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CMS Settles Class Action Reversing Nursing Home Improvement Standard

Posted on October 23, 2012 by

It is being reported that the Center for Medicare Advocacy, Inc. has settled its class action lawsuit with the Center for Medicare and Medicaid Services regarding the “improvement standard” that CMS has historically required in order to continue Medicare reimbursement for patients in nursing homes. The “improvement standard” resulted in Medicare coverage being denied in […]

OIG Issues 2013 Annual Work Plan, Outlines Areas of Focus for Fiscal Year Ahead

Posted on October 10, 2012 by

The Office of Inspector General of the Department of Health of Health and Human Services (“OIG”) has published their annual work plan for the 2013 fiscal year (“2013 Work Plan”). The Work Plan focuses on areas where OIG plans to focus significant resources during the 2013 fiscal year. The 2013 Work Plan creates opportunities for […]

A Summary of the Wisconsin Hospital Association Town Hall on Health Care Reform

Posted on July 24, 2012 by

The long-awaited Supreme Court ruling regarding the constitutionality of the Affordable Care Act is finally in, but serious issues and questions remain related to Medicaid expansion and insurance exchanges. On January 12, 2012, the Wisconsin Hospital Association hosted a town hall on health care reform. Health policy expert Billy Wynne, senior vice president and principal […]

The Supreme Court’s Health Care Reform Decision: What It Means To Wisconsin Providers

Posted on July 6, 2012 by

As we reported in a prior e-Alert, last Thursday, the United States Supreme Court issued its most anticipated opinion in years and upheld most of the 2010 health care reform laws. Since then, you cannot turn on any of the major news networks without hearing debate about where we go from here and what the […]

Health Care Reform Upheld by Supreme Court

Posted on June 28, 2012 by

The United States Supreme Court this morning issued its long awaited opinion on the Health Care Reform laws enacted back in 2010. In a very complicated decision, the Court upheld the constitutionality of Health Care Reform, including the “individual mandate” which required that by 2014 most individuals must purchase health coverage or face a penalty. […]

Getting the Most Out of Corporate Compliance and Ethics Week

Posted on May 8, 2012 by

This week (May 6-12, 2012) has been designated as Corporate Compliance and Ethics Week by the Society of Corporate Compliance and Ethics and the Health Care Compliance Association. Corporate Compliance Week is a great time to reinforce the message of compliance throughout your organization. At a minimum, you should use this opportunity to publicize your […]