Articles
District Court Case Highlights Provider’s Duty to Investigate Billing Errors under the False Claims Act-Audit Case
A federal district court in Wisconsin recently ruled that a private whistleblower could proceed with her allegations that a physician practice violated the Federal False Claims Act by acting with “reckless disregard” to the existence …..
CMS granted Sweeping Authority to Impose Administrative Moratoria on Providers and Suppliers Without Prior Notice and With No Right to Appeal
One obscure but sweeping provision of the Patient Protection and Affordable Care Act (“PPACA”) grants the Centers for Medicare & Medicaid Services (“CMS”) unchecked authority to impose administrative moratoria on new providers and suppliers without …..
How to Counsel Clients about the Stark SRDP
We apologize for the inconvenience, but the article you are looking for is not available online at this moment. This could be due to a variety of reasons such as ongoing updates or revisions. If …..
CMS Modifies Outpatient Supervision Requirements Effective July 1, 2012 – From Inscrutable Standard to Practical Guide: The Evolution of Outpatient Supervision RequirementsCMS Modifies Outpatient Supervision Requirements Effective July 1, 2012 – From Inscrutable Standard to Practical Guide: The Evolution of Outpatient Supervision Requirements
CMS Modifies Outpatient Supervision Requirements Effective July 1, 2012 – From Inscrutable Standard to Practical Guide: The Evolution of Outpatient Supervision Requirements
The Centers for Medicare and Medicaid Services (CMS) issued a final decision as part of its review of appropriate supervision levels required for hospital outpatient services. The new rule, effective July 1, 2012, simplifies what …..
New Local Coverage Determinations Create Major Compliance Issues for Hospital Outpatient Psychiatric Departments
Novitas Solutions, Inc. (Novitas) recently issued two local coverage determinations (LCDs) that created significant compliance issues for hospital outpatient psychiatric departments. LCD L32705: Partial Hospitalization Programs (PHPs) – Psychiatric incorrectly requires “direct personal supervision” by …..
ACA Disclosure Requirements under Whole Hospital Exception
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