CMS issues Final Rule on DMEPOS telemarketing and supplier standards *

USA - March 19 2012
On March 14, 2012, the Centers for Medicare and Medicaid Service (CMS) issued a Final Rule (Final Rule) revising and relaxing four of the 30 Medicare supplier standards applicable to suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).

Co-authors: Judith A. (Judy) Waltz, Lawrence W. (Larry) Vernaglia, Heidi A. Sorensen.

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CMS issues proposed overpayment refund regulations for the 60-Day Rule *

USA - February 15 2012
On February 13, 2012, CMS issued long-awaited guidance under the “60-Day Rule” (Proposed Rule).

Co-authors: Judith A. (Judy) Waltz, Lawrence W. (Larry) Vernaglia.

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Health care professionals and certificates of medical necessity under FDA consent decrees *

USA - April 19 2011
Hospital legal counsel and compliance officers are familiar with the legal ramifications of certifying to medical necessity in the context of Medicare, Medicaid, and other payor reimbursement rules.

Co-authors: Judith A. (Judy) Waltz, Lawrence W. (Larry) Vernaglia, Nathan A. Beaver, Heidi A. Sorensen.

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Backing up the wheelchair: CMS Proposed Rule withdraws, relaxes DMEPOS supplier standards *

USA - April 5 2011
On April 4, 2011, CMS released a Proposed Rule revising and relaxing four of the 30 Medicare supplier standards applicable to suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).

Co-authors: Judith A. (Judy) Waltz, Anita M. Sorensen , Lawrence W. (Larry) Vernaglia.

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Major Florida health care reforms proposed by Florida’s governor and legislature *

USA - January 13 2011
As Florida Governor Rick Scott is sworn into office, his administration has proposed a number of sweeping changes to the state's health care regulatory system, including the reorganization and consolidation of health care agencies, and comprehensive Medicaid reform such as the statewide expansion of Medicaid managed care.

Co-authors: Paul W. Lowell , Gary D. Koch, Lawrence W. (Larry) Vernaglia, Jonathan P. Kilman, George W. Ash .

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