The shifting guidance on whether the industry should report mere funding of educational events, the likely enforcement ahead by federal and state agencies, and maps showing the “hotspots” of consulting, food and beverage, and travel and lodging payments: here’s what
CMS wants “bad apples” out of the Medicare program. The agency has issued a final rule that expands the circumstances under which CMS may deny or revoke Medicare enrollment, cracking down on issues like unpaid Medicare debts, management with felony
Last week, Dignity Health, a hospital system based in San Francisco, California, agreed to pay the United States US$37 million over a five-year period to settle allegations that it knowingly submitted false claims to Medicare and TRICARE in violation of
On October 31, 2014, CMS issued the Calendar Year 2015 Medicare Physician Fee Schedule Final Rule.
The final rule is available online until its publication in the November 13th Federal Register.
Some of the highlights of the final
In the United States, the healthcare industry is familiar with the Sunshine Act’s tracking and reporting requirements related to payments and transfers of value to physicians, as well as to physician ownership and investment interests.
And around the world, new
The “Open Payments” database of transactions reported under the Physician Payments Sunshine Act has launched on its scheduled release date of September 30 and is now available for public review.
Pharmaceutical and medical-device manufacturers reported information about their financial relationships
An appeals court has stricken a $9 million False Claims Act (FCA) verdict for alleged nursing-home neglect, weakening the availability of the “worthless-services” theory as a basis for seeking treble damages against healthcare providers.
Momence Meadows Nursing Center, Inc. appealed
Despite extending the dispute-and-resolution deadline to account for the days that the Centers for Medicare & Medicaid Services (CMS) pulled down the reporting system, the public Physician Payments Sunshine Act website is still expected to go live in a matter
By listserv message, CMS announced that applicable manufacturers and applicable group purchasing organizations (“GPOs”) can start Phase 2 of Open Payments registration and detailed data submission process on June 1. Phase 2 itself has two steps and Phase 2 closes
In the past few days, the Centers for Medicare & Medicaid Services (“CMS”) has published several proposed rules that would affect payment policies and rates in fiscal year (“FY”) 2015 for inpatient rehabilitation facilities, inpatient psychiatric facilities, and skilled nursing