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Hall Render – Main Blog
http://blogs.hallrender.com/blog/this-week-in-washington-may-15-2015
This Week in Washington – May 15, 2015. Posted on May 15, 2015. This Week in Washington. Written by: Hall Render. Health Bill Clears House Subcommittee. On May 14, the House Energy and Commerce Health subcommittee passed the 21. Century Cures legislation by a unanimous vote. A day earlier, the full committee released an updated draft. The updated draft also includes a framework for ensuring interoperability of qualified electronic health records and health information technology for the first time. T...
Hall Render – Litigation Analysis
http://blogs.hallrender.com/litigation
CMS Issues Guidance on Protecting Resident Privacy and Prohibiting Abuse-Related Photographs and Recordings by Nursing Home Staff. Posted on August 9, 2016. Written by: Hall Render. Wisconsin Supreme Court Strikes Down City’s Residency Requirement. Posted on July 5, 2016. Written by: Hall Render. Sexual Assault Allegations Dismissed Under Wisconsin’s Three Year Statute of Limitations in Medical Malpractice Case. Posted on July 5, 2016. Written by: Hall Render. On June 23, 2016, the Wisconsin Supreme Cour...
Hall Render – Main Blog
http://blogs.hallrender.com/page/5
False Claims Act Lawsuits: “New” Focus on Materiality. Posted on June 17, 2016. In False Claims Act Defense. Written by: Hall Render. On June 16, 2016, the United States Supreme Court issued its decision in Universal Health Services, Inc. v. United States ex rel. Escobar, a False Claims Act (“FCA”) case reviewing the theory of implied certification, which was subject to a circuit court split. In the opinion, the Court upheld the. Continue Reading →. This Week in Washington – June 17, 2016. Stark office s...
Hall Render – Main Blog
http://blogs.hallrender.com/blog/this-week-in-washington-may-1-2015
This Week in Washington May 1, 2015. Posted on May 1, 2015. This Week in Washington. Written by: Hall Render. Committee Releases Discussion Draft of 21. On April 29, the House Energy and Commerce Committee released. Century Cures draft bill to accelerate the development and marketing of drugs and medical devices. The draft bill comes after eight committee hearings on the 21. House Passes Budget Deal. CMS Issues Proposed Hospice Payment Rule. Once finalized, the payments will take effect on October 1, 2015.
Hall Render – Main Blog
http://blogs.hallrender.com/blog/2014-ipps-final-rule-cms-clarifies-inpatient-admission-criteria-to-reduce-payment-uncertainty
2014 IPPS Final Rule – CMS Clarifies Inpatient Admission Criteria to Reduce Payment Uncertainty. Posted on August 14, 2013. Written by: Hall Render. Under the Final Rule, CMS codified the definition of an inpatient admission at 42 C.F.R. 412.3. An inpatient admission is appropriate and payable under Medicare Part A when:. The patient is formally admitted to the hospital pursuant to an order for inpatient admission by a physician or other qualified practitioner. Eligible to admit;. A statement that the in...
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FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/category/cases
Massive Penalty Spike Darkens the FCA Landscape. Posted on June 30, 2016. Written by: David Honig. In May, the Railroad Retirement Board was the first agency to issue its inflation “corrections,” shocking the FCA world. This week, the Department of Justice (“DOJ”) followed suit, expanding the spike to the entire FCA world. In 1986, the FCA was completely rewritten and included a minimum penalty of $5,000 per claim and a maximum penalty of $10,000 per claim. Instead, the government disregarded that correc...
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/tag/false-claims-act
9th Circuit Issues Blockbuster Medicare Advantage FCA Decision. Posted on August 11, 2016. The 9th Circuit Court of Appeals just issued a blockbuster ruling in U.S. ex rel. Swoben v United Healthcare et al., ruling that United Healthcare, WellPoint, Aetna and other major health insurance providers must answer to a whistleblower’s complaint that they defrauded the Medicare Advantage program. The Medicare Advantage Program,. Continue Reading →. Massive Penalty Spike Darkens the FCA Landscape. Releases of F...
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/category/em-coding
CMS proposes new “incident to” rule. Posted on July 10, 2015. Written by: David B. Honig. 8220;Incident to” billing is a significant False Claims Act risk for Medicare and Medicaid providers. A new proposed rule will change how physicians and physician practices are supposed to bill for services provided in their offices. Or Regan Tankersley at rtankersley@hallrender.com. ND Ill.: Upcoding Allegations Against Hospitalist Group Survive Motion to Dismiss. Posted on February 24, 2015. Timothy W. Feeley.
