Tag Archives: reimbursement

Ch-Ch-Ch-Ch-Changes: Reporting Requirements for Updating Your CMS Provider Enrollment

Photo of Charlotte CombrePhoto of Ernessa McKieBy Charlotte Combre and Ernessa McKie on Posted in Uncategorized
With the possibility of significant penalties for improperly reported transactions, it is important to understand how certain changes necessitate specific reporting. Is your organization considering a stock transfer, a merger, a change in control, building a new practice location or updating its board of directors? If these kinds of changes are afoot, it is critical … Continue Reading

Obstruction of a Medicare Audit Doesn’t Require Direct Obstruction of a Federal Agent

Photo of Robert M. WolinBy Robert M. Wolin on Posted in Uncategorized
A registered pharmacist, the owner of two Alabama pharmacies, pleaded guilty to obstructing a 2012 federal audit of Medicare claims and agreed to pay a $2.5 million penalty to the government. The submission of the false and misleading documents by the pharmacy owner constituted obstruction of a federal audit of his Medicare claims, even though … Continue Reading

Medicare: Congress Ends 2015 With Some Last-Minute Reforms

Photo of Robert M. WolinBy Robert M. Wolin on Posted in Uncategorized
Congress chose to end 2015 with some last-minute Medicare reforms impacting healthcare providers. Significantly, the Patient Access and Medicare Protection Act, signed into law by President Obama on December 28, 2015, includes provisions aimed at identity theft protections, exception from meaningful use requirements, radiation therapy rates, fee awards for Medicare Administrative Contractors (MACs), and payment for … Continue Reading

A Look Back at 2013

Photo of BakerHostetlerBy BakerHostetler on Posted in Uncategorized
In this posting: A Look Back at 2013 Antitrust and Competition Policy, Advocacy and Legislative Strategy Development FDA and Life Sciences Privacy and Data Protection Enforcement and Compliance Transactions and Finance Reimbursement, Licensing and Certification Fraud and Abuse Laws Tax-Exempt Organizations Honors and Recognition Was it the number 13? There’s an old superstition about the … Continue Reading
LexBlog