On January 3, 2022, the U.S. Court of Appeals for the Fifth Circuit Court reversed the decision of the District Court for the Western District of Louisiana dismissing for lack of jurisdiction a Medicare provider’s suit...more
On May 5, 2021, OIG issued guidance on its COVID-19 Administrative Enforcement FAQs page stating that an ambulance provider or supplier waiving or discounting Medicare beneficiary cost-sharing obligations presents a low risk...more
5/14/2021
/ Ambulance Providers ,
Anti-Kickback Statute ,
Beneficiaries ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Emergency Medical Services (EMS) ,
Enforcement Actions ,
Medicare ,
OIG ,
Public Health Emergency ,
Reimbursements ,
Social Security Act ,
Waivers
On September 3, 2020, HHS announced the details of a $2 billion Provider Relief Fund (PRF) performance-based incentive payment distribution to qualifying nursing facilities. Unlike previous distributions to nursing...more
On July 30, 2020, HHS released several new Frequently Asked Questions (FAQs) regarding payments distributed to providers under the Coronavirus Aid, Relief, and Economic Security (CARES) Act Provider Relief Fund. Providers...more
8/11/2020
/ Children's Health Insurance Program (CHIP) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
FEMA ,
Health Care Providers ,
Home and Community Based Services (HCBS) ,
Medicaid ,
Paycheck Protection Program (PPP) ,
Provider Relief Fund ,
Relief Measures ,
SBA
On January 21, 2020, the U.S. District Court for the Northern District of Georgia granted in part and denied in part a motion challenging a new HHS policy for allocating livers to transplant patients in the United States. The...more