded federal telehealth reimbursement remains uncertain. Continuing an ongoing national policy conversation, the Medicare Payment Advisory Commission (MedPAC) held its second meeting on March 3, 2016, under...more

A Hospital Held Ransom Highlights Healthcare as a Vulnerable Cyber Target

Security threats to healthcare providers continue to be fluid and fast-paced, as the most recent publicized cyberattack demonstrates. On February 5, 2016, hackers took control of the computer systems at Hollywood Presbyterian...more

Alabama Approved for Statewide Medicaid Managed Care

Alabama Governor Robert Bentley announced on February 9, 2016, that the State has been granted a waiver pursuant to Section 1115 of the Social Security Act (1115 waiver), authorizing Alabama to change the delivery of Medicaid...more

Summary of 2016 CMS Final Rule for Advance Care Planning

On October 30, 2015, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2016 final Medicare payment rules for physicians, hospitals and other providers. The rules include a provision that empowers patients,...more

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