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Payment Matters >
May 16, 2013
- CMS Proposes New Standard for Hospital Inpatient Admissions
- NOIs Due Soon to Apply for 2014 ACO Program
- RAC Relief (Sort Of)
- CMS Prevails in DSH Challenge Involving Waiver-Expansion Days
Health Law Alert >
2013: Issue 10
- IRS Proposes Regulations Regarding Community Health Needs Assessments for Charitable Hospitals
Payment Matters >
May 2, 2013
- CMS Releases Proposed FFY 2014 IPPS Rule
- Self-Audit Results Found Sufficient to Sustain False Claims Act Complaint
- Recent Court Decisions Affecting DSH Percentage Calculations May Impact Participation in the 340B Drug Discount Program
- Phase Two Edits - Temporarily on Hold
Health Law Alert >
2013: Issue 9 - Focus on Antitrust
- Hospital-Physician Mergers: Practical Issues and Steps to Minimize Antitrust Risk
- State Action Immunity Does Not Apply Without Clear State Policy
- Price Fixing and Leveraging Concerns Alleviated by Promoted Efficiencies: More FTC Guidance on Clinical Integration
Construction OberView >
April 2013
- Careful Drafting Can Prevent Dispute Clauses from Being Ignored
- Sequestration and its Impact on the Construction Industry
- Recent Amendments to Virginia Mechanics' Lien Statute Require Contractor Licenses
Payment Matters >
April 18, 2013
- Court Grants Unexpected Victory to Providers on Medicare DSH Adjustment
- Court Rules That Supervision and Enrollment Issues Don't Give Rise to False Claims Act Liability
- AHA Survey Continues to Bird Dog RAC Program
Health Law Alert >
2013: Issue 8
- CMS Revises Part B Billing Policy for Unnecessary Inpatient Admissions
- Rehabilitation Agencies - What Changes Will Be Required by New CMS Guidance?
- CMS and OIG Propose Extending Stark and Antikickback Protections for EHR Donations
- So You Want To Be an ACO: Ten Lessons Learned About Forming and Operating an ACO
Payment Matters >
April 4, 2013
- D.C. District Court Again Rules That Bad Debt at a Collection Agency is Allowable
- Court of Appeals Rules for Government in DSH Exhausted Benefit Day Appeal
- The New DSH - Are You Supplying The Correct Data That Will Drive Your Payments?
- PRRB Upholds Liquidation Requirement for Pension Expenses in Wage Index Calculation
Health Law Alert >
2013: Issue 7 - Focus on Long Term Care
- Final Regulations Governing Closure of Long Term Care Facilities
- OIG Calls PODs "Inherently Suspect"
Payment Matters >
March 21, 2013
- CMS Revises Part B Billing Policy for Unnecessary Inpatient Admissions
- Ordering / Referring Phase 2 Begins May 1st - Claims Will Be Denied
- Payment Adjustments for Low-Volume Hospitals and Medicare-Dependent Hospital Program Extended
- Court Places Limits on Secretary's "No Reopening" Arguments
Payment Matters >
March 7, 2013
- CMS Announces More Bundled Payment Opportunities: Are We Moving Back to Capitation?
- CMS Proposes Rules to Promote Efficiency, Transparency and Burden Reduction
Health Law Alert >
2013: Issue 5 - Focus on White Collar
- Deferred Prosecution Agreements: How an Effective Compliance Program Can Help You Plan for the Unpredictable
- Worthless Services: Giving Nothing Can Cost You a Lot Under the False Claims Act