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/category/reverse-false-claims
Category: Reverse False Claims. 60-Day Overpayment Rule Released. Posted on February 11, 2016. Written by: David B. Honig. CMS has released its final 60-Day Overpayment Rule. 8230; Continue Reading →. The 60-Day Vulture Comes Home to Roost. Posted on August 7, 2015. Written by: Adele Merenstein. Will proceed to the discovery phase. Beginning in 2009, due to a software glitch, Healthfirst’s payments to participating providers, including the Hospitals, erroneously indicated vis-a-vis certain electron...
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/tag/reverse-false-claim
The 60-Day Vulture Comes Home to Roost. Posted on August 7, 2015. In a judicial opinion certain to rock the provider world, Judge Edgardo Ramos of the Federal District Court for the Southern District of New York denied a New York Health System’s (“Health System”) motion to dismiss the U.S.’s and New York State’s complaints in intervention under the federal False Claims. Continue Reading →. Tags: False Claims Act. April False Claims Act Update. Posted on April 15, 2013. Posted on February 6, 2012.
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/tag/fera
The 60-Day Vulture Comes Home to Roost. Posted on August 7, 2015. In a judicial opinion certain to rock the provider world, Judge Edgardo Ramos of the Federal District Court for the Southern District of New York denied a New York Health System’s (“Health System”) motion to dismiss the U.S.’s and New York State’s complaints in intervention under the federal False Claims. Continue Reading →. Tags: False Claims Act. OIG Issues New Guidelines for Review of State FCA Statutes. Posted on March 15, 2013. This T...
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/tag/incident-to
CMS proposes new “incident to” rule. Posted on July 10, 2015. 8220;Incident to” billing is a significant False Claims Act risk for Medicare and Medicaid providers. A new proposed rule will change how physicians and physician practices are supposed to bill for services provided in their offices. CMS Proposal to Limit Incident to Billing This week CMS released the proposed Medicare. Continue Reading →. HR Insights for Health Care. Long-Term Care, Home Health & Hospice. False Claims Act Defense.
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/tag/direct-supervision
CMS proposes new “incident to” rule. Posted on July 10, 2015. 8220;Incident to” billing is a significant False Claims Act risk for Medicare and Medicaid providers. A new proposed rule will change how physicians and physician practices are supposed to bill for services provided in their offices. CMS Proposal to Limit Incident to Billing This week CMS released the proposed Medicare. Continue Reading →. HR Insights for Health Care. Long-Term Care, Home Health & Hospice. False Claims Act Defense.
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/tag/healthfirst
The 60-Day Vulture Comes Home to Roost. Posted on August 7, 2015. In a judicial opinion certain to rock the provider world, Judge Edgardo Ramos of the Federal District Court for the Southern District of New York denied a New York Health System’s (“Health System”) motion to dismiss the U.S.’s and New York State’s complaints in intervention under the federal False Claims. Continue Reading →. Tags: False Claims Act. HR Insights for Health Care. Long-Term Care, Home Health & Hospice. False Claims Act Defense.
FALSE CLAIMS ACT DEFENSE
http://fcadefense.com/false_claims_act/whistleblower/qui_tam/tag/david-honig
CMS proposes new “incident to” rule. Posted on July 10, 2015. 8220;Incident to” billing is a significant False Claims Act risk for Medicare and Medicaid providers. A new proposed rule will change how physicians and physician practices are supposed to bill for services provided in their offices. CMS Proposal to Limit Incident to Billing This week CMS released the proposed Medicare. Continue Reading →. Another Circuit Rules on the Public Disclosure Bar. Posted on February 25, 2015. Posted on June 21, 2012.
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Hall Render – Main Blog
This Week in Washington – May 15, 2015. Posted on May 15, 2015. This Week in Washington. Written by: Hall Render. Health Bill Clears House Subcommittee. On May 14, the House Energy and Commerce Health subcommittee passed the 21st Century Cures legislation by a unanimous vote. A day earlier, the full committee released an updated draft of the Cures legislation. The legislation now heads to the full committee level, where a. Continue Reading →. Posted on May 12, 2015. In Labor and Employment Law. Committee...
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