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Reconciliation Department of Health and Human Services (HHS)

Foley & Lardner LLP

Top Ten: What You Need to Know About the Build Back Better Act

Foley & Lardner LLP on

On Friday morning, November 19th, the House of Representatives passed H.R. 5376, the Build Back Better Act, on a party-line vote of 220 – 213, Rep. Jared Golden of Maine was the only Democrat to vote against the bill. The...more

Baker Donelson

Court Upholds Procedural Validity of HHS's Outlier Reconciliation Instructions

Baker Donelson on

On December 26, 2017, the United States Court of Appeals for the District of Columbia Circuit upheld the procedural validity of 2010 manual instructions setting out the criteria by which Medicare outlier payments might be...more

King & Spalding

In Targeting Outlier Payment Reconciliation, OIG Calls for an Aggressive Reading of CMS Reopening Regulations

King & Spalding on

The HHS OIG recently published a report detailing CMS’s and Medicare Administrative Contractor’s (“MACs’”) ongoing issues in the outlier payment reconciliation process. A previous 2012 review identified 465 cost reports that...more

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