2012
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Payment Matters >
December 20, 2011
- Prepayment Review: CMS Signals Changes that May Be in Store for the Recovery Audit Contractor (RAC) Program
- Welcome Clarification for Home Health Face-to-Face Documentation Requirements
- Quality Measures Under Consideration for Agency Programs
- Final Rule on ESRD PPS and Quality Incentive Program Issued
Health Law Alert >
2011: Issue 7 – Focus on Antitrust
- Final ACO Antitrust Enforcement Statement Won’t Deter Procompetitive ACOs
- The Noerr-Pennington Exemption: Freedom to Stifle Impending Competition — Maybe
- DOJ Steps Up Antitrust Enforcement Against Health-Plan/Provider Restraints on Competition
- The FTC’s Interpretation of the State-Action Exemption
- Five Things Directors of Nonprofit Health Care Providers Can Learn from Lemington Home
- What Every Hospital Should Know Before Implementing a Mandatory Flu Shot Policy
- Participants in Medicare Part C and Part D May Now Be Considered Federal Contractors and Subcontractors
- Providers Benefit from False Claims Act’s First-to-File Rule
Payment Matters >
November 29, 2011
- CMS Final Rule Eliminates Requirement for Signed Laboratory Requisition: The Good, the Bad and the Unknown
- Are You up for the Health Care Innovation Challenge? $1 Billion in Grant Money Announced
- Medicare Catch-22: Licensure Conundrum under DMEPOS Competitive Bidding
- OIG's 2012 Work Plan - What Can Long-Term Care and Community-Based Providers Expect in the Coming Year?
Payment Matters >
November 9, 2011
- CMS's New Application of an Old Policy: The Three-Day Payment Window and Wholly Operated Physician Practices
- CMS Provides Further Adjustments to Hospital Outpatient Supervision Rules
- CMS Releases Calendar Year 2012 Physician Fee Schedule Final Rule with Comment Period
- Calendar Year 2012 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule Released by CMS
Payment Matters >
October 27, 2011
- OIG's 2012 Work Plan - What's in it for Hospital and Physician Providers?
- Federal Pre-Existing Condition Insurance Plan Broadens Access to Uninsured Individuals
Health Law Alert >
2011: Issue 6 – Focus on Long Term Care
- Seeking Shelter During Uncertain Times: Assessing the Federal Quality Assurance Privilege
- Administrative, Actuarial and Regulatory Hurdles Are Too Much for the CLASS Act
- Maryland's Medical Orders for Life-Sustaining Treatment Form Delayed
- Consultant Pharmacist - Is Independence Necessary?
- Five Lessons Learned (the Hard Way?) for In House Counsel
Payment Matters >
October 13, 2011
- Many State Medicaid Agencies Require Providers to Perform Monthly Exclusion Checks
- Accreditation of Advanced Diagnostic Imaging Suppliers Must Be Completed by January 1, 2012
Construction OberView >
October 2011
- Unbalanced = Unresponsive
- Court of Special Appeals Strikes Down Maryland Regulation Prohibiting Bidders From Challenging Whether an Entity is a Certified MBE
- Bid Price Below Minimum Cost is Reason for Rejection
Payment Matters >
September 28, 2011
- D.C. Appeals Court Provides Mixed Victory to Provider on DSH Calculation Involving Medicare Part C Days
- CMS Bundled Payment Initiative: An ACO Alternative?
Payment Matters >
September 15, 2011
- CMS Wage Index Rules for FY 2012
- DME Competitive Bidding - Get Prepared for Round Two
Health Law Alert >
2011: Issue 5 – Focus on Fraud and Abuse
- OIG Ceases Exclusion Efforts Against Forrest Labs CEO – Not All Corporate Officers
- OIG Warns That Arrangements Between CPAP Suppliers and Sleep Labs Pose F&A Risks
- Online Referral Service Proposes to Charge for Services, Raises OIG Concerns
- Metadata Standards for EHRs: A Sneak Preview of Meaningful Use Stage 2?
- CMS Provides Guidance on the Elder Justice Act’s Reporting Requirements
- Are Local IRBs Going the Way of the Dodo? Historic Proposed Changes to the Common Rule
- The FTC’s Interpretation of the State-Action Exemption
Payment Matters >
September 1, 2011
- Hospitals Suffer Setback in IME Research Case
- CMS Proposes Medicaid Face-to-Face Requirements for Home Health and Medical Supplies and Equipment
- CMS Proposes Rules Impacting Expansion of Qualifying Physician-Owned Hospitals and Patient Notice Requirements
- CMS Delays Submission Deadline for Two Structural Measures Under Hospital Outpatient Quality Reporting Program to November 1, 2011
