Richard Strassberg Annie Railton

March 19, 2019 | New York Law Journal

In this Federal Civil Enforcement column, Richard Strassberg, Annie Railton and Roger Cohen discuss 'United States ex rel. Polukoff v. St. Mark's Hospital et al.', in which the Tenth Circuit held that a claim certifying that a procedure is medically necessary must meet the definition of “reasonable and necessary” set forth in CMS's Medicare Program Integrity Manual.

By Richard Strassberg, Annie Railton and Roger Cohen

8 minute read