Articles
Key Price Transparency Updates Hospitals Must Comply with by April 1, 2026
CMS has finalized another significant round of updates to the hospital price transparency requirements, including adopting a revised standardized template that hospitals must use going forward. Although the new requirements were effective January 1, 2026, …..
Stay Ahead of CMS’ 2025 Price Transparency Crackdown: Key Things to Know
As the Centers for Medicare & Medicaid Services (CMS) intensifies its push for greater transparency in healthcare pricing, providers nationwide are facing increased scrutiny and more stringent compliance demands under the guise of “Hospital Price …..
DOJ Takedown Announcement
On June 30, 2025, the Department of Justice (DOJ) announced what it called the largest health care fraud takedown in history, involving over $14.6 billion in alleged losses due to fraud. This takedown involved an …..
Improving Compliance by Adopting and Updating a Compliance “Treatment” Work Plan
Federal and state enforcement agencies expect providers to have a compliance plan. Too often providers postpone developing a compliance plan or allow the plan to become stale due to cost concerns and/or not knowing where …..
False Claims and Self-Referral Violations by Diagnostic Imaging Centers
On March 22, 2024, the Department of Justice announced that a Houston-area physician, Dr. Mohammad Athari, agreed pay $1.8M to resolve allegations that he, his clinical practice, and diagnostic imaging centers he owned violated the …..
CMS Announces 2024 Changes to Hospital Price Transparency Rules: The Six Key Changes to Know
On November 22, 2023, the Centers for Medicare and Medicaid Services (CMS) announced six key changes to its existing price transparency regulations that will go into effect throughout calendar year (CY) 2024. Under the Hospital …..