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CMS Releases Final Rule on Stark Law, Physician Fee Schedule, and Medicare Part B Revisions.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule updating the Medicare Physician Fee Schedule (PFS)…
Stark Law Final Rule Summary
CMS recently issued the Stark Law Final Rule (“Final Rule”), which makes numerous significant changes and provides important clarifications to the…
Tuomey Landmark Stark Case Comes to an End: Lessons Learned and Tips for Compliance Officers
The United States Department of Justice (DOJ) announced that it resolved the judgment against Tuomey Healthcare System. The United States…
Alternative Options for Staffing a Compliance Program
Compliance Officers must manage staffing needs against a growing list of duties and responsibilities. Finding and hiring highly qualified staff…
CMS Issues Medicare Physician Fee Schedule Proposed Rule.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating payment rates, policies, and quality provisions under…
U.S. Court of Appeals for the Fourth Circuit Issues Tuomey Decision.
The United States Court of Appeals for the Fourth Circuit recently issued its judgment in the Tuomey case. In the…
CMS Proposes New Rule To Reduce Stark Law Burdens And Confusion
Recently, the Fourth Circuit Court of Appeals decided against the Tuomey Healthcare System in a case that has resulted in…
Federal Court Rejects Tuomey Appeal: $234 Million Judgment Stands
The U.S. Court of Appeals for the 4th Circuit issued its decision in the decade long Tuomey Healthcare System fraud…
Tuomey: Case Study on Warning Signals and Tips on What Not to Do
After ten years of investigation, losing at two jury trials, and making multiple appeals, the Tuomey Healthcare case reached final…
HHS OIG Spring Semi-Annual Report To Congress
Under federal law, the Office of Inspector General (OIG) must report semiannually to Congress and to the Department of Health…
2015 Report On Unimplemented OIG Recommendations
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) released the March 2015 Edition of the…
Hospitals’ Failing Grades: Ongoing Monitoring Of Compliance Standards
The Department of Health and Human Services Office of Inspector General (OIG) in its various compliance guidance documents calls for…