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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…

Patrick D. Cornelius, John Bunch, Adam D. Colvin, Steve Nash, Robert D. Nauman, Kinal M. Patel, Sarah H. Stec, John E. Wyand

CMS Releases Final Rule Implementing Site Neutral Payment Rule

USA - December 1 2016 Earlier this month, Centers for Medicare and Medicaid Services (CMS) released final rules implementing Section 603 of the Bipartisan Balanced Budget…

Sven C. Collins, Adam D. Colvin, Beth L. Goldstein, Stephen P. Nash, Robert D. Nauman, John E. Wyand

Supreme Court’s “Demanding” Materiality Standard Provides Some Protection from False Claims Act

USA - June 20 2016 On June 16, 2016, the US Supreme Court issued its eagerly awaited opinion in Universal Health Services v. Escobar. The unanimous decision about the…

Rebecca A. Worthington, Kevin P. McCart, Stephen P. Nash, Robert D. Nauman, Thomas Zeno

With New Primary Care Compensation Model, CMS Continues Efforts to Promote Value-Based Payments

USA - April 19 2016 Beginning in January 2017, primary care physicians and their practices (PCPs) will be able to participate in a multi-payer payment reform and care…

James Hafner, Jr

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…

Patrick D. Cornelius, Sven C. Collins, Adam D. Colvin, Stephen P. Nash, Robert D. Nauman