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District Court Invalidates Medicare GME Regulation and Orders CMS to Recalculate Hospitals’ Medicare Reimbursement

USA - June 7 2021 Teaching hospitals should find that their Medicare reimbursement for training physicians will be a little sweeter thanks to a decision by the United…

HHS Limits Use of Guidance Documents in Civil Enforcement Actions and Issues First Good Guidance Practices Petition Response

USA - January 19 2021 On January 14, 2021, the Department of Health and Human Services (“HHS”) published the Transparency and Fairness in Civil Administrative Enforcement…

Jonah D. Retzinger.

HHS Limits the Use of Guidance Documents in the Good Guidance Practices Rule and Advisory Opinion 20-05

USA - December 10 2020 On December 7, 2020, the Department of Health and Human Services (“HHS”) published the Good Guidance Practices final rule (“Rule”), which limits…

Jonah D. Retzinger.

OIG Issues a Final Rule Designed to Advance the Transition to Value-Based Care and Modernize the Regulatory Framework

USA - December 3 2020 On December 2, 2020, the Department of Health and Human Services ("HHS") Office of Inspector General ("OIG") and the Centers for Medicare & Medicaid…

Anjali N.C. Downs, Carrie Valiant, David E. Matyas, Jason E. Christ, Jennifer E. Michael, Karen Mandelbaum, Lesley R. Yeung, Teresa A. Mason, Victoria Vaskov Sheridan.

CMS Proposes to Expand the Scope of Medicare Coverage Determinations

USA - September 4 2020 On September 1, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule that would, for the first time, establish formal…