In this Issue
From the Chair
Congratulations
Guide to Terms
Ober|Kaler in Print
OIG Activity
OIG Approves Six Gainsharing Arrangements
OIG Advisory Opinions
OIG 2005 Work Plan
CMS Developments
CMS Proposes Plan to Pay Unpaid Costs of Emergency
Health Care
Trailblazer Fraud Alert Reveals Provider Identity Theft
Long Term Care
Discerning the New Pressure Ulcer Guidelines
Pharma
TAP Pharmaceuticals Settles with Lupron Consumers
Hospitals
Pay for Performance: Will Your Hospital Be Ready?
Nonphysician Practitioners
"Incident To" Rule Changes
Compliance
OIG Finalizes Supplemental Hospital Compliance Guidance
OIG's Supplemental Hospital CPG Looks at Hospital-based Physicians
OIG/AHLA Release Second Compliance Resource
Reimbursement
IRF "75 Percent Rule" Blocked
Correct Minor Errors and Omissions Without Appeals
Self-referral
Hospitals Meet "Under-development"
FCA
Courts Apply Strict Interpretation of Officer or Employee Under FCA
Lack of Pharmaceutical Recycling Guidance Precludes FCA Liability
Questionable Incentive Program Raises FCA Liability
Enforcement
Supreme Court Declares Sentencing Guidelines "Advisory"
Tax
IRS Penalizes Health System for PAC/Payroll Deduction Plan
Antitrust
DOJ/FTC Report on Antitrust in Health Care
Physican Focus
Physician Retention Arrangements: Stark and Antikickback Issues
Employment
Alien Certification Exemption to Avert Staffing Crisis
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Ober|Kaler in Print
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