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CMS Proposes Program Integrity Enhancements to the ProviderSupplier Enrollment Process, including New Affiliated Provider Disclosure Requirements

USA - February 29 2016 On March 1, 2016, CMS is publishing a proposed rule that would make a variety of changes to the Medicare, Medicaid, and CHIP provider and supplier...

Debra A. McCurdy.


CMS issues proposed rule significantly modifying the requirements for long-term care facilities participating in the Medicare and Medicaid programs; extends comment period

USA - September 24 2015 On July 16, 2015, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule comprehensively updating and extensively revising...

Vicki J. Morris, Jacquelyn Godin, Carol Colborn Loepere, Susan A. Edwards.


President signs MACRA: permanently reforms Medicare physician reimbursement framework, includes other Medicare payment, program integrity, and policy provisions

USA - April 16 2015 On April 16, 2015, President Obama signed into law H.R. 2, the “Medicare Access and CHIP Reauthorization Act of 2015” (MACRA), which reforms Medicare...

Thomas W. Greeson, Debra A. McCurdy, Paul W. Pitts, Gail L. Daubert, Elizabeth B. Carder-Thompson.


Supreme Court invites Solicitor General weigh in on cert petition involving specificity of False Claims Act complaints

USA - October 8 2013 On October 7, 2013, in evaluating a pending cert petition, the U.S. Supreme Court invited the Office of Solicitor General to provide its views...


Part B Inpatient Billing in Hospitals

USA - April 8 2013 On March 2013, the Centers for Medicare & Medicaid Services (CMS) concurrently issued CMS Ruling Number CMS-1455-R (the Administrator's Ruling) and a...

Susan A. Edwards, Rachel M. Golick.