CMS CMS Issues Final Rule on Calculating MA Overpayments from Risk Adjustment… Thomas Sullivan Mar 30, 2023 0 On January 30, the Centers for Medicare & Medicaid Services (CMS) released a long-awaited final rule addressing how it will…
HHS Texas Court Vacates Part of IDR Rule Thomas Sullivan Mar 29, 2023 0 On February 6, 2023, the United States District Court for the Eastern District of Texas ruled in favor of the Texas Medical…
Anti Kickback $43 Million Verdict Against Precision Lens for Illegal Kickbacks Thomas Sullivan Mar 28, 2023 0 A federal civil jury recently returned a verdict against The Cameron-Ehlen Group d/b/a Precision Lens and its majority owner Paul…
DOJ United States Files Complaint in Intervention in FCA Case with Rite Aid Thomas Sullivan Mar 27, 2023 0 The United States recently filed a complaint in intervention in a False Claims Act (FCA) lawsuit against Rite Aid Corporation and…
Cardiology First Annual Cardiovascular & Pulmonary Summit for Advanced Practice… Thomas Sullivan Mar 26, 2023 0 PCE (Practicing Clinicians Exchange), a brand of Clinical Education Alliance (CEA) Holdings, is excited to announce the launch of…
State Policy California is the Latest State to Settle with Centene Over Overpayment… Thomas Sullivan Mar 24, 2023 0 California Attorney General Rob Bonta recently announced a $215,392,758 settlement with Centene Corporation and its subsidiaries…
CMS MGMA Submits Comments to CMS in Support of Prior Authorization Reforms Thomas Sullivan Mar 23, 2023 0 The Medical Group Management Association (MGMA) submitted comments to Centers for Medicare and Medicaid Services (CMS)…
DOJ Fiscal Year 2022 False Claims Act Settlements and Judgments Exceed $2… Thomas Sullivan Mar 22, 2023 0 In the Fiscal Year ending September 30, 2022, settlements and judgments under the False Claims Act exceeded $2.2 billion. That…
Telemedicine Alliance for Connected Care Calls for Telehealth Flexibility Extension Thomas Sullivan Mar 21, 2023 0 With the COVID-19 public health emergency (PHE) set to expire on May 11, 2023, the Alliance for Connected Care wrote a letter to…
Telemedicine DEA Proposes Making Telemedicine Flexibilities Permanent Thomas Sullivan Mar 20, 2023 0 The Drug Enforcement Administration (DEA) recently announced making permanent changes to the rules for prescribing controlled…