Special Bulletin

The announcement covers OPPS, ASC regulations, and promises to ramp up competition among providers. In a move that sparked instant and intense reactions across the healthcare industry, the federal government on Friday introduced twin final rules it says constitute “historic steps” to increase price transparency and increase competition among the…
Final Rule covers a wide range of payment and other provisions. The Centers for Medicare & Medicaid Services (CMS) wrapped up last week by unveiling a final rule associated with the Medicare Physician Fee Schedule (MPFS) and new policies governing the functions of the payment systems for the Outpatient Prospective…
The proposed changes target the federal Physician Self-Referral Law and the Anti-Kickback Statute. The U.S. Department of Health and Human Services (HHS) is introducing proposed changes to “modernize and clarify” the regulations that interpret the Physician Self-Referral Law (the “Stark Law”) and the federal Anti-Kickback Statute, officials announced Wednesday. The…
More than two dozen providers are listed as plaintiffs, with more expected to join.   More than two dozen Virginia behavioral healthcare providers have filed a preliminary injunction in federal court to halt and reverse their recent sudden, unexpected dismissal from the state’s Medicaid ranks at the hands of six…
A mass termination of Virginia’s behavioral healthcare providers is now underway by managed care organizations. More than 100 Medicaid behavioral healthcare providers in Virginia are being terminated without cause this week by managed care organizations (MCOs), according to Knicole Emanuel, a healthcare attorney. Emanuel, working in Richmond, believes the terminations…
Conspiracy ran for nearly 20 years, netting owner of assisted living and skilled nursing facilities $37 million. The primary orchestrator of what federal authorities called the most wide-reaching healthcare fraud scheme ever uncovered has been sentenced to 20 years in state prison – far short of the 30 years prosecutors…
The announcement is all but ensured to trouble providers already concerned about overreach. Federal healthcare oversight authorities have announced that they are expanding their “revocation and denial authorities” in an effort to enhance their efforts to fight waste, fraud, and abuse in the American healthcare system – marking a move…
Lessons learned from last year’s Hurricane Florence have helped one North Carolina hospital prepare for Hurricane Dorian. Meanwhile, Florida has responded to the nursing home tragedy caused by Hurricane Irma. EDITOR’S NOTE: Contributing to this story was Timothy Powell, reporting on the tragedy of the Hollywood Hills nursing home. Like…