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Payment Matters >
November 14, 2012

  • AHA and Hospitals Sue HHS Over Claims Denials Involving Patient Status
  • Calendar Year 2013 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule Released by CMS
  • CMS Releases Home Health Prospective Payment System Final Rule for CY 2013

Health Law Alert >
2012: Issue 17 - Focus on Long Term Care

  • CMS Issues Multiple Skilled Nursing Facility/Nursing Facility Guidance Documents
  • 2013 OIG Work Plan: Key Issues for Skilled Nursing Facilities/Nursing Facilities
  • Aid and Attendance Benefit: A Useful Benefit to Veterans in Nursing Homes

Payment Matters >
November 1, 2012

  • Court Rejects Secretary’s Denial of Exhausted Benefit Days in the DSH Medicaid Proxy
  • Proposed Settlement Would Prevent Medicare Denials for Chronically Ill and Disabled Due to Lack of Improvement
  • OIG's 2013 Work Plan - What's Critical for Long-Term Care, Hospice, Home Health Agency and Home and Community-Based Providers?

Payment Matters >
October 18, 2012

  • A Second Court of Appeals Rules Against Hospitals in Medicare “Provider Tax” Case
  • New Registration Process for 340B Entities - Another Sign of Changes in the Program
  • OIG’s 2013 Work Plan – What Should Hospital and Physician Providers Expect in the Coming Year?

Health Law Alert >
2012: Issue 16

  • Ober|Kaler to Present Encore Presentation of Antitrust Webinar

Payment Matters >
October 4, 2012

  • Sovereign Immunity Extended to Medicare Contractors
  • Two Hospital Quality Initiatives Begin October 1, 2012
  • CMS Raises Threshold Amounts for Medicare Appeals

Health Law Alert >
2012: Issue 15

  • $1.5 Million OCR HIPAA Settlement Provides Notice of Increased Enforcement Focus on Mobile Device Security and Encryption

Payment Matters >
September 20, 2012

  • RACs Unleashed: 9th Circuit's Palomar Decision Gives Even More Discretion to Medicare Contractors
  • Court of Appeals Upholds Medicare Offset in Provider Tax Case
  • Medicaid Matters: States Weigh Medicaid Expansion Options

Health Law Alert >
2012: Issue 14 - Focus on Antitrust

  • Renown Health-FTC Antitrust Agreement: Guidance for Hospitals Acquiring and Employing Physicians

Payment Matters >
September 6, 2012

  • In Seeking to Minimize Readmissions, Hospitals Must Remember Patient Choice Requirements
  • RACs Bark, ZPICs Bite
  • CMS Announces Comprehensive Primary Care Initiative

Construction OberView >
August 2012

  • An Inconvenient Truth About Termination for Convenience Clauses in Private Construction Contracts
  • Rule Raises Concerns About Adverse Competitive Impact on Small Firms that Contract with the Government

Payment Matters >
August 22, 2012

  • Medicare's Three-Day Window is Fully in Effect: Are You in Compliance?

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