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District Court Orders HHS to Clear Medicare Appeals Backlog By 2022

On November 1, 2018, in response to a 2014 lawsuit filed by several individual hospitals and the American Hospital Association (“AHA”), the U.S. District Court for the District of Columbia ruled that the Department of Health...more

Post Acute Medical to Pay $13.1 Million to Settle Anti-Kickback and Improper Physician Referral Allegations

Post Acute Medical, LLC (PAM), a Pennsylvania-based operator of more than 30 long term care and rehabilitation hospitals in several states, has agreed to pay the federal government, Texas, Louisiana, and an employee...more

HHS Secretary Vows to Reform Privacy and Stark Law Policies

In a July 26, 2018 speech to the Heritage Foundation, HHS Secretary Alex Azar previewed the agency’s intent to provide new guidance to providers regarding the Federal Stark law and HIPAA, which he said “stand in the way of...more

Signature HealthCARE to Pay $30 Million to Resolve Medicare Fraud Allegations

Signature HealthCARE (Signature), a Kentucky-based owner and operator of 115 skilled nursing facilities across ten states, has reached an agreement with the HHS OIG to settle a False Claims Act lawsuit in which it was accused...more

CMS Announces $25 Billion Medicare Quality Initiative

CMS will consolidate several Medicare quality reporting programs into a single contract worth up to $25 billion, the agency announced on May 15, 2018. The initiative is called the “Network of Quality Improvement and...more

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