Archives

2025-03-10: Updated: 2025-03-07 15:43:32 The Evolution from Medicare Audits to FCA Claims: What Healthcare Providers Need to Know in 2025

by Wachler & Associates, P.C.

2025-02-17: Updated: 2025-02-05 12:12:49 Independent Physician Practices: Sell Out or Go Cash-Pay?

by Wachler & Associates, P.C.

2025-02-12: Updated: 2025-02-06 10:13:27 Is it a Change of Ownership or Change of Information?

by Wachler & Associates, P.C.

2025-02-10: Updated: 2025-02-05 11:54:15 36-Month Rule for Hospices

by Wachler & Associates, P.C.

2025-02-06: Updated: 2025-02-05 11:52:48 Documentation Issues in Medicare Audits

by Wachler & Associates, P.C.

2025-01-08: Updated: 2025-01-07 11:51:39 Congress Issues Short-Term Extension of Telemedicine Flexibilities

by Wachler & Associates, P.C.

2024-12-09: Updated: 2024-12-02 13:01:34 Can We Settle This Audit Overpayment?

by Wachler & Associates, P.C.

2024-12-05: Updated: 2024-12-02 10:49:19 Guide to a Medicare Claims Appeal ALJ Hearing

by Wachler & Associates, P.C.

2024-12-03: Updated: 2024-12-02 13:01:14 HHS Continues to Struggle with Skin Substitutes, OIG Increases Scrutiny

by Wachler & Associates, P.C.

2024-11-25: Updated: 2024-11-21 10:38:20 HRSA and HHS Refuse to Budge on PRF Repayment Demands

by Wachler & Associates, P.C.

2024-11-20: Updated: 2024-11-15 09:59:52 Who is Liable for a Medicare Overpayment?

by Wachler & Associates, P.C.

2024-11-18: Updated: 2024-11-15 09:57:53 CMS Issues Changes to the 60-Day Rule

by Wachler & Associates, P.C.

2024-11-15: Updated: 2024-11-14 17:37:04 CMS Extends Direct Supervision by Telemedicine, Hints at Future Plans

by Wachler & Associates, P.C.

2024-10-24: Updated: 2024-10-15 17:25:39 Providers Win Lawsuit Over No Surprises Act’s Independent Dispute Resolution Rule

by Wachler & Associates, P.C.

2024-10-22: Updated: 2024-10-15 17:23:00 The Basics of Healthcare Fraud, Waste, and Abuse Laws

by Wachler & Associates, P.C.

2024-10-17: Updated: 2024-10-15 17:20:41 The Basics of Corporate Practice of Medicine

by Wachler & Associates, P.C.

2024-10-14: Updated: 2024-10-07 11:53:53 That Medicare Audit Appeal May Be Worth More Than You Think

by Wachler & Associates, P.C.

2024-10-09: Updated: 2024-10-07 11:43:15 OIG Scrutiny of Remote Monitoring Services

by Wachler & Associates, P.C.

2024-10-07: Updated: 2024-10-02 10:49:01 Medicare Audits: What a Provider Can Expect

by Wachler & Associates, P.C.

2024-10-01: Updated: 2024-10-02 10:22:21 Medicare Payment Suspensions: Shortcut to Revocation

by Wachler & Associates, P.C.

2024-09-24: Updated: 2024-09-23 17:21:57 Recent Updates to the OIG Work Plan

by Wachler & Associates, P.C.

2024-08-08: Updated: 2024-09-30 13:47:11 Does Medicare Audit Dentists?

by Wachler & Associates, P.C.

2024-08-06: Updated: 2024-08-05 17:08:25 2025 PFS Proposed Rule Includes 6-Month Suspension on the 60-Day Refund Rule

by Wachler & Associates, P.C.

2024-07-18: Updated: 2024-07-15 17:21:08 What Does the End of Chevron Deference Mean for Healthcare Law?

by Wachler & Associates, P.C.

2024-07-15: Updated: 2024-07-10 09:33:45 Claims Audits and Medical Documentation

by Wachler & Associates, P.C.

2024-07-08: Updated: 2024-07-02 10:03:32 Major Indictment of Telemedicine Company

by Wachler & Associates, P.C.

2024-07-02: Updated: 2024-07-01 17:35:44 Congress Seeks to Extend Telehealth Flexibilities and Expand Reimbursement

by Wachler & Associates, P.C.

2024-06-11: Updated: 2024-06-07 17:37:51 Physician Practices and Private Equity

by Wachler & Associates, P.C.

2024-05-14: Updated: 2024-05-13 10:03:36 OIG to Scrutinize Peripheral Vascular Procedures

by Wachler & Associates, P.C.

2024-04-30: Updated: 2024-04-29 18:03:14 HHS Final Rule Introduces HIPAA Compliance Changes for Reproductive Healthcare Information

by Wachler & Associates, P.C.

