Stephanie F Johnson

OIG Tightens Requirements of Prior Favorable Advisory Opinion on Charity Patient Assistance Program for Cancer Drugs

USA - December 14 2015 On December 7, 2015, OIG posted a modification adding additional strictures to a prior favorable Advisory Opinion (No. 07-11) regarding a charity's…

OMB receives final Medicare Parts A and B 60-day overpayment rule from CMS

USA - October 26 2015 On October 21, 2015, the Office of Management and Budget (OMB) received the Medicare Parts A and B overpayment final rule from CMS which is the last…

Sara Kay Wheeler

OIG releases report on questionable billing for Medicare ophthalmology services

USA - September 21 2015 On September 15, 2015, OIG released a report examining the extent to which ophthalmology services are vulnerable to fraud, waste, and abuse…

CMS announces hospices invited to participate in the Medicare Care Choices Model

USA - July 27 2015 On July 20, 2015, CMS announced the hospices invited to participate in the Medicare Care Choices Model. Under current Medicare rules, a Medicare…

CMS addresses payment provisions expiring April 1, 2015

USA - April 6 2015 On April 1, 2015, CMS issued a special edition of its MLN Connects Provider eNews publication addressing the SGR-triggered payment reduction of 21…