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Fighting Fraud in Health Care Through the False Claims Act in the Third Circuit
The Third Circuit has adopted a more plaintiff/relator friendly interpretation while the Eighth Circuit has reached the opposite conclusion. Until the U.S. Supreme Court settles the circuit split, choice of venue is key for those bringing claims under the Anti-Kickback statute.CMS Expands Access to Merit-Based Incentive Payment System History
In October, the Centers for Medicare & Medicaid Services (CMS) expanded the archive for doctors and clinicians (DAC) on the provider data catalog (PDC) to provide access to merit-based incentive payment system (MIPS) program performance data from all previous years that were publicly reported on Care Compare and the PDC.Sunk Costs: UK Unlikely to Ditch Court CMS Tool That Spurred Widespread Strikes
Court representatives say the U.K. government paid too much, nearly €300 million, to turn back on what staff considers to be a faulty case management system being rolled out across the nation.'Tombstones' for Chevron, Feres | Judges' Disclosure Database | Protesters & Cameras
Two justices revisited doctrines that they would like to confine to the dustbin of history.OIG Issues Fraud Alert for Practitioners Working With Telehealth Companies
Dozens of investigations conducted by OIG revealed various fraud schemes utilized by such telemedicine companies.View more book results for the query "CMS"
The State of Medicare Set-Asides After a Roller Coaster Early 2022
Earlier this year, the Centers for Medicare & Medicaid Services (CMS) issued new guidelines regarding MSAs that sent shockwaves through the workers' compensation community. While CMS clarified those new guidelines within a few months, injured workers and their advocates still face uncertainty about what CMS requires when it comes to MSAs.CMS Issues Guidance—Creating a Roadmap for the End of COVID-19 Public Health Emergency
On Aug. 18, the Centers for Medicare & Medicaid Services (CMS), the federal agency within the U.S. Department of Health and Human Services (HHS) that administers the Medicare program as well as works with states to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards, announced a cross-cutting initiative aimed at evaluating CMS-issued public health emergency blanket waivers and flexibilities.Can You Commute a Workers' Compensation Case in Delaware?
If crafted correctly, a commutation can maximize the amount of compensation for a claimant, address future concerns, and permit claimants to move on with their life without feeling like someone is always watching their every move.Hurricane Ian: Preparing for Public Assistance
As soon as they are able, both public and nonprofit entities must consider the available resources to help defray costs, including insurance and federal disaster assistance programs.Reputational Concerns Likely Repelled Vendors From Trump Document Review
E-discovery vendors said there are a number of reasons a company would not want to be involved in handling the review of documents seized from Mar-a-Lago.Trending Stories
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