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CMS sequestration guidance for state surveyors, Medicare Part C & D plans

Reed Smith LLP
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USA
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May 13 2013

CMS has issued guidance to state survey agencies explaining adjustments CMS is making to survey and certification operations to "accommodate

CMS announces "winners" of Medicare DMEPOS competitive bidding round 2National Mail order competition

Reed Smith LLP
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USA
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April 16 2013

On April 9, 2013, CMS announced the names of 799 suppliers that have been awarded 3-year contracts under Round 2 of the Medicare durable medical

Obama Administration's proposed FY 2014 budget includes $401 billion in health program savings

Reed Smith LLP
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USA
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April 10 2013

Today, the Obama Administration released its proposed federal budget for fiscal year 2014. As widely reported, the budget incorporates an offer the

CMS requests comments on new forms to disclose competitive bidding contract supplier ownership changes

Reed Smith LLP
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USA
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March 13 2013

CMS is seeking comments on new forms it intends to require suppliers to use to report changes of ownership (CHOW) involving contract suppliers under

Justice department reports nearly $5 billion in False Claims Act recoveries for FY 2012

Reed Smith LLP
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USA
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December 19 2012

The Department of Justice recently announced that it secured a record $4.9 billion in settlements and judgments in civil fraud cases in FY 2012, including health care fraud recoveries totaling more than $3 billion

OIG reviews impact of DMEPOS bidding program on billing for diabetes test strips (DTS)

Reed Smith LLP
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USA
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November 14 2012

A recent OIG report “Supplier Billing for Diabetes Test Strips and Inappropriate Supplier Activities in Competitive Bidding Areas” -- assesses how suppliers have changed their delivery and billing practices for DTS in areas where the Medicare DMEPOS competitive bidding program for mail-order DTS was implemented in 2011

CMS announces timeline for Medicare DMEPOS competitive bidding Round 1 recompete

Reed Smith LLP
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USA
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August 17 2012

On August 16, 2012, CMS announced the detailed timeline for the Round 1 Recompete of the Medicare DMEPOS competitive bidding program, which applies to nine geographic areas where competitive bidding currently is in effect

GAO reviews states' implementation of ACA Medicaid provisions

Reed Smith LLP
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USA
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August 17 2012

The GAO has released a report summarizing actions that selected states have taken to date to prepare for the ACA’s Medicaid eligibility expansion provisions that go into effect January 1, 2014

Obama Administration public-private partnership targets health care fraud prevention

Reed Smith LLP
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USA
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July 31 2012

On July 26, 2012, the Obama Administration announced what it characterizes as a “ground-breaking partnership” among federal and state governments, private health insurance organizations, and other stakeholders to prevent health care fraud

CMS call on Advance Payment ACO Model (Jan. 5)

Reed Smith LLP
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USA
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December 28 2011

On January 5, 2012, CMS will host an Open Door Forum to review the Advance Payment ACO Model and a newly-released Advance Payment ACO application template