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CMS Expands Open Payments Reporting

USA - November 26 2019 The “National Physician Payment Transparency Program: Open Payments” requires certain manufacturers of drugs, devices and certain other products to…

Genevieve M. Razick

CMS proposes to establish separate payment for end of life planning services

USA - July 14 2015 On July 8, 2015, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that updates payment rates and related reimbursement and…

H. Carol Saul

OIG collaborative releases compliance guidance for governing boards of health care organizations

USA - May 11 2015 In April 2015, the Office of Inspector General of the Department of Health and Human Services (OIG), working in collaboration with the American…

The Patel decision: will the court’s affirmation of the “gatekeeper” theory lead to increased enforcement?

USA - March 24 2015 In a recent decision of the U.S. Court of Appeals for the Seventh Circuit, the court affirmed an expansive interpretation of the term "referral"…

Hospital groups urge Congress to oppose Medicare cuts to SGR patch

USA - February 10 2015 On February 4, 2015, nine hospital groups wrote a letter to the Senate Finance Committee, Senate Budget Committee, House Ways and Means Committee…

Maxwell P. Clayton