Feb 21, 2020 | Medicare and Medicaid
On February 11, 2020, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) released its findings of a recent audit into Medicare Part D eligibility verification transactions (E1 transactions). Because E1 transactions contain beneficiary...
Jul 30, 2018 | Medicare and Medicaid
On July 27, 2018, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule containing numerous potential changes to the Medicare physician fee schedule and other Medicare policies. See 83 Fed. Reg. 35704 (July 27, 2018). The proposed rule is...
May 30, 2018 | Medicare and Medicaid
Earlier this year, the Centers for Medicare and Medicaid Services (CMS) announced that it was forming an inter-agency group to review potential changes to the federal Stark (or physician self-referral) law. The Stark law generally prohibits a physician from referring...
Dec 27, 2017 | Medicare and Medicaid
On December 8, 2017, the Office of Inspector General of the U.S. Department of Health and Human Services (HHS-OIG) issued Advisory Opinion 17-08, in which it concluded that certain arrangements for nursing home discounts do not violate the federal Anti-Kickback...
Oct 26, 2017 | Health Care, Medicare and Medicaid
The U.S. Department of Health & Human Services Office of Inspector General (“OIG”) recently published a report entitled “Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs.” Zone Program Integrity Contractors...
Jul 18, 2017 | Health Care, Medicare and Medicaid
On June 27, 2017, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued Advisory Opinion 17-02 (“AO 17-12”) concerning an unnamed hospital’s proposal to waive or reduce certain cost-sharing fees owed by Medicare beneficiaries who...
