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CMS Finalizes Physician Payment Sunshine Regulations

In early February, the Centers for Medicare & Medicaid Services (CMS) issued regulations implementing the Physician Payments Sunshine Act, one of several Affordable Care Act mandates intended to...

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A Continued Challenge: The 3-Day Payment Rule Timeline

The Centers for Medicare and Medicaid Services' 3-day and 1-day payment rules (the "Payment Rules") continue to generate many questions among health care providers and suppliers concerning effective...

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OIG Exclusion Update: The Who, What, When, Where, and Why

The U.S. Department of Health and Human Services Office of Inspector General (“OIG”) recently released an updated Special Advisory Bulletin1 covering the scope and effect of exclusion from Federal...

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HRSA Issues Additional 340B Compliance Audit Reports and Program Rules

This month, the Health Resources and Services Administration (HRSA) issued additional 340B Program compliance audit results and its final rule on the orphan drug exclusion—clarifying several matters...

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OIG Report Revives Debate over Critical Access Status

On August 15th, the Office of Inspector General (OIG) released a report sure to add fuel to the continuing debate over Medicare payments to rural providers: “Most Critical Access Hospitals Would Not...

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