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HTMLGAO Report Highlights Improper Medicare/Medicaid Payments
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on March 11, 2015
Despite the efforts of the Department of Health and Human Services (HHS) to combat fraud and contain costs in federal healthcare programs, Medicare’s fee-for-service program (Parts A and B) and Medicaid were two of the top three culprits for the billions reported to have been improperly paid...

 

HTMLMA Risk Adjustment in the 2016 Call Letter and ... in Health Care Fraud Charges
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on March 5, 2015
In past Call Letters, CMS has proposed and finalized significant changes to the Medicare Advantage risk adjustment system including, recalibrations, deletions and additions of diagnoses codes, and questioning of the value of in-house health risk assessments. This year’s Call Letter did not...

 

HTMLMesothelioma Treatments May Include New Immunotherapy Drug
Waters Kraus LLP;
Legal Alert/Article
June 18, 2015, previously published on April 20, 2015
The benefit of immunotherapy for mesothelioma patients is that the treatment uses the body’s own immune system to attack mesothelioma cells without causing injury to healthy cells nearby. In a recently published study of tremelimumab, Italian researchers from the University Hospital of Siena...

 

HTMLOIG Releases Semiannual Report to Congress
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on June 3, 2015
The Report highlights OIG’s accomplishments over the first half of FY 2015, including OIG’s expected recoveries of over $1.8 billion, comprised of approximately $544.7 million in audit receivables and $1.26 billion in investigative receivables. Over the same period, OIG reported 486...

 

HTMLAMA Ethical Guidelines on Telemedicine Tabled for Further Review
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on June 10, 2015
On Monday, during the annual meeting of the American Medical Association (AMA) House of Delegates, the delegates voted to table a proposed measure to adopt ethical guidelines for physicians who provide telemedicine services. The proposed guidelines, which were based on recommendations by the...

 

HTMLCMS Takes Initial Steps to Address Medicare & Medicaid Coverage for Biosimilars
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 9, 2015
On March 30, 2015, CMS released guidance addressing Medicare and Medicaid coverage for biosimilar drug products. The Medicare/Medicaid coverage guidance comes on the heels of the FDA’s landmark approval of a biosimilar version of the reference cancer drug Neupogen. Our colleague Tom Wintner...

 

HTMLCMS Releases 2016 Draft Call Letter
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on February 26, 2015
Last week, the Centers for Medicare & Medicaid (CMS) released its 2016 Advance Rate Notice and draft Call Letter (2016 Call Letter) for the Medicare Advantage (MA) and Medicare Part D programs. The 2016 Call Letter outlines proposed changes to the Part C risk adjustment and Part D payment...

 

HTMLStudent Employees and the Affordable Care Act - Part 4 of 4: If Students are Employees, How are their Hours Counted?
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on June 12, 2015
In our prior installments, we determined that students who work at least 30 hours per week for their educational institutions are “full time” employees of those institutions under the Affordable care Act’s employer shared responsibility mandate. As such, employers who are...

 

HTMLDivided Supreme Court Restricts Provider Challenges to State Medicaid Rates
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 2, 2015
A divided Supreme Court ruled by a 5-4 margin on March 31st that providers may not sue in federal court over the adequacy of state Medicaid rates. The decision in Armstrong v. Exceptional Child Ctr., Inc. has important implications well beyond the narrow group of providers of...

 

HTMLCMS Issues Proposed Rule on Stage 3 of Meaningful Use
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 3, 2015
On March 20, 2015, the Center for Medicare and Medicaid Services (“CMS“) and the Office of the National Coordinator for Health Information Technology (“ONC“) each released their much-anticipated proposed rules for Stage 3 of the Meaningful Use program and the 2015...

 


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