Healthcare Law Blog

FEBRUARY 1, 2023

The Final Rule implements the following changes: CMS will extrapolate RADV audit findings beginning with payment year (“PY”) 2018 and will not extrapolate RADV audit findings for PYs 2011 through 2017. CMS will not apply a Fee-For-Service (“FFS”) Adjuster in RADV audits.

Medicare 105

Medicare Medicare Overpayments Overpayment 105

Kaiser Health News

JUNE 29, 2022

Although CMS chose not to appear at the hearing, officials clearly knew years ago that some health plans were abusing the payment system to boost profits yet for years ran the program as what one CMS official called an “honor system.” Bliss said Medicare paid $2.6

Medicare 105

Medicare Medicare Governance Overpayments 105

Drug & Device Law

JULY 31, 2023

2011 WL 13186258, at *2 (C.D. May 17, 2011) (flight simulator and associated training materials were not products subject to strict liability); Heindl v. Wells Fargo Bank , 2011 WL 1833020 (D. May 13, 2011), applied Birmingham to hold that financial transactions were not “products” to which strict liability could apply.

Governance 52

Governance Payment Systems Hospitals Licensing 52