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CMS clarifies effective date of deemed compliance provisions: extra fraud, waste, and abuse training not required for Medicare providers

Foley & Lardner LLP
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USA
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May 11 2010

CMS has finally confirmed that Medicare Advantage and Part D plans should not be requiring special fraud, waste, and abuse (FWA) training for providers and suppliers (collectively, "providers") who enrolled in the Medicare program

HHS issues final omnibus HIPAAHITECH rule

Foley & Lardner LLP
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USA
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January 24 2013

On January 17, 2013, the Office for Civil Rights of the U.S. Department of Health and Human Services (HHS) issued the long-awaited omnibus final

House passes historic health care reform bill

Foley & Lardner LLP
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USA
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March 22 2010

After more than a year of negotiation, lobbying, and the highest political drama seen during the Obama administration, on Sunday, March 21, 2010, the U.S. House of Representatives passed two major pieces of legislation comprising an overhaul of the nation's health care system, on very tight margins and without any Republican support

Health care reform legislation makes significant changes to Medicare reimbursement methods

Foley & Lardner LLP
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USA
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May 26 2010

On March 30, 2010, President Obama completed the enactment of federal health reform law by signing a package of reconciliation amendments to the Patient Protection and Affordable Care Act

Provider Reimbursement Review Board issues Alert 9 and revised rules

Foley & Lardner LLP
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USA
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March 27 2013

On March 1, 2013, the Provider Reimbursement Review Board (PRRB or the Board) issued Alert 9, which notified interested parties that the PRRB has

Massachusetts loosens Gift Ban Law

Foley & Lardner LLP
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USA
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July 17 2012

On July 8, 2012, as part of the 2013 budget process, Governor Deval Patrick signed into law a bill amending the Massachusetts Pharmaceutical and Medical Device Gift Ban Law (M.G.L. 111N, the Gift Ban Law), one of the most prohibitive laws of its kind in the nation

Knowing retention of overpayments may now be a False Claims Act violation

Foley & Lardner LLP
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USA
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April 5 2010

Providers, suppliers, and Medicare and Medicaid managed care plans must now take much more expeditious action when they discover they have been overpaid by the Medicare or Medicaid programs

PPACA will drive quality health care reform

Foley & Lardner LLP
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USA
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May 21 2010

Driven by years of widespread and highly publicized quality of care concerns and the pressing need to contain health care costs, the Patient Protection and Affordable Care Act (PPACA) contains numerous measures that seek to improve the quality of medical care while also lowering the rate of growth of health care expenditures

OIG raises concerns in management contracts for sleep labs and beyond

Foley & Lardner LLP
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USA
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November 22 2010

In two advisory opinions issued on October 28, 2010, the Department of Health & Human Services, Office of Inspector General (OIG) has fired a couple of shots across the bow at health care managers providing marketing services and also at the entire sleep lab industry

CMS letter recommends monthly screening of employees and contractors for federal health care program exclusions

Foley & Lardner LLP
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USA
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February 17 2010

Providers in many states should have received notices from state Medicaid agencies asking them to perform monthly checks of their employees and contractors to determine if they have been excluded from participation in federal health care programs

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