Day PitneyThe 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…
A July 24 article in Bloomberg Law’s Health Law & Life Sciences News, “Help Wanted: Medicare Looking for Health Tech Expert,” discussed a new push…
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…
Private Lawsuit Under HIPAA Dismissed
A recent federal court lawsuit by a private individual accusing Laboratory Corporation of America (LabCorp) of violating the Health Insurance Portability and Accountability Act was…
Physicians and Teaching Hospitals Received $8.4 Billion in Payments in 2017
On June 29, the Center for Medicare & Medicaid Services (CMS) published data summarizing payments made by drug and medical device companies to physicians and…
A June 27 article in The Star-Ledger and on NJ.com, “Confidential documents suggest Horizon misled public on how it picked hospitals for OMNIA program,” discussed confidential reports and…
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…