Recent News and Industry Developments

False Claims Act Penalties to Double in 2016
Advisories | False Claims Act Penalties to Double in 2016

May 9, 2016 On May 2, 2016, the Railroad Retirement Board published an interim final rule that would double penalties under the False Claims Act in 2016. The news from… Read more »

Update of Fire Protection Guidelines for Certain Health Facilities: CMS Publishes Final Rule on Fire Safety Requirements
Advisories | Update of Fire Protection Guidelines for Certain Health Facilities: CMS Publishes Final Rule on Fire Safety Requirements

May 4, 2016 On May 3, 2016, The Centers for Medicare & Medicaid Services (CMS) announced a final rule, updating the fire protection guidelines for several types of health care… Read more »

Proposed MACRA Rule Outlines MIPS Structure, Sets High Bar for Advanced Alternative Payment Models
Advisories | Proposed MACRA Rule Outlines MIPS Structure, Sets High Bar for Advanced Alternative Payment Models

May 3, 2016 On April 27, 2016, the Centers for Medicare & Medicaid Services (“CMS”) released the highly anticipated proposed rule that would implement major provisions of the Medicare Access… Read more »

The Final 60-Day Rule is Here: What Healthcare Providers Need to Know
Articles | The Final 60-Day Rule is Here: What Healthcare Providers Need to Know

The healthcare industry has been waiting for almost six years to receive final guidance on the “60-day” rule provisions of the Affordable Care Act. On February 12, 2016, the Centers… Read more »

Not All ACOs are Charitable: IRS Rejects Tax-Exemption for Commercial ACO
Advisories | Not All ACOs are Charitable: IRS Rejects Tax-Exemption for Commercial ACO

April 29, 2016 On April 8, 2016, the Internal Revenue Service (IRS) released a private letter ruling (PLR) rejecting the application of an accountable care organization (ACO) for tax-exemption under… Read more »

CMS Nursing Home Compare Adds Six New Quality Measures: Upcoming Changes to the Calculation of the Nursing Home Five-Star Quality Ratings
Advisories | CMS Nursing Home Compare Adds Six New Quality Measures: Upcoming Changes to the Calculation of the Nursing Home Five-Star Quality Ratings

April 28, 2016 On April 27, 2016, the Centers for Medicare & Medicaid Services (CMS) added six new quality measures to its Nursing Home Compare website. The six new quality… Read more »

OIG Releases Updated Criteria for Determining Permissive Exclusions
Advisories | OIG Releases Updated Criteria for Determining Permissive Exclusions

April 20, 2016 On April 18, 2016, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services issued updated non-binding criteria that the OIG will… Read more »

Virginia Prescription Monitoring Program – What You Need to Know from the 2016 Session of the Virginia General Assembly
Advisories | Virginia Prescription Monitoring Program – What You Need to Know from the 2016 Session of the Virginia General Assembly

April 20, 2016 Hardly a day goes by without a news story reporting a death due to opioid abuse. Opioid abuse is unique in that it does not target a… Read more »

CMS Drops Two-Midnight Rule Payment Cuts in 2017 IPPS Proposed Rule
Advisories | CMS Drops Two-Midnight Rule Payment Cuts in 2017 IPPS Proposed Rule

April 19, 2016 On April 18, 2016, CMS announced that the agency will not continue a 0.2 percent payment reduction to Inpatient Prospective Payment System (“IPPS”) payments that was instituted… Read more »

Community Blood Drive | May 26
AHLA Institute on Medicare and Medicaid Payment Issues 2016
Events | AHLA Institute on Medicare and Medicaid Payment Issues 2016

Emily Towey will be presenting Hot Topics in Provider Enrollment at the American Health Lawyers Association (AHLA) 2016 Institute on Medicare and Medicaid Payment Issues. April 13-15, 2016 Baltimore, Maryland… Read more »

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