CMS Updates Preclusion List Requirements for Medicare Advantage and Part D
The Centers for Medicare & Medicaid Services (“CMS”) recently published a final rule (“Final Rule”) revising the procedures that CMS uses to administer its Preclusion List. As outlined below, CMS...
View ArticleHall Render’s This Week in Washington – May 10, 2019
Addressing “Surprise” Medical Bills High Priority for Administration and Congress Yesterday, President Trump held an address at the White House where he emphasized that Congress should act to “hold...
View ArticleDepartment of Justice Updates Compliance Program Guidance
On April 30, 2019, the U.S. Department of Justice (“DOJ”) released an updated version of is guidance known as “The Evaluation of Corporate Compliance Programs” (“2019 Guidance Document”). This document...
View ArticleCountdown to Phase 3 Skilled Nursing Compliance Programs – Component #1 –...
Beginning on November 28, 2019, surveyors will use the requirements detailed 42 C.F.R. Section 483.85, the Requirements for States and Long-Term Care Facilities (“Final Regulations”) by the Centers for...
View ArticleThe Supreme Court Announces a Presumption Against Class Arbitration
The Supreme Court of the United States announced a landmark ruling about arbitration clauses on April 24, 2019. In Lamps Plus, Inc. v. Varela the high court held that an arbitration clause does not...
View ArticleHealth Provider News – May 17, 2019
NATIONAL States inch forward on nurse staffing laws Bill backed by generic drug companies gets PhRMA endorsement at Senate hearing As MACRA Implementation Turns 2, Industry Leaders Call for Change...
View ArticleDOJ Self-Disclosure and Cooperation Credit
The DOJ’s recent revisions to its Justice Manual created a new path for self-disclosing potential fraud to the government – one which is unique in its ability to defray the costs of potential False...
View ArticleHall Render’s This Week in Washington – May 17, 2019
Lawmakers Seriously Pursuing “Surprise Medical Bill” Fix Continuing the bipartisan interest in addressing the issue of surprise medical billing, also known as balance billing, a group of bipartisan...
View ArticleGAO Lab Report – Sound Analysis? Criticism from Senator Grassley and Others...
In November 2018, the Government Accountability Office (“GAO”) released a report (“Report”) on new laboratory payment rates established by CMS under the Protecting Access to Medicare Act (“PAMA”). In...
View ArticleHHS Final Conscience Rule and Protected Employees
On May 2, 2019, the U.S. Department of Health and Human Services (“HHS”) Office of Civil Rights (“OCR”) announced the issuance of the final conscience rule, which prohibits discrimination of...
View ArticleSupreme Court Extends the FCA Statute of Limitations for Whistleblowers
This week, the United States Supreme Court ruled that the government’s 10-year deadline to file FCA actions could be extended to whistleblowers. The Court’s decision in Cochise Consultancy, Inc. et al....
View ArticleNLRB Advice Memo Recommends Restoring a Broader Definition of Picketing Under...
On May 14, the National Labor Relation’s Board (“Board”) Advice Division released an advice memorandum recommending that the Board reconsider three picketing cases decided during President Obama’s...
View ArticleCMS Releases FFY 2021 Preliminary Public Use File and Wage Index Development...
On May 17, 2019, CMS released the preliminary FY 2021 Worksheet S-3, Parts II and III wage index Public Use File (“PUF”). The PUF contains wage data based on FFY 2017 hospital cost reports – that is,...
View ArticleCountdown to Phase 3 Skilled Nursing Compliance Programs – Component #2 –...
This is another article in a series discussing the complete overhaul of Part 483 to Title 42 of the Code of Federal Regulations the Requirements for States and Long-Term Care Facilities (“Final...
View ArticleHealth Provider News – May 24, 2019
NATIONAL Top exec at Amazon healthcare startup Haven leaves after eight months Top 10 states for physician and surgeon pay 10 things to know about Optum, the $101B healthcare company keeping hospital...
View ArticleHall Render’s This Week in Washington – May 24, 2019
HELP Committee Leaders Release Draft Bill Targeting Health Care Priorities Senate Health, Education, Labor, and Pensions (“HELP”) committee leaders Sens. Lamar Alexander (R-TN) and Patty Murray (D-WA)...
View ArticleCountdown to Phase 3 Skilled Nursing Compliance Programs – Component #3 –...
This is another article in a series discussing the complete overhaul of Part 483 to Title 42 of the Code of Federal Regulations the Requirements for States and Long-Term Care Facilities (“Final...
View ArticleHealth Provider News – May 31, 2019
NATIONAL Physician burnout costs the US health care system approximately $4.6 billion a year AMGA finds physician groups increase reliance on risk-based revenues; obstacles persist in move to value 6...
View ArticleHall Render Attorneys Featured in “Health Law and Compliance Update (2019...
Hall Render’s Antitrust and Competition Group, including William Berlin, Michael Greer, John Bowen and Abby Kaericher, authored a chapter, titled “Health Care Antitrust Developments,” in Health Law and...
View ArticleHospitals Win in Rare Supreme Court Decision Pertaining to Medicare...
On June 3, 2019, the Supreme Court of the United States issued its opinion in Azar v. Allina (Case No. 17-1484) and affirmed the provider-friendly decision from the Court of Appeals for the District of...
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