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Powers Pyles Sutter Verville PC Document Search Results (5)


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HTMLMedicare Delays Provider ALJ Hearings for 2 Years
Powers Pyles Sutter Verville PC;
Legal Alert/Article
February 13, 2014, previously published on February 7, 2014
The Office of Medicare Hearings and Appeals (OMHA) recently issued a letter suspending most ALJ appeals for at least 24 months. The administrative appeals process for Medicare claims has been groaning under the number of appeals passing through the system for quite some time. In the past year or...


Adobe PDFWhat Went Wrong at Tuomey Healthcare System
Mark R. Fitzgerald; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
October 17, 2013, previously published on October 11, 2013
In a decision dated September 30, 2013, the U.S. District Court for South Carolina entered judgment against Tuomey Healthcare System (“Tuomey”) for a total of $237.5 million for violating the Stark law and the False Claims Act (“FCA”).  The judgment is the latest landmark in...


Adobe PDFOctober 1, 2013: Health Insurance Exchanges Open
Powers Pyles Sutter Verville PC;
Legal Alert/Article
October 10, 2013
The key provisions of the Affordable Care Act (“ACA”) are slated to go into effect this week. On Tuesday, October 1, states and the U.S. Department of Health and Human Services (“HHS”) will open their Health Insurance Exchanges, otherwise known as...


Adobe PDFHRSA Clarifies 340B Orphan Drug Exclusion
Jason B. Reddish, Barbara Straub Williams; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
August 6, 2013, previously published on August 1, 2013
On July 23, 2013, the Health Resources and Services Administration (HRSA) promulgated a final rule - and the 340B program’s first regulations - to implement a statutory provision that restricts Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs),...


Adobe PDFProposed FFY 2014 Medicare Inpatient Prospective Payment System Rules
Powers Pyles Sutter Verville PC;
Legal Alert/Article
May 16, 2013, previously published on May 7, 2013
The following outlines the changes to the acute-care hospital IPPS proposed by the Centers for Medicare and Medicaid Services (CMS) for FFY 2014. The proposed rule will be published in the Federal Register on May 10 and is available on CMS’s 2014 Proposed Rule Home Page:...