CMS releases 2014 Advance Notice and proposed MA and Part D Program MLR regulations *

USA - February 22 2013
On February 15, 2013, the Centers for Medicare & Medicaid Services released for comment two key documents affecting the Medicare Advantage (MA) and…

Co-authors: Jeremy Earl, Anne W. Hance.

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The American Taxpayer Relief Act of 2012 and anticipated Medicare and Medicaid payment reforms *

USA - January 8 2013
On January 1, 2013, the U.S. Congress approved the American Taxpayer Relief Act of 2012 (the Act), concluding a protracted debate on how to prevent the…

Co-authors: Eric Zimmerman, Elizabeth K. Isbey, Anne W. Hance, Joan Polacheck.

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CMS posts self-referral disclosure protocol *

USA - September 23 2010
The U.S. Centers for Medicare & Medicaid Services posted its Medicare self-referral disclosure protocol describing how to disclose actual or potential violations of the Stark law and the associated Medicare overpayment.

Co-authors: Daniel H. Melvin, Joan Polacheck, Eric B. Gordon, M.D..

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Health care reform: law imposes requirement to report and return Medicare and Medicaid overpayments within 60 days *

USA - April 28 2010
New requirements contained in the health care reform legislation increase the pressure on health care providers, suppliers, Medicare Advantage and Part D Plan sponsors, and others to return identified Medicare and Medicaid overpayments in a timely fashion, at risk of being alleged to have violated the False Claims Act.

Co-authors: Peter M. Schutzel, Daniel H. Melvin, Joshua T. Buchman, Joan Polacheck, Eric B. Gordon, M.D..

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Health care reform: substantial fraud and abuse and program integrity measures enacted *

USA - April 12 2010
President Obama recently signed into law the much-anticipated health care reform legislation.

Co-authors: Daniel H. Melvin, Joan Polacheck, Bernadette M. Broccolo, T. Reed Stephens, Kate W. Feola.

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