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…
DOJ Announces $256 Million False Claims Act Settlement with Millennium Health
The Department of Justice (DOJ) announced that Millennium Health (Millennium) agreed to resolve alleged violations of the False Claims Act…
CMS Issues ICD-10 Resource Guide and Contact List.
The Centers for Medicare & Medicaid Services (CMS) recently issued a resource guide and contact list to help providers with…
OCR to Initiate Phase 2 of HIPAA Audits in Early 2016.
The Office of Civil Rights (OCR) recently announced it would begin Phase 2 of its Health Insurance Portability and Accountability…
CMS Announces Changes to Two Midnight Rule Probe and Educate Reviews.
The Centers for Medicare & Medicaid Services (CMS) announced that Quality Improvement Organizations (QIOs) will assume responsibility from the Medicare…
U.S. District Court Issued Healthfirst Decision on the 60-Day Rule.
The United States District Court for the Southern District of New York recently published a decision interpreting, for the first…
CMS Issues Q&As on ICD-10 Claims Flexibility.
The Centers for Medicare & Medicaid Services (CMS) recently issued questions and answers (Q&As) on International Classification of Diseases, Tenth…
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…
HIPAA Settlement Emphasizes Risks of Internet-Based Applications.
The Department of Health and Human Services (HHS) announced that St. Elizabeth’s Medical Center (SEMC) in Brighton, Massachusetts, has agreed…
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…
DaVita to Pay $450 Million in Settlement Regarding Reimbursement for Unnecessary Drug Wastage.
DaVita Healthcare Partners, Inc., the largest dialysis services provider in the United States, has agreed to pay the government $450…
National Medicare Fraud Takedown Uncovers $712 Million in False Billing.
A recent Medicare Fraud Strike Force takedown in 17 districts resulted in Medicare fraud charges against 243 individuals, including 46…