Newsletters

Health Law Alert >
2016: Issue 10

  • New CMS Final Fire Safety Regulations

Payment Matters >
June 10, 2016

  • CMS Announces "Pause" in QIO Review of Inpatient Admissions
  • CMS Limits MAC and QIC Scope of Review

Health Law Alert >
2016: Issue 9 - Focus on HIPAA/Privacy

  • OCR Clarifies Parameters of Covered Entities' Fees for PHI Copies
  • OIG Approves Wholly Owned Group Purchasing Organization

Health Law Alert >
2016: Issue 8 - Focus on Fraud and Abuse

  • CMS Announces Plans to Streamline the Stark Self-Referral Disclosure Protocol
  • OIG Updates Permissive Exclusion Criteria – Suggests Compliance Programs Are Expected
  • Another Medigap/Preferred Hospital Network Arrangement Approved by OIG in Advisory Opinion 16-05
  • Is This the Beginning of an End to a Long Controversial Debate on Concurrent Surgeries?
  • NLRB Slams Hospital for Maintaining Work Rules Prohibiting Employees From Engaging in "Improper Conduct"

Payment Matters >
May 13, 2016

  • Physician Payment: CMS Proposes Quality Payment Program, Advanced APMs, and Merit-Based Incentive Payment System
  • D.C. District Court Resolves Challenge to Medicare's Outlier Payment Rules for Banner Health v. Burwell

Health Law Alert >
2016: Issue 7

  • OIG Approves Another Medigap/Preferred Hospital Network in Advisory Opinion 16-04

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

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