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CMS ISSUES BLANKET STARK LAW WAIVERS TO ADDRESS COVID-19 CRISIS

Mar 31, 2020 | COVID-19 Related Law, General, Health Care, Medicare and Medicaid

On March 30, 2020, as part of the federal government’s continuing efforts to lessen the regulatory burden on healthcare providers during the pendency of the COVID-19 crisis, the Centers for Medicare and Medicaid Services (CMS) issued blanket waivers of certain...

HHS-OIG Issues COVID-19 Fraud Alert Aimed at Beneficiaries Warning of Fraudulent Schemes

Mar 27, 2020 | COVID-19 Related Law, General, Health Care, Medicare and Medicaid

On March 23, HHS-OIG became the latest federal agency to issue an alert warning of COVID-19 related scams. Specifically, HHS-OIG stated that “[s]cammers are offering COVID-19 tests to Medicare beneficiaries in exchange for personal details, including Medicare...

HHS-OIG Audit Finds Majority of Providers Use Medicare Part D Information for Inappropriate Purposes

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...

CMS Proposes Potential Changes to Documentation Requirements for E/M Visits

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...

CMS Announces Plans to Form Inter-Agency Group to Review Stark Law

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...

HHS-OIG Issues Favorable Advisory Opinion on Nursing Home Discounts for Medicare and Medicaid Beneficiaries Who Have Private Insurance

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...
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