Susan HuntingtonOn January 18, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet announcing a broad array of Medicare Advantage (MA) health plan…
George MikhailOn November 26, 2018, the Centers for Medicare & Medicaid Services (CMS) proposed a new rule aimed at lowering the cost of prescription drugs and…
CMS Proposes New Rule to Expand Telehealth Benefits Under Medicare Advantage Plans
Day PitneyThe Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that, effective plan year 2020, would allow Medicare Advantage (“MA”) insurers to…
In United States v. Mehmood, the Sixth Circuit affirmed the conviction of Zafar Mehmood and Badar Ahmadani but vacated their sentences and remanded for resentencing.…
The proposed rule released on July 12 by the Centers for Medicare & Medicaid Services (CMS) would create new billing codes that, if approved, will…
The Centers for Medicare & Medicaid Services’ (CMS’s) proposed rule containing revisions to the Medicare Physician Fee Schedule for 2019, released on July 12, proposed…
Support Grows for Stark Law Modification or Repeal
There has been a recent groundswell of support for modifying or eliminating the federal physician self-referral law, commonly known as the Stark Law. Last month’s Request…
Annual Health Care Fraud Takedown Is Biggest Ever
On June 28, the U.S. Department of Justice (DOJ) and Department of Health and Human Services Office of Inspector General (OIG) announced their annual nationwide…
CMS Announces Initiatives to Reduce Medicaid Fraud, Waste
On June 26, the Centers for Medicare & Medicaid Services (CMS) announced numerous initiatives to reduce fraud and waste in the Medicaid program. CMS Administrator…
NJ “Surprise Bill” Restrictions Finally Become Law
On June 1, New Jersey Governor Phil Murphy signed into law the “Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act,” making New Jersey the…