Maryland Hospital Pays $4.9 Million to Resolve Short-Stay Admissions
February 19, 2013
The Department of Justice ("DOJ") and Maryland officials have settled False Claims Act charges with St. Joseph's Medical Center, a hospital located in...
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OIG Report Questions Effectiveness of REMS
February 19, 2013
The Office of Inspector General ("OIG") at the Department of Health and Human Services released a report this week, entitled " FDA Lacks Comprehensive Data...
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New FTC Guidance on Clinical Integration
February 18, 2013
In its first staff advisory opinion since passage of the Affordable Care Act, the FTC has given tentative approval to a physician hospital organization's plans to...
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U.S. Recovered $4.2 Billion In FY 2012 Through Health Fraud Enforcement
February 18, 2013
The federal government's health fraud enforcement and prevention efforts recovered a record $4.2 billion in fiscal year 2012, according to a February 11 press...
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UK Hospital Inquiry Recommends Prosecution of NHS Staff
February 14, 2013
The public inquiry into failings at Stafford Hospital in the UK has recommended that NHS staff should face prosecution if they are not open and honest about mistakes. ...
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Bill to Repeal Sustainable Growth Rate Formula for Physician Payment Reintroduced in the U.S. House of Representatives
February 13, 2013
The Medicare Physician Payment Innovation Act, which would repeal the sustainable growth rate ("SGR") formula used by CMS to set Medicare physician payment...
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Tracking Payments: How Should Manufacturers Allocate Food and Beverages?
February 13, 2013
The Sunshine Act's final rule, available here , clarifies how applicable manufacturers should allocate food and beverages related to certain events and meetings with...
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CMS Publishes Proposed Rule That Would Rescind Certain Regulations Deemed Unnecessary
February 12, 2013
On February 7, 2013, CMS published a proposed rule that would rescind certain regulations determined to "impede quality patient care" or that "divert...
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CMS Releases RAC Report for 2011
February 11, 2013
Recovery Audit Contractors ("RACs") for Medicare fee-for-service returned $488 million in improper payments to the Medicare Trust Fund in fiscal year 2011,...
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CMS Announces lower DMEPOS “initial prices” As a Result of Competitive Bidding Program Expansion
February 8, 2013
New, lower Medicare prices for Durable Medicare Equipment, Prosthetics, Orthotics, and Supplies ("DMEPOS") will go into effect in July as a result of an...
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J&J and Novartis Accused of Delaying Generic Entry in the Netherlands
February 8, 2013
The European Commission has accused the Dutch subsidiaries of US giant Johnson & Johnson and Swiss-based Novartis of delaying entry into the marketplace of a generic...
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CMS Announces 500 Bundled Payment Initiative Enrollees
February 7, 2013
On January 31, 2013, CMS announced the first 500 organizations selected to participate in the Bundled Payments for Care Improvement initiative. Under the program,...
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FCC Approves Three New, More Flexible Licenses, Including a Medical Testing License
February 7, 2013
This past Thursday, the Federal Communications Commission ("FCC") unanimously decided to adopt a proposal to streamline its experimental wireless device rules...
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Reports Find that CMS Made $126 Million in Improper Payments for Illegal Immigrants and for Prisoners
February 6, 2013
The Centers for Medicare & Medicaid Services ("CMS") made $126 million in improper payments for services provided to illegal immigrants and prisoners...
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Proposed Rule on Penalties for Non-Compliance with ACA Individual Mandate Published
February 5, 2013
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The Obama administration published its proposed rules on the penalties for non-compliance with the Affordable Care Act's individual mandate this past Wednesday. ...
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