Health Care

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Foley & Lardner LLP: CMS Proposes Major Update to Medicaid Managed Care Regulations
Posted on 3 Jun 2015 by Foley & Lardner LLP

By Anil Shankar and Adam J. Hepworth The Centers for Medicare and Medicaid Services (“CMS”) released, on May 26, 2015, the a far-ranging proposal for revising the Medicaid managed care regulations (“ Proposed Rule ”). The number... Read More

Norton Rose Fulbright: Physicians Payments Sunshine Act Data 33 Percent Unpublishable, Penalties Next?
Posted on 19 Aug 2014 by Norton Rose Fulbright

By Benjamin Koplin , Selina Coleman and R. Jeffrey Layne Despite extending the dispute-and-resolution deadline to account for the days that the Centers for Medicare & Medicaid Services (CMS) pulled down the reporting system, the public Physician... Read More

Barnes & Thornburg LLP: OIG Work Plan 2014: Takeaways for Hospitals
Posted on 21 Feb 2014 by Barnes & Thornburg LLP

By Gayland Hethcoat With the release of its work plan for fiscal year 2014 on Jan. 31, 2013, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) has provided insight on the agency’s current enforcement... Read More

Norton Rose Fulbright: OIG Releases FY 2014Work Plan Summary
Posted on 11 Feb 2014 by Norton Rose Fulbright

By Frederick Robinson , Megan Fanale Engel , Cori Annapolen Goldberg and Selina Coleman On January 31, 2014, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published its Work Plan for fiscal year 2014. The OIG announced... Read More

Norton Rose Fulbright: CMS Offers New Resources and Guidance on 2-Phase Approach to Sunshine Act Reporting
Posted on 28 Feb 2014 by Norton Rose Fulbright

By: Benjamin Koplin , Selina Coleman and R. Jeffrey Layne The Centers for Medicare & Medicaid Services (CMS) has posted new resources to its "Open Payments" website to clarify its recently announced two-stage approach to registration... Read More

Foley & Lardner LLP: CMS Proposes Major Update to Medicaid Managed Care Regulations
Posted on 3 Jun 2015 by Foley & Lardner LLP

By Anil Shankar and Adam J. Hepworth The Centers for Medicare and Medicaid Services (“CMS”) released, on May 26, 2015, the a far-ranging proposal for revising the Medicaid managed care regulations (“ Proposed Rule ”). The number... Read More

DLA Piper Health Systems Alert: MACRA: 3 Compliance Implications For Medicare Providers
Posted on 26 May 2015 by DLA Piper

By: Karen Nelson Much has been written about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its repeal of the Sustainable Growth Rate formula for physician compensation and the potential gainsharing safe harbor. But the Act also... Read More

Foley & Lardner LLP: The Medicaid Fraud Control Units: Fiscal Year 2014 Report
Posted on 3 Jun 2015 by Foley & Lardner LLP

By Judith A. Waltz The Department of Health and Human Services (HHS) Office of Inspector General (HHS-OIG) has released its Fiscal Year (FY) 2014 Annual Report (Report) on the performance of the Medicaid Fraud Control Units (MFCUs) (OEI-06-15-00010... Read More

Williams Mullen: OIG Scrutiny of Hospital Outpatient Evaluation/Management Claims Billed to Medicare
Posted on 11 Feb 2014 by Williams Mullen

By Marcus C. Hewitt H.H.S’s Office of Inspector General’s yearly work plan was issued on January 31, 2014, which included numerous new and ongoing reviews and activities by OIG for the coming year. Among the new projects, OIG will review... Read More

Steptoe & Johnson PLLC: False Billing Leads To Record Settlement In Medicare/Medicaid Fraud Case
Posted on 27 May 2014 by Steptoe & Johnson PLLC

The United States Attorney for the Southern District of West Virginia has announced a record $4.675 million settlement with a medical lab for false billings to Medicare and to West Virginia Medicaid. R. Booth Goodwin, of Charleston, WV, said in his press... Read More