The U.S. Court of Appeals for the D.C. Circuit recently reversed a district court ruling and upheld the Centers for Medicare & Medicaid Services site-neutrality payment cuts for off-campus outpatient hospital clinic visits....more
On July 17, 2020, the U.S. Department of Health & Human Services (HHS) announced in a press release that providers participating in state Medicaid programs, the Children’s Health Insurance Program (CHIP) and/or...more
On July 10, 2020, the U.S. Department of Health and Human Services (HHS) announced it will allow dentists and other dental providers to apply for relief from the Public Health and Social Services Emergency Fund (Provider...more
The government has stepped up efforts to monitor physical therapy billing fraud and recoup overpayments. While the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) have long policed fraudulent...more
The Centers for Medicare & Medicaid Services (CMS) recently released Phase II recommendations to guide healthcare facilities as they reopen to provide non-emergent procedures unrelated to the 2019 novel coronavirus...more
Physician leaders continue to seek the right investor to partner with in a transaction, according to experts who spoke on a panel titled “Physician Leadership Perspectives on PPM Business: Finding the Right Partner, Closing...more
Update (June 11, 2020): This article was originally published on June 9, 2020. It has been updated to reflect new guidance released on June 10, 2020, by the Department of Health and Human Services (HHS), through the updated...more
On June 9, 2020, the U.S. Department of Health and Human Services (HHS) announced that it will distribute $25 billion from the Public Health and Social Services Emergency Fund (Provider Relief Fund) to healthcare providers...more
On May 22, 2020, the U.S. Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) updated its Work Plan to reflect its planned audit of the $50 billion disbursed by HHS to hospitals and other...more
The 2019 novel coronavirus (COVID-19) pandemic continues to have a significant effect on American lives and businesses. The healthcare industry is no exception, and private equity funds and other strategic buyers that invest...more
General Distribution Portal Submission Closing on June 3, 2020 -
The U.S. Department of Health and Human Services announced on May 20 that eligible providers have until June 3, 2020, to accept the Terms and Conditions and...more
On May 15, 2020, the U.S. House of Representatives narrowly passed, by a 208 to 199 vote, H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act). House Democratic leadership introduced the...more
As previously discussed, on April 3, 2020, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued a process for inquiries to be submitted to OIG about whether administrative enforcement...more
As previously discussed, on April 3, 2020, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued a process for inquiries to be submitted to OIG about whether administrative enforcement...more
This alert is part of a series discussing the comprehensive actions taken by the Centers for Medicare & Medicaid Services in response to the COVID-19 pandemic that are most important to healthcare providers....more
After issuing additional guidance regarding the Provider Relief Fund on May 6, 2020, the U.S. Department of Health and Human Services (HHS) announced on May 7 that providers would be given 15 additional days (through at least...more
On May 1, 2020, the U.S. Department of Health and Human Services (HHS) announced the release of $22 billion of the $100 billion public health and social services emergency fund (Provider Relief Fund) appropriated in the...more
Businesses are starting to reopen as stay-at-home orders and business closures resulting from the novel coronavirus (COVID-19) begin to ease. Unfortunately, reopening likely will not be an immediate return to business as...more
On April 21, 2020, the Centers for Medicare & Medicaid Services (CMS) issued guidance on the scope and application of the blanket waivers to the Physician Self-Referral Law (Stark Law) issued by the Department of Health and...more
On April 26, 2020, the Centers for Medicare & Medicaid Services (CMS) announced it was immediately suspending its advance payment program to Part B suppliers, and re-evaluating the amounts that will be paid to providers under...more
On April 22, 2020, the U.S. Department of Health and Human Services (HHS) announced the release of the remaining $70 billion of the $100 billion Public Health and Social Services Emergency Fund (Provider Relief Fund)...more
Update: Since release of this alert (originally posted April 23), Illinois has continued to update its emergency responses to the COVID-19 pandemic, as covered in part within our national review of stay-at-home and elective...more
The Centers for Medicare & Medicaid Services (CMS) recently released its first phase of recommendations regarding reopening medical facilities for the provision of non-emergent procedures unrelated to the 2019 novel...more
The Provider Relief Fund Attestation Portal is now open, so eligible healthcare providers can accept or reject the initial funds released from the $100 billion Public Health and Social Services Emergency Fund appropriated in...more
The unprecedented public health emergency created by the 2019 novel coronavirus (COVID-19) has sparked action by state and federal regulators to ensure greater access to healthcare, while simultaneously limiting the spread of...more