On December 1, 2020, CMS released its FY2021 Final Rule (“Final Rule”) updating the Medicare Physician Fee Schedule (MPFS). The MPFS Final Rule is part of an annual cycle of regulations released during the fourth quarter of...more
As we previously reported, Congress passed and the President signed the Coronavirus Aid, Relief, and Economic Security Act (Pub. L. 116-136) (“CARES Act”) on March 27, 2020. We recently provided guidance on how the CARES Act...more
4/9/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Department of Homeland Security (DHS) ,
Emergency Response ,
FCC ,
Filing Requirements ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Medicare ,
OCR ,
Physician Medicare Reimbursements ,
Physicians ,
Public Health ,
Regulatory Agencies ,
Relief Measures ,
State and Local Government ,
Telehealth ,
Telemedicine ,
Waivers
In light of findings from the COVID-19 outbreak at a nursing home in Kirkland, Washington, the Centers for Medicare and Medicaid Services (CMS) has announced that it will suspend all routine facility inspections and surveys...more
3/25/2020
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Eligibility ,
Enrollment ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Hospitals ,
Medicaid ,
Medicaid Expansion ,
Medicare ,
OIG ,
Regulatory Agencies ,
State and Local Government
This article aims to summarize several developments in health care regulation and policy as part of the federal and state response to the COVID-19 outbreak in the United States....more
Three cases recently wrapped up in the Northern and Southern Districts of Texas reveal an increased focus on health care fraud committed against private commercial third-party payors, as well as the tools that the Department...more
4/18/2019
/ Anti-Kickback Statute ,
Criminal Conspiracy ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Hospitals ,
Incentive Compensation ,
Interstate Commerce ,
Medicaid ,
Medicare ,
Third Party Payments ,
Travel Act