| FRAUD AND ABUSE
Advisory Opinion 16-10: OIG Approves Transportation Assistance Program In Advisory Opinion 16-10, the OIG determined that a local health care district’s proposed transportation assistance program would not trigger the anti-kickback statute or the civil monetary penalty against beneficiary inducements. Stewart Kameen and Bill Mathias explain the details of the arrangement and the OIG’s analysis of the aspects of this program that limited the potential risk of fraud and abuse. Click to continue… TRANSACTIONS Download Ober|Kaler’s Guide to Health Care Deals: “Due Diligence in a Dynamic Health Care Landscape” Hospitals and health care companies seeking to realign and collaborate on services are driving a flurry of consolidations, mergers and acquisitions, and joint venture activity in the health care industry. These new and complex deals present a myriad of legal issues to be addressed in terms of government oversight, due diligence, physician relationships, and payment model changes. In Due Diligence in a Dynamic Health Care Landscape, experienced attorneys from Ober|Kaler’s Health Law Group discuss the due diligence steps that are critical to follow in health care transactions. Download a copy…
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| Health Law Alert® is not to be construed as legal or financial advice, and the review of this information does not create an attorney-client relationship.
Ober|Kaler also offers Payment Matters, which focuses on Medicare and Medicaid payment issues. Subscribe here. Copyright© 2016, Ober, Kaler, Grimes & Shriver Ober|Kaler |
Ober | Kaler Health Law Alert: 2016 Issue 17
| FRAUD AND ABUSE
OIG Approves Free Vaccine Refrigeration Systems in Physician Offices A refrigerator manufacturer seeking to place vaccine refrigeration systems in physician offices at no charge to the physician, while receiving payments from vaccine manufacturers, will not be subject to administrative sanctions under the anti-kickback statute, according to the OIG in Advisory Opinion 16-09. Bill Mathias and Samantha Flanzer provide an overview of the proposed arrangement and discuss the OIG’s analysis of its potential anti-kickback risks and safeguards. Click to continue… MEDICARE/MEDICAID ENROLLMENT CMS Clarifies Its 855R Policies In Change Request #9552, CMS clarifies certain policies relating to the function of the 855R application and its processing. Emily Wein explains those clarifications and the accompanying guidance from CMS. Click to continue… TRANSACTIONS Ober|Kaler Releases Guide to Health Care Deals: “Due Diligence in a Dynamic Health Care Landscape” Hospitals and health care companies seeking to realign and collaborate on services are driving a flurry of consolidations, mergers and acquisitions, and joint venture activity in the health care industry. These new and complex deals present a myriad of legal issues to be addressed in terms of government oversight, due diligence, physician relationships, and payment model changes. In Due Diligence in a Dynamic Health Care Landscape, experienced attorneys from Ober|Kaler’s Health Law Group discuss the due diligence steps that are critical to follow in health care transactions. Download a copy…
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| Health Law Alert® is not to be construed as legal or financial advice, and the review of this information does not create an attorney-client relationship.
Ober|Kaler also offers Payment Matters, which focuses on Medicare and Medicaid payment issues. Subscribe here. Copyright© 2016, Ober, Kaler, Grimes & Shriver Ober|Kaler |
HBMA Washington Report – September Issue
Washington Report – September, 2016
(Covers activity between 9/1/16 and 9/30/16)
Bill Finerfrock, Matt Reiter, Nathan Baugh, Asad Karamally
Washington Report – September Issue
- CMS Will Ease Reporting Requirements for First Year of MACRA
- California Becomes Latest State to Pass “Surprise” Medical Bill Law
- Mixed Results for ACA Persist Ahead of Fourth Open Enrollment
- Congress Passes Government Funding Bill and Delays Other Work Until Lame Duck
- HHS Interim Final Rule Updates Civil Monetary Penalties for Inflation
- House Committee Wants CMS to Increase Medicare Fraud Prevention
- HHS Selects Winners for Medical Bill Redesign Challenge
- GAO Disagrees with HHS on ACA Risk Corridor Payments
- Legislation Would Exempt Failed CO-OP Beneficiaries From Individual Mandate
- Vindell Washington Replacing Karen DeSalvo as National Coordinator for Health IT
- Several Organizations Express Concern Over 2017 Medicare Premium Increase
- CMS Transmittals