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Increased Enforcement Activity Expected Relating to Healthcare Provider Billing Upcoding

A pair of recent reports issued by the Health and Human Services Office of Inspector General (“OIG”) and Cotiviti, a Centers for Medicare and Medicaid Services (“CMS”) Recovery Audit Contractor (“RAC”), indicate a resumed...more

Murky Waters – The Stark Controversy in Hospital-Physician Relationships

Since the completion of this article, CMS has announced that its final Stark law rule will be published in the Federal Register on December 2, 2020. I. Introduction - The Stark Law has been litigated for the past two...more

A Guide to the CARES Act Medicare Provider Relief Fund

The Coronavirus Aid, Relief, and Economic Security (“CARES”) Act provides $100 billion in relief funds to hospitals and health care providers to aid in their coronavirus response. From those monies, the Department of Health...more

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