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OIG Expands Protections Under the Anti-Kickback Safe Harbors and the CMP Exceptions

USA - January 23 2017 On December 7, 2016, the Department of Health and Human Services Office of the Inspector General (OIG) published a final rule (Final Rule) [1] that…

John Bunch, Adam D. Colvin, Steve Nash, Robert D. Nauman, Kinal M. Patel, Peter A. Pavarini, Sarah H. Stec, John E. Wyand

The Bipartisan Budget Act of 2015 and HOPD payment reforms: what payers and providers need to know

USA - November 19 2015 On November 2, 2015, President Obama signed the Bipartisan Budget Act of 2015 (BBA) into law, which averts a potential government shutdown by…

Sven C. Collins, Adam D. Colvin, Stephen P. Nash, Robert D. Nauman, Peter A. Pavarini

CMS proposes changes to Stark Law regulations: a response to evolving healthcare delivery models and payment systems

USA - July 31 2015 As many healthcare providers are aware, the difficulty of Stark Law compliance begins, and sometimes ends, in the mixed bag of regulatory exceptions…

Mimi H. Brouillette, Sven C. Collins, Adam D. Colvin, Melodi M. Gates, Bryna S. Hummel

Tips for protecting physicians against OIG enforcement actions

USA - June 25 2015 According to the Deputy Administrator and Director with the Centers for Medicare & Medicaid Services' (CMS) Center for Program Integrity, waste…

Mimi H. Brouillette, Sven C. Collins, Adam D. Colvin, Patrick J. Dugan, Melodi M. Gates

CMS seeks to modernize Medicaid managed care

USA - June 9 2015 Historically, states have used traditional fee-for-service arrangements to reimburse providers of Medicaid services. Today, however, states are…

Sven C. Collins, Adam D. Colvin, Patrick J. Dugan, Stephen P. Nash, Peter A. Pavarini