2024-04-15: Updated: 2024-04-11 17:50:19 MDHHS Awards New Medicaid Health Plan Contracts

by Wachler & Associates, P.C.

2024-04-11: Updated: 2024-04-09 12:06:34 Senators Request Audit of CMS Internal Oversight Processes

by Wachler & Associates, P.C.

2024-04-09: Updated: 2024-04-08 12:34:59 Providers Continue to be Subject to Wound Care Audits

by Wachler & Associates, P.C.

2024-03-26: Updated: 2024-03-18 17:53:07 OIG Continues to Audit PRF Recipients

by Wachler & Associates, P.C.

2024-03-21: Updated: 2024-03-19 12:00:45 CMS Expands 36-Month Rule to Hospices

by Wachler & Associates, P.C.

2024-03-19: Updated: 2024-03-18 17:51:07 Michigan Medicaid Releases New Telemedicine Policy

by Wachler & Associates, P.C.

2024-03-12: Updated: 2024-03-11 18:00:25 Providers Receiving Repayment Demands for Provider Relief Fund Payments

by Wachler & Associates, P.C.

2024-02-29: Updated: 2024-02-26 17:24:42 Michigan State Medical Society Voices Concerns Regarding Corporate Practice of Medicine

by Wachler & Associates, P.C.

2024-02-27: Updated: 2024-02-26 17:35:47 RAC to the Future: AI in Healthcare Audits

by Wachler & Associates, P.C.

2024-02-23: Updated: 2024-02-12 11:23:22 CMS Cautions MA Plans About Use of AI

by Wachler & Associates, P.C.

2024-02-20: Updated: 2024-02-12 11:19:55 Updates to SMRC Project List

by Wachler & Associates, P.C.

2024-02-16: Updated: 2024-02-12 11:21:47 AI and Healthcare Regulatory Compliance

by Wachler & Associates, P.C.

2024-02-13: Updated: 2024-02-12 11:17:31 The Basics of Stark, AKS, and EKRA

by Wachler & Associates, P.C.

2024-02-05: Updated: 2024-01-31 10:34:48 COVID-19 Audits Still an Issue for Providers

by Wachler & Associates, P.C.

2024-02-01: Updated: 2024-01-31 12:29:04 Enrolled as a Medicare Provider or Supplier? Make Sure PECOS is Current.

by Wachler & Associates, P.C.

2024-01-29: Updated: 2024-04-08 10:43:59 Wound Care Audits on the Rise

by Wachler & Associates, P.C.

2024-01-24: Updated: 2024-01-23 17:57:08 Is the FDA About to Regulate Lab-Developed Tests?

by Wachler & Associates, P.C.

2024-01-10: Updated: 2024-01-09 17:43:17 Michigan Medicaid Reminds Providers of Audit Requirements

by Wachler & Associates, P.C.

2023-12-27: Updated: 2023-12-22 11:46:52 HHS Issues Healthcare Cybersecurity Concept Paper

by Wachler & Associates, P.C.

2023-12-20: Updated: 2023-12-19 15:19:15 New Medicare Provider Enrollment Changes for 2024

by Wachler & Associates, P.C.

2023-12-18: Updated: 2023-12-15 17:10:09 CMS Finalizes CY 2024 Medicare Physician Fee Schedule

by Wachler & Associates, P.C.

2023-12-07: Updated: 2023-12-06 17:30:10 HHS OCR Announces First Ransomware Resolution Agreement and Corrective Action Plan

by Wachler & Associates, P.C.

2023-11-28: Updated: 2023-11-27 17:28:13 Healthcare Providers See Drastic Increase in Medicare Advantage Denials

by Wachler & Associates, P.C.

2023-11-20: Updated: 2023-11-15 12:26:33 OIG Issues New General Compliance Program Guidance

by Wachler & Associates, P.C.

2023-11-15: Updated: 2023-11-15 09:38:41 CMS Finalizes 2024 OPPS and ASC Payment Rates and Policies

by Wachler & Associates, P.C.

2023-11-08: Updated: 2023-11-07 17:30:32 WHO Publishes AI Considerations in Healthcare

by Wachler & Associates, P.C.

2023-10-30: Updated: 2023-10-27 17:17:09 CMS Expansion of Revocation Authority Requires Increased Diligence in Audit Response

by Wachler & Associates, P.C.

2023-10-23: Updated: 2023-10-20 16:21:04 OIG Updates Work Plan for October 2023

by Wachler & Associates, P.C.

2023-10-19: Updated: 2023-10-18 14:51:07 Employee Safe Harbor Protections Affirmed in Recent OIG Advisory Opinion

by Wachler & Associates, P.C.

2023-10-02: Updated: 2023-09-29 17:50:50 OIG Announces Plan to Investigate Managed Care Contracts

by Wachler & Associates, P.C.

