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Ambulatory Surgery Centers Make Significant Net Patient Revenue Gains in Pennsylvania
OIG Issues Unfavorable Opinion on Free Gifts for Purchasing Reimbursable Devices
OIG Says Proposed Surgery Monitoring Arrangement May Violate Kickback Statute
Supreme Court’s Decision in SuperValu May Benefit Defendants in False Claims Act Cases
Supreme Court Rules Knowledge and Subjective Belief Are Key for False Claims Act Liability
CMS Final Rule: Medicare Advantage Plans Subject to Two-Midnight Coverage Condition
Medicare Implications of the Omnibus Spending Bill
2022 Guidance on No Surprises Act Compliance
Federal Judge Throws Out Yet Another Portion of “Surprise” Medical Billing Rule
Medicare Boosts Payments for Hospices, Rehabs and Psychiatric Facilities
Deadlines for PA Hospitals and Behavioral Health Care to Report
How Does the Third Circuit Analyze Hospital Mergers?
Key Issues in Direct Health Care Contracting with Employers
Federal Judge Throws Out Portions of “Surprise” Medical Billing Rule
Delaware Primary Care Update
It’s 2022 — Are You Ready for Group Practice Changes?
New Regulations on “Surprise” Emergency and Out-of-Network Medical Billing
Is a Cash-Only Medical Practice Subject to HIPAA?
New COVID-19 Vaccination Requirements for Long-Term Care and Intermediate Care Facilities Regarding Individuals With Intellectual Disabilities
Practice Pointers for Payor Contracting
FAQs on the 3-Day Payment Window to Avoid Billing Errors
CMS Relaxes Managed Care Requirements
DOJ Charges Emphasize Importance of Telemedicine Provider Compliance
Stopgap Funding Provides Welcome Relief on Medicare Loans
CMS Issues Interim Final Rule with Comment Period for COVID-19 Reporting, Testing and Enforcement  
CMS Maintains Focus on Nursing Home Infection Control Practices with Bulletin Encouraging Use of Flexibility to Increase Medicaid Reimbursement Rates
Don’t Forget About the Stark Law Fair Market Value Exception
Temporary Medicare Billing of Outpatient Hospital Services in the Patient’s Home
CMS Innovation Center Adjusts Various Programs on Account of COVID-19
How to Get Reimbursed for Uninsured COVID-19 Testing and Treatment
CMS Expands Medicare Coverage of Telehealth Services in Response to COVID-19 Pandemic
Blanket Stark Law Waivers Due to COVID-19
CMS Approves Pennsylvania Section 1135 Waiver Requests in Connection with COVID-19 Pandemic
Coronavirus Aid, Relief and Economic Security (CARES) Act: Summary of Emergency Appropriations and Other Relief Provisions for the Health Care Industry
CMS Expands Accelerated/Advance Medicare Payment Program During COVID-19 Public Health Emergency
Value-Based Contracting in the Era of COVID-19
Medicaid Fiscal Accountability Regulation Receives Widespread Rebuke from Industry and States
Nursing Homes Should Expect Stricter Enforcement
Why U.S. Health Care Has So Many Payment Methodologies
HHS Attorneys Address How SCOTUS’s Recent Allina Decision Impacts Enforcement Practices
Home Health Reimbursement in 2020
Relief from Reduced Payments to Grandfathered Off-Campus Provider-Based Departments
Inpatient vs. Observation Status: Finally Some Hope for Medicare Patients
Delaware Executive Order 25 to Address State’s High Per Capita Health Care Spending
Skeptical, At Best: Will the New CMS Physician Payment Models Make a Difference?
CMS Innovation Center Announces Two New Payment Models
CMS Continues to Expand Medicare Coverage and Reimbursement of Telehealth Services
Federal Judge Blocks Medicaid Work Requirement Waivers in Arkansas and Kentucky
CMS Issues Display Copy of Updates to Home Health Agency PPS Rules
IRS Denies ACO Tax-Exempt Status
Final Rule on Reporting and Returning Overpayments – the “60 Day Rule”
CMS Updates Place of Service Codes for Professional Claims
Change in CMP Law Affecting Gainsharing Arrangements
 
 

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