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Payment Matters >
April 29, 2016

  • CMS's Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways
  • Comprehensive Primary Care Plus Model: Today's Alternative Payment Model for Primary Care Providers Could Be Tomorrow's Obligatory Payment Model

Health Law Alert >
2016: Issue 6 - Focus on White Collar

  • Jury Sides with Defendant in Whistleblower's Suit Alleging Defendant "Caused" False Claims

Health Law Alert >
2016: Issue 5

  • Proposed Changes to the Part 2 Regulations: Another Example of Necessary Flexibility in the Wake of Changes to Health Care Delivery
  • All Right Stop, Collaborate and Listen! CMS Is Back with Its Brand New Invention, Preparing for CJR Gainsharing
  • Proposed Enrollment Rule Changes - de Facto Exclusion?
  • Yet Again, OIG Approves Medigap Policy Contracts with Preferred Hospital Network

Payment Matters >
March 31, 2016

  • Medicare Appeals 10-Year Backlog: D.C. Circuit Signals Enough is Enough

Health Law Alert >
2016: Issue 4 - Focus on Antitrust

  • Recent Enforcement Under Section 5 of the FTC Act: So That's What a Standalone Claim of Unfair Competition Looks Like
  • The FTC's Three Current Hospital Merger Challenges: Will the FTC Ever Lose?
  • FTC Staff Provides Antitrust Guidance to State Medical Boards
  • Proposed Enrollment Rule Changes - de Facto Exclusion?
  • All Right Stop, Collaborate and Listen! CMS Is Back with Its Brand New Invention, Preparing for CJR Gainsharing

Payment Matters >
March 17, 2016

  • Court Allows 'Retroactive' Application of 2005 Wage Index Rule Limiting Reimbursement for Pension Plan Costs
  • CMS Issues Proposed Medicare Part B Drug Payment Model

Health Law Alert >
2016: Issue 3

  • OIG Approves Free Transportation and Lodging for Certain, Low-Income Pregnant Women - Advisory Opinion 16-02

Payment Matters >
March 3, 2016

  • Outpatient Therapy Providers - Location Matters
  • Wage Index Reclassification Rule Struck Down by Second Circuit

Health Law Alert >
2016: Issue 2

  • Final 60-day Overpayment Rule

Payment Matters >
February 18, 2016

  • Final 60-day Overpayment Rule
  • Portable X-Ray Suppliers Receive Clearer Transportation Billing Guidance

Health Law Alert >
2016: Issue 1 - Focus on Fraud and Abuse

  • OIG Approves Charitable Program Providing Financial Assistance for MRIs in Advisory Opinion 15-14
  • OIG Approves Hospital-provided Transcription Services Arrangement in Advisory Opinion 15-15
  • OIG Approves Another Patient Assistance Program in Advisory Opinion 15-16
  • Charity's Patient Assistance Program Passes OIG Muster in Advisory Opinion 15-17
  • OIG Issues (Another) Favorable Advisory Opinion Regarding Medigap/Preferred Hospital Network Arrangement in Advisory Opinion 16-01

Payment Matters >
February 4, 2016

  • Senate Considering Bill to Speed Medicare Claims Appeals
  • Outliers: CMS Explains its Reasoning for FY2004 Fixed Loss Threshold Calculation

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