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Senate Finance Committee Leaders Introduce AFIRM Act to Address Medicare Appeals Backlog

USA - December 14 2015 On December 8, 2015, Senate Finance Committee Chairman Orrin Hatch (R-Utah) and ranking member Ron Wyden (D-Ore.) introduced the Audit & Appeals…

Allison F Kassir

HRSA publishes proposed rule on 340B ceiling prices and manufacturer CMPs

USA - June 22 2015 On June 17, 2015, the Health Resources and Services Administration (HRSA) published a Proposed Rule that would codify standards for the calculation of…

OMHA announces award of ECAPE contract

USA - April 20 2015 The Office of Medicare Hearing and Appeals (OMHA) announced April 14, 2015 that the development contract for the Electronic Case Adjudication and…

OIG issues unfavorable Advisory Opinion on proposal for exclusive laboratory services arrangements

USA - March 30 2015 On March 25, 2015, the U.S. HHS Office of Inspector General (OIG) released an unfavorable Advisory Opinion in which it found that it could potentially…

CMS releases proposed Advance Notice and draft Call Letter for 2016

USA - February 23 2015 On Friday, February 20, 2015, CMS released its Advance Notice of Methodological Changes for Calendar Year 2016 for Medicare Advantage (MA) Capitation…