On October 28, 2020, CMS released an interim final rule with comment period (IFC) that implements several CARES Act requirements to prepare for the availability of a COVID-19 vaccine. Among other changes, the IFC establishes...more
11/10/2020
/ ACIP ,
CARES Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Cost-Sharing ,
Emergency Use Authorization (EUA) ,
Food and Drug Administration (FDA) ,
Inpatient Prospective Payment System (IPPS) ,
Interim Final Rules (IFR) ,
Medicare ,
Medicare Part B ,
Outpatient Prospective Payment System (OPPS) ,
Public Health Emergency ,
Public Health Service (PHS) ,
Vaccinations
On September 1, 2020, CMS published a proposed rule that would define “reasonable and necessary” for purposes of coverage under Part A and Part B of the Medicare program, and that would establish a new expedited Medicare...more
On May 11, 2020, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System Proposed Rule for FY 2021 (the Proposed Rule), which will affect...more
As the number of coronavirus cases across the country continue to rise, CMS has issued several coronavirus-specific memorandums to healthcare providers and laboratories. In the past two weeks, CMS has issued disease-specific...more
3/20/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Cost-Sharing ,
Diagnostic Tests ,
Emergency Rooms ,
EMTALA ,
Health Care Providers ,
Hospitals ,
Medicaid ,
Medicare ,
Medicare Part C ,
Medicare Part D
On December 17, 2019, OIG published Advisory Opinion 19-06 approving a supermarket’s expansion of a loyalty program to allow customers to earn rewards points on out-of-pocket costs paid in connection with the purchase of...more
1/3/2020
/ Advisory Opinions ,
Anti-Kickback Statute ,
Civil Monetary Penalty ,
Customer-Loyalty Programs ,
Grocery Stores ,
Medicaid ,
Medicare ,
OIG ,
Pharmacies ,
Prescription Drugs ,
Retailers
In an opinion issued last Wednesday, the Eleventh Circuit affirmed the district court’s entry of final judgment in favor of a multi-state hospital system by dismissing the qui tam relator’s claims under the federal False...more
8/13/2019
/ Appeals ,
Commercial Leases ,
Development Agreements ,
Dismissals ,
False Claims Act (FCA) ,
Final Judgment ,
Healthcare Facilities ,
Hospitals ,
Medicare ,
Qui Tam ,
Stark Law