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CMS issues 2% MA rate hike for 2024

Healthcare Dive

Trade association AHIP said it was “concerned with the potential adverse impact of the rate notice,” especially in light of other recent regulation seeking to claw back overpayments to MA payers.

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Medicare Advantage 2024 Rate Announcement – Further Impacts to Risk Adjustment

Health Care Law Brief

On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ( Rate Announcement ). We note that the greatest increase in enrollment in MA for 2024 was in dual-eligible special need plans.

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Non-Monetary Compensation to Physicians: New Limits for 2024 and Chance to Review 2023

Hall Render

Under the federal Stark Law, hospitals, physician groups, labs and other provider entities may provide non-monetary ( i.e. , non-cash or cash equivalent) compensation to physicians up to an aggregate amount of $507 for calendar year 2024.

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. Any overpayment retained by a person after the deadline for reporting and returning an overpayment is an obligation under the FCA.

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Closing Care Gaps Through Prospective Risk Adjustment

HIT Consultant

The HHS Office of Inspector General (OIG) recently reported that, from October 2014 through December 2016 , 153 audit reports were issued containing 193 overpayment recoveries totaling $648 million, largely due to errors in medical documentation.

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Florida Man Agrees to Plead Guilty in $110 Million Telemedicine Medicare Fraud Scheme

The Health Law Firm Blog

Board Certified by The Florida Bar in Health Law On February 16, 2024, a Parkland, Florida, man agreed to plead guilty to organizing a Medicare fraud scheme worth $110 million. By: George F. Indest III, J.D., The federal prosecution is taking place in the U.S. District Court for the District of Massachusetts.

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Florida Man Agrees to Plead Guilty in $110 Million Telemedicine Medicare Fraud Scheme

The Health Law Firm Blog

Board Certified by The Florida Bar in Health Law On February 16, 2024, a Parkland, Florida, man agreed to plead guilty to organizing a Medicare fraud scheme worth $110 million. By: George F. Indest III, J.D., The federal prosecution is taking place in the U.S. District Court for the District of Massachusetts.

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