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OIG and CMS Coordinate Seismic Change to Fraud and Abuse LawsWhat It Means for the Health Industry

USA - October 9 2019 Highlighting the US Department of Health and Human Services’ (HHS) efforts to transform the US healthcare system to a value-based model, the Office...

Joyce A. Cowan, Donna S. Clark, B. Scott McBride, Banee Pachuca, Albert W. Shay, Kathleen McDermott, Howard J. Young, Jacob J. Harper.

Something Old, Something New: The Proposed Medicare Physician Fee Schedule Rule

USA - July 24 2018 Mixing innovative change with standing policy, the proposed physician fee schedule rule for CY 2019 highlights a Medicare payment system in transition...

Susan Feigin Harris, Kathleen P. Rubinstein, Gregory N. Etzel, Donna S. Clark, Scott A. Memmott, Jacob J. Harper.

CMS Issues Time-Sensitive Instructions for Provider-Based Clinics That Have Relocated

USA - January 9 2017 Centers for Medicare & Medicaid Services (CMS) recently released guidance on extraordinary circumstance relocation exceptions for off-campus...

Andrew Ruskin.

21st Century Cures Act: Who Does the “Mid-Build” Exception Help?

USA - December 20 2016 Last week, the sweeping 21st Century Cures Act was passed into legislation, which included a small gift to hospitals that had been caught unawares...

Andrew Ruskin.

Preparing for an ACA Rollback: How to Get Paid for Treating the Uninsured

USA - November 10 2016 Given that Republicans will soon control both Congress and the White House, hospitals may be concerned that expenditures that have helped reduce the...

Albert W. Shay, Andrew Ruskin, Jacob J. Harper.