Kimberly Rai

King & Spalding

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Latest Posts › Medicare

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OIG Will Not Impose Sanctions on State’s EMS Division Lease Arrangement with Private Ambulance Company

On December 20, 2022, OIG issued a favorable Advisory Opinion allowing for the political subdivision of a State and its Department of Health EMS division (Requestor) to accept the provision of emergency transportation...more

1/12/2023 / Advisory Opinions , Ambulance Providers , Anti-Kickback Statute , Department of Health and Human Services (HHS) , Medicaid , Medicare , OIG

OIG Audit Finds That Providers Did Not Always Comply with Federal Requirements When Claiming Medicare Bad Debts

This month, OIG published its findings relating to its audit on providers who sought reimbursement from Medicare for bad debts. OIG conducted the audit to confirm whether: (a) providers complied with Federal requirements...more

1/3/2023 / Audits , Bad Debt , Centers for Medicare & Medicaid Services (CMS) , MACs , Medicare , OIG , Policies and Procedures

CMS Eyes State Medicaid Programs as Part of the Biden Administration’s Plan to Improve Nursing Home Care

For the Biden administration, the over 200,000 COVID-related deaths of nursing home residents and staff have served as a powerful signal for the need for nursing home reform. As part of the administration’s reform efforts,...more

9/1/2022 / Biden Administration , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Medicaid , Medicare , Nursing Homes , Reporting Requirements , Value-Based Care

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