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Showing 3 posts from March 2017.

The Department of Justice (DOJ) continues to investigate and prosecute allegations of kickbacks involving health care professionals. Read More ›

On March 2, 2017, the United States District Court for the District of New Hampshire issued an order (the Order) for a permanent injunction against CMS barring it from enforcing certain “policy clarifications” with respect to the calculation of the hospital-specific disproportionate share hospital (DSH) limit (42 U.S.C. § 1396r-4(g)).  As a result of this order, CMS is permanently enjoined from enforcing these “policy clarifications,” which States had used to reduce the DSH payments for many hospitals.  We anticipate the full scope of this injunction to play out in states around the country. Read More ›

Beginning March 8, 2017, Medicare-participating hospitals, including critical access hospitals, are required to provide the Medicare Outpatient Observation Notice (MOON) to all Medicare beneficiaries receiving observation services for more than 24 hours. This article highlights CMS’ guidance on some of the more pressing questions related to the  implementation of the MOON. Read More ›

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