The Health Law Firm Blog

APRIL 21, 2023

Board Certified by The Florida Bar in Health Law On September 7, 2021, federal prosecutors announced the arrest of a Florida surgeon and owner of device company SpineFrontier Inc on charges of bribing surgeons to use products by paying sham consulting fees. By George F. Indest III, J.D., Accused in an indictment in [.]

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Overpayments Overpayment Fraud Medicaid 40

The Health Law Firm Blog

JANUARY 24, 2022

Board Certified by The Florida Bar in Health Law On September 7, 2021, federal prosecutors announced the arrest of a Florida surgeon and owner of device company SpineFrontier Inc on charges of bribing surgeons to use products by paying sham consulting fees. By George F. Indest III, J.D., Accused in an indictment in.

Overpayments 40

Overpayments Overpayment Fraud Medicaid 40

Hall Render

DECEMBER 6, 2022

As part of the final regulations released by the Centers for Medicare & Medicaid Services (“CMS”) effective January 19, 2021, CMS finalized a new exception for arrangements where an entity pays a physician less than $5,000 over the course of a calendar year in exchange for items or services. New Exception for Limited Remuneration.

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COVID-19 Hospitals Overpayments Overpayment 40

Hall Render

JUNE 22, 2022

CMS’s data shows a downward trend in utilization in 2020 but then an increase in utilization in 2021. Table B2: Overall Utilization of Home Health Services, CYs 2018-2021. of 30-day periods in 2021. 2021 Home Health Payment Update. 2021 Average Number of Visits. 2021 Estimated 30-Day Period Costs.

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COVID-19 Payment Systems Medicare Medicare 40

Healthcare Law Blog

SEPTEMBER 28, 2023

Refresher on the RADV Final Rule The Final Rule will implement 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, though it will continue to collect the non-extrapolated overpayments that are identified. 4th 867 (D.C.

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Medicare Medicare Overpayments Overpayment 52

Hall Render

APRIL 18, 2022

reduction in funds to account for overpayments by CMS in previous years per Modern Healthcare. In 2022, investors have allocated 57% more capital to health care real estate than in 2021. Hall Render blog posts and articles are intended for informational purposes only. in fiscal year 2023. The increase will be reduced by a 4.6%

Public Health 40

Public Health COVID-19 Overpayments Overpayment 40

Healthcare Law Blog

JANUARY 5, 2023

The Proposed Rule includes changes on an array of topics including: Star Ratings, medication therapy management, marketing and communications, health equity, provider directories, coverage criteria, prior authorization, behavioral health services, identification of overpayments , requirements for valid contract applications, and formulary changes.

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