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3,937 results found

Article

McGuireWoods LLP | USA | 29 Apr 2021

HHS OIG Targets Ophthalmology Practices for Medicare Billing Compliance: Eight Key Takeaways

One of the most challenging billing compliance issues ophthalmology practices encounter in coding and reimbursement is understanding when services…
Article

Skadden Arps Slate Meagher & Flom LLP | USA | 10 Feb 2021

HHS-OIG Year in Review: Despite Challenges Posed by the Pandemic, 2020 Saw an Uptick in Enforcement Action

Despite the challenges posed by the COVID-19 public health emergency in 2020, the Office of Inspector General, U.S. Department of Health and Human…
Article

K&L Gates LLP | USA | 4 Feb 2021

White Paper: Value-Based Safe Harbors and Exceptions to the Anti-Kickback Statute and Stark Law

On 2 December 2020, the U.S. Department of Health and Human Services’ (HHS) issued two Final Rules in conjunction with its “Regulatory Sprint to…
Article

Hogan Lovells | USA | 7 Jan 2021

2020 final price reporting developments: stimulus legislation, 340B contract pharmacy Advisory Opinion

As we begin the new year, we wanted to highlight two final developments from December 2020: First, on Dec. 27, 2020, the stimulus legislation H.R. 133…
Article

Hogan Lovells | USA | 1 Dec 2020

HHS Regulatory Sprint takes final shape, Part 2: AKS, Stark regulatory revisions for value-based care

Following on last October’s publication of two proposed rules, the Department of Health and Human Services (HHS) published on November 20 two final…
Article

FisherBroyles LLP | USA | 1 Dec 2020

Health and Human Services Issues Special Fraud Alert on Live Speaker Programs

On November 12, the Department of Health and Human Services Office of Inspector General (HHS-OIG) issued a rare Special Fraud Alert (the “Alert”). The Alert rein
Article

Hogan Lovells | USA | 24 Nov 2020

Trump Administration revives rebate safe harbor rule in late effort to reform drug pricing

On November 20, 2020, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) finalized its previously abandoned 2019…
Article

Holland & Hart LLP | USA | 23 Nov 2020

Final Rules for Stark and Anti-Kickback Reforms Issued by CMS and OIG

On November 20, 2020 the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of the Inspector…
Article

Skadden Arps Slate Meagher & Flom LLP | USA | 23 Nov 2020

HHS-OIG Signals Increasing Skepticism of Speaker Programs, Identifies Practices That Raise Compliance Red Flags

On November 16, 2020, the Office of the Inspector General of the Department of Health and Human Services (HHS-OIG) issued a Special Fraud Alert…
Article

Seyfarth Shaw LLP | USA | 20 Nov 2020

CMS and OIG Announce Long-Awaited Changes to the Federal Stark Regulations and Anti-Kickback Laws

Earlier today, the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) of U.S. Department of Health and Human…
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