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CMS Proposes New Overpayment Rule, Addressing Both “Identified” Definition and Six-Month Investigation Period

By Ramy Fayed and Christopher Janney
  • Compliance
  • Corporate
  • Hospitals & Health Systems
  • Medicare

Government Continues Focus on Private Equity’s Role in Healthcare

By Joanna Borman
  • Anti-Kickback Statute
  • Compliance
  • Fraud & Abuse

Seventh Circuit Weighs in on AKS Causation Standard – Sort of

By Samantha Groden
  • Anti-Kickback Statute
  • Compliance
  • Fraud & Abuse

Fifth Circuit Suggests AKS “Recommendation” Prong Has “Undue Influence” Element

By Christopher Janney
  • Anti-Kickback Statute
  • Compliance
  • Fraud & Abuse

Second Circuit Interprets AKS Scienter Standard to Protect Inadvertent Violations

By Margo Smith
  • Compliance
  • Health Care IT
  • Hospitals & Health Systems
  • Managed Care
  • Medicaid
  • Privacy & Security
  • Reimbursement

Medicaid Final Rules Add to HHS Regulatory Flurry

By Charles Luband, Janice Ziegler, Claire Bornstein, and Callan Smith
  • Compliance
  • Corporate
  • Hospitals & Health Systems

Prepare for Impact: How the FTC’s Final Rule Banning Non-Competes Might Affect Health Care Providers

By Marci Borenstein and Callan Smith
  • Compliance
  • Digital Health
  • Health Care IT
  • Privacy & Security
  • US Health Care

HHS-OCR Offers Insights Regarding HIPAA Compliance & Breaches of Unsecured PHI

By Stephanie Murtagh and Janice Ziegler
  • Compliance
  • Fraud & Abuse
  • Managed Care
  • Medicaid

“Identifying” an Overpayment: The Long and (Still) Winding Road

By Christopher Janney
  • Compliance
  • Corporate
  • Hospitals & Health Systems
  • Managed Care

Transaction Trends: States Increase Oversight of Healthcare Dealmaking

By Michael Montgomery
  • Compliance
  • Fraud & Abuse
  • Managed Care
  • Medicaid

HHS-OIG Announces First Round of Industry Segment-Specific Compliance Program Guidance

By Stephanie Murtagh
  • Compliance
  • Health Care IT
  • Managed Care
  • Medicaid
  • Medicare

CMS Finalizes Interoperability and Prior Authorization Rule, Creating New Requirements for Payers and Providers

By Janice Ziegler and Callan Smith

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