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SCOTUS Rejects CMS DSH Policy, Calls CMS Guidance Practices Into Question

USA - June 6 2019 Earlier this week, the Supreme Court upheld a D.C. Circuit Court decision vacating a policy of the Centers for Medicare and Medicaid Services (“CMS”)...

Christine Clements.

CMS Issues Long-Awaited Draft Guidance for Hospital Co-Location with Other Hospitals or Healthcare Facilities

USA - May 9 2019 On May 3, 2019, the Centers for Medicare and Medicaid Services (“CMS”) released long-awaited draft guidance (the “Guidance”), proposing to allow...

Michael Paddock, Theresa Thompson.

The Military Health Care Fraud and Abuse Prevention Program: The Department of Defense Issues Proposed Regulations regarding TRICARE and Civil Monetary Penalties

USA - May 3 2019 The U.S. Department of Defense (“DOD”) claims that fraud and abuse is inhibiting the ability of the Defense Health Agency (“DHA”), the agency...

Keeley A. McCarty, Theresa Thompson.

OIG Advisory Opinion No. 19-03: The OIG Puts the Healthcare Benefits of Free In-Home Care and the Risks of Patient Steering in the Balance

USA - March 8 2019 On March 6, 2019, the Department of Health & Human Services, Office of the Inspector General (“OIG”) published a new Advisory Opinion, No. 19-03 (the...

Michael Paddock, Theresa Thompson.

Government Puts Electronic Health Records Companies “on Notice” of Vigorous False Claims Act Enforcement

USA - February 8 2019 Federal prosecutors announced yesterday the Government’s settlement with electronic health records (“EHR”) vendor Greenway Health, LLC (“Greenway”) of...

Michael Paddock.