CMS Releases Hospital OPPS and ASC Proposed Rule for CY 2015.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for Hospital Outpatient Prospective Payment System and Ambulatory…
U.S. Senate Committee on Aging Reports on Improving Medicare Audits.
The U.S. Senate Committee on Aging recently issued a report, which examined plans by the Department of Health and Human…
CMS Issues Proposed Rule to Update the PFS.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the payment policies and payment…
HHA Agency Settles False Claims Act Allegations for $150 Million.
One of the nation’s largest home health services providers, Amedisys Inc. and its affiliates (Amedisys), agreed to pay $150 million…
CMS Provides Additional Guidance for Hospital Inpatient Certification and Admission Orders
On January 30, the Centers for Medicare & Medicaid Services (CMS) released additional guidance for hospital inpatient certification and admission…
Meeting the Challenge of Medicare Appeal Delays
Two years and counting … The Web site for the Office of Medicare Hearings and Appeals (OMHA) in the U.S. Department of…
CMS and OIG Issue Final Rules Revising the EHR Donation Stark Law Exception and Anti-Kickback Statute Safe Harbor.
The Centers for Medicare & Medicaid Services issued a final rule updating certain aspects of the electronic health records (EHR)…
CMS Issues Transmittal Revising Instructions for Form CMS-1500.
The Centers for Medicare & Medicaid Services (CMS) issued a transmittal revising instructions for Form CMS-1500 to reflect the updated…
CMS Issues Proposed Rule Requiring Providers and Suppliers to Ensure Emergency Preparedness.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule requiring Medicare and Medicaid participating providers and suppliers…
CMS Announces the Formation of 123 New Accountable Care Organizations.
The Centers for Medicare & Medicaid Services (CMS) issued a press release announcing the formation of 123 new accountable care…
Genzyme Corp. Settles False Claims Allegations Related to “Slurry” Used in Patients for Over $22 Million.
The Department of Justice (DOJ) announced that Genzyme Corp. has agreed to pay $22.28 million to settle false claims allegations…
The DOJ Announces $3.8 Billion in False Claims Recoveries for FY 2013.
The Department of Justice (DOJ) announced that it secured $3.8 billion in settlements and judgments from false claims cases in…