Limo Cherian

Limo Cherian

K&L Gates LLP

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Health Care Triage: Value-Based Lessons Learned: Two Years Later, How Have Providers Utilized New AKS and Stark Flexibilities?

In this episode, Macy Flinchum talks with Limo Cherian and Steven Pine about some of the major takeaways, challenges, and successes that providers have experienced in navigating the new regulatory flexibilities for...more

6/28/2023  /  Anti-Kickback Statute , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , OIG , Physicians , Safe Harbors , Stark Law , Value-Based Care

Value-Based Safe Harbors and Exceptions to the Anti-Kickback Statute and Stark Law

On 2 December 2020, the U.S. Department of Health and Human Services’ (HHS) issued two Final Rules in conjunction with its “Regulatory Sprint to Coordinated Care,” which will markedly change the regulatory fraud and abuse...more

2/22/2021  /  Anti-Kickback Statute , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , OIG , Physicians , Risk-Sharing , Safe Harbors , Stark Law , Value-Based Care

White Paper: Value-Based Safe Harbors and Exceptions to the Anti-Kickback Statute and Stark Law

On 2 December 2020, the U.S. Department of Health and Human Services’ (HHS) issued two Final Rules in conjunction with its “Regulatory Sprint to Coordinated Care,” which will markedly change the regulatory fraud and abuse...more

2/4/2021  /  Anti-Kickback Statute , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , OIG , Physicians , Safe Harbors , Stark Law , Value-Based Care

K&L Gates Triage: ACO Quality Reporting in 2021: Key Changes from the Medicare Physician Fee Schedule Proposed Rule

In this week’s episode, Limo Cherian, Steve Pine, and Macy Flinchum discuss some of the key changes for Accountable Care Organizations (ACOs) in the recent Medicare Physician Fee Schedule proposed rule. In particular, the...more

10/9/2020  /  ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Physician Fee Schedule , Physicians , Proposed Rules

COVID-19: K&L Gates Triage: Value-Based Payment Arrangements

In this week’s episode, Limo Cherian, Carla Dewberry and Steven Pine discuss recent changes to value-based health care payment arrangements triggered by the current COVID-19 emergency. In particular, the presenters discuss...more

5/8/2020  /  Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Health Care Providers , Health Insurance , Interim Final Rules (IFR) , Medicare , Medicare Shared Savings Program , MIPS , Quality Payment Program (QPP) , Value-Based Payments

COVID-19: Impact on Medicare Telehealth Services

On March 6, 2020, Congress passed the Coronavirus Preparedness and Response Supplemental Appropriations Act (the “Act”) which allows physicians and other health care professionals to bill Medicare for patients covered under...more

3/25/2020  /  Coronavirus/COVID-19 , Health Care Providers , Infectious Diseases , Telehealth

K&L Gates Triage: EKRA - New Fraud and Abuse Considerations for Clinically Integrated Networks

In this week's episode, Limo Cherian, Carla Dewberry, and Steve Pine discuss EKRA - the 'Eliminating Kickbacks in Recovery Act of 2018,' which introduces new criminal penalties for kickbacks associated with referrals to...more

2/21/2020  /  Anti-Kickback Statute , Clinically Integrated Networks (CINs) , Criminal Liability , Criminal Penalties , Eliminating Kickbacks in Recovery Act of 2018 (EKRA) , Fraud and Abuse , Health Care Providers , Healthcare Fraud , Kickbacks , Patient Referrals

A Giant Leap Forward in Value-Based Innovation or an Avalanche of New Administrative Requirements? An Analysis of the Value-Based...

As part of the Department of Health and Human Services’ (“HHS”) “Regulatory Sprint to Coordinated Care,” the following two proposed rules were issued on October 17, 2019, that, if finalized, will markedly change the...more

12/12/2019  /  Anti-Kickback Statute , Centers for Medicare & Medicaid Services (CMS) , Civil Monetary Penalty , Department of Health and Human Services (HHS) , Health Care Providers , Physicians , Proposed Rules , Safe Harbors , Stark Law , Value-Based Care

K&L Gates Triage: Quality Payment Program Updates in the CY2020 Physician Fee Schedule Proposed Rule - Part 1

In this week’s episode, Limo Cherian presents the first segment of a three part series addressing the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) updates in the CY2020 Physician Fee Schedule...more

9/27/2019  /  Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , MIPS , Physician Fee Schedule , Physicians , Proposed Rules , Quality Payment Program (QPP)

CMS Finalizes Proposed Redesign to Medicare Shared Savings Program: Five Big Takeaways

On December 31, 2018, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule that contains revisions to the Medicare Shared Savings Program (“Shared Savings Program”), dubbed the “Pathways to Success”...more

1/8/2019  /  ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program

K&L Gates Triage: A New Proposed Pathway for the Medicare Shared Savings Program Part 1, in a 2-Part Series

The Centers for Medicare & Medicaid Services (“CMS”) recently proposed a major redesign of its Medicare Shared Savings Program (“MSSP”) under a new plan it calls “Pathways to Success.” In this Part I of a two-part series on...more

8/17/2018  /  ACOs , Benchmarks , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Medicare , Medicare Shared Savings Program , Proposed Rules
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