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CMS issues Proposed Decision Memorandum for reconsideration of coverage of cardiac pacemakers

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 10 2013

On May 29, 2013, CMS issued a Proposed Decision Memorandum (the Memorandum) for reconsideration of its coverage of single-chamber and dual-chamber

CMS to Congress: sequestration of cancer drug reimbursement to continue

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 10 2013

A June 3, 2013 letter from CMS Administrator Marilyn Tavenner to Rep. Pete Sessions (R-Tex.) states that the agency does not believe it has any

OIG Semiannual Report announces expected recoveries of nearly $4 billion for October 2012 March 2013

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 10 2013

In its Semiannual Report to Congress, which covers the first half of fiscal year (FY) 2013 (October - March), the OIG announced expected recoveries

CMS releases new data on Medicare spending and utilization, hospital outpatient charges

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 10 2013

CMS released on June 3, 2013, county-level data on Medicare spending and utilization, which, according to a corresponding press release, marks the

Affordable Care Act bans sex discrimination in employer health plans

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 10 2013

Complaints filed Monday, June 3, 2013, with the Office for Civil Rights of the U.S. Department of Health and Human Services (OCR), allege that an

OIG recommends that CMS establish a hospital transfer payment policy for early discharges to hospice care

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 3 2013

The OIG recently issued a report (A-01-12-00507) concerning the potential financial impact to Medicare Part A if CMS established a hospital transfer

Medicare trustees project longer solvency period for hospital trust fund

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 3 2013

A May 31, 2013 report from the Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds projects that the

OIG issues report detailing unreliability of provider Medicare enrollment data

  • King & Spalding LLP
  • -
  • USA
  • -
  • June 3 2013

The OIG issued a report titled "Improvements Needed to Ensure Provider Enumeration and Medicare Enrollment Data Are Accurate, Complete, and

Idaho State University pays $400,000 and agrees to implement corrective action plan to resolve alleged HIPAA violations

  • King & Spalding LLP
  • -
  • USA
  • -
  • May 28 2013

Idaho State University (ISU) has agreed to pay $400,000 to the U.S. Department of Health and Human Services (HHS) and implement a corrective action

CMS signs off on rubber stamp signatures for handicapped authors

  • King & Spalding LLP
  • -
  • USA
  • -
  • May 28 2013

On May 17, 2013, CMS issued a clarification on the signature requirements for Medicare claims. For medical review purposes, Medicare requires that an

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