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Bass, Berry & Sims PLC | USA | 17 Jan 2019

DOJ Intervenes in Another Medicare Advantage Risk Adjustment FCA Suit

On December 11, 2018, the United States announced that it has elected to intervene in a False Claims Act (FCA) lawsuit filed against Sutter Health and…

Womble Bond Dickinson (US) LLP | USA | 4 Jan 2019

What’s Up Doc with Medical Records in FCRA Cases?

Are medical records discoverable in FCRA cases? Like most legal questions, it depends. The Northern District of California recently grappled with this…

Mintz | USA | 3 Jan 2019

HIPAA and Health Care Data Privacy - 2018 Year-in-Review

Today, we’re looking back at HIPAA and other privacy and security developments in 2018. This past year saw continued HIPAA enforcement (including the…

Arent Fox LLP | USA | 21 Dec 2018

DOJ Moves to Dismiss 11 FCA Cases

In a surprising development, DOJ said in a Texas federal court filing this week that it plans to dismiss 11 nearly identical complaints brought…

Carrington Coleman | USA | 21 Dec 2018

Excluding mental-health evidence was reversible error

In a rare opinion reversing a judgment as a result of a trial court’s evidentiary rulings, the Supreme Court of Texas overturned a Plaintiff’s…

MME Legal Tax Compliance | Switzerland | 28 Nov 2018

TCM therapists and their possibility to participate in the Electronic Patient Record

The age of digitalization has revolutionized the Swiss healthcare sector. The integration of information and communication Technologies (ICT) through…

Frost Brown Todd LLC | USA | 26 Nov 2018

CMS’ New Fee Schedule Signals Modern, Cost-Conscious Approach to Telehealth for Medicare Patients

On November 1, 2018, the Centers for Medicare and Medicaid Services (CMS) released the 2019 Medicare Physician Fee Schedule for public inspection…

Sheppard Mullin Richter & Hampton LLP | USA | 20 Nov 2018

Part 7: CMS Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service, and Medicaid Managed Care Programs for 2020 and 2021

The November 1, 2018 proposed rule issued by the Centers for Medicare & Medicaid Services (“CMS”) includes enhancements and substantive changes to the…

Sidley Austin LLP | USA | 20 Nov 2018

Court Compels Medicare Advantage Plan to Comply With CID for Testimony in Diagnosis Coding Investigation

On November 13, 2018, a magistrate judge issued a report to the United States District Court for the Southern District of New York recommending that…

Robinson & Cole LLP | USA | 19 Nov 2018

2019 Physician Fee Schedule Rule Review: CMS Recognizes “Virtual Check-Ins” and “Store and Forward” Remote Service Offerings

On November 1, 2018, the Centers for Medicare & Medicaid Services issued a final rule that updated payment policies and rates under the Medicare…
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