2023-09-22: Updated: 2023-09-21 17:15:58 CMS Proposes Rule Establishing New Nursing Home Accountability and Staffing Standards

by Wachler & Associates, P.C.

2023-09-08: Updated: 2023-09-07 17:45:17 CMS Increases Scrutiny on Hospice Providers

by Wachler & Associates, P.C.

2023-09-01: Updated: 2023-09-01 13:33:48 CMS Announces New Voluntary Primary Care Model in Eight States

by Wachler & Associates, P.C.

2023-08-21: Updated: 2023-08-21 11:46:05 HHS, DOL, and Treasury Issue Long-Awaited Mental Health Parity Proposed Regulations

by Wachler & Associates, P.C.

2023-08-16: Updated: 2023-08-16 14:11:27 OIG Final Rule Implementing Information Blocking Penalties

by Wachler & Associates, P.C.

2023-08-14: Updated: 2023-08-14 12:26:10 CMS Announces GUIDE: A Medicare Dementia Care Model

by Wachler & Associates, P.C.

2023-08-09: Updated: 2023-08-08 17:20:22 OIG Declines to Impose Sanctions on Online Healthcare Directories

by Wachler & Associates, P.C.

2023-08-07: Updated: 2023-09-06 23:48:14 CMS Proposes Extension of Virtual Direct Supervision

by Wachler & Associates, P.C.

2023-07-24: Updated: 2023-07-21 10:56:50 OIG Audits the COVID-19 Uninsured Program

by Wachler & Associates, P.C.

2023-07-05: Updated: 2023-06-28 16:03:55 CMS To Audit Every Medicare-Enrolled SNF

by Wachler & Associates, P.C.

2023-06-28: Updated: 2023-06-27 14:37:31 U.S. Supreme Court Expands Scope of the False Claims Act, Includes What Provider Believed When It Submitted the Claim

by Wachler & Associates, P.C.

2023-06-26: Updated: 2023-06-23 14:52:02 Medicare Revocation vs Suspension vs Voluntary Disenrollment

by Wachler & Associates, P.C.

2023-06-19: Updated: 2023-06-15 15:36:46 OIG Announces New Work Plan Items for June

by Wachler & Associates, P.C.

2023-06-13: Updated: 2023-06-12 15:10:27 OIG Releases Semiannual Report to Congress

by Wachler & Associates, P.C.

2023-05-30: Updated: 2023-05-26 11:04:49 New FAQs Expand OIG Guidance

by Wachler & Associates, P.C.

2023-05-22: Updated: 2023-05-19 11:11:52 CMS Launching PECOS 2.0 in Summer 2023

by Wachler & Associates, P.C.

2023-05-15: Updated: 2023-05-12 16:39:08 Can Physicians Invest in ASCs?

by Wachler & Associates, P.C.

2023-05-08: Updated: 2023-05-05 16:52:38 Primer on Medicare Advantage (Part C) Audits

by Wachler & Associates, P.C.

2023-05-01: Updated: 2023-04-25 17:39:11 What Happens When a COVID-19 Lab Shuts Down?

by Wachler & Associates, P.C.

2023-04-26: Updated: 2023-04-26 17:19:50 OIG Continues Scrutiny of Telehealth Services

by Wachler & Associates, P.C.

2023-04-17: Updated: 2023-04-14 09:40:22 Primer on Medicare Advantage Payments and Audits

by Wachler & Associates, P.C.

2023-04-05: Updated: 2023-04-03 10:58:05 MDHHS Launching Electronic Visit Verification System

by Wachler & Associates, P.C.

2023-04-03: Updated: 2023-03-31 15:43:25 CMS Proposes New Nursing Facility Disclosure Requirements

by Wachler & Associates, P.C.

2023-03-27: Updated: 2023-03-23 11:40:26 CMS Issues Initial Guidance Regarding the Medicare Drug Price Negotiation Program

by Wachler & Associates, P.C.

2023-03-20: Updated: 2023-03-17 15:19:19 CMS Updates the Self-Referral Disclosure Protocol

by Wachler & Associates, P.C.

2023-03-15: Updated: 2023-03-10 17:42:06 CMS Proposes HIPAA Administrative Simplification Rule

by Wachler & Associates, P.C.

2023-03-13: Updated: 2023-03-13 14:54:35 HHS Addresses End of Public Health Emergency and PHE Waivers

by Wachler & Associates, P.C.

2023-03-06: Updated: 2023-03-03 18:12:24 New Rural Emergency Hospital Provider Type Offers Potential Solution for Struggling Rural Hospitals

by Wachler & Associates, P.C.

2023-02-27: Updated: 2023-02-24 16:54:07 Michigan Updates Corporate Practice of Medicine Laws

by Wachler & Associates, P.C.

2023-02-23: Updated: 2023-02-22 17:01:36 HHS Issues Medicare Advantage RADV Final Rule

by Wachler & Associates, P.C.

2023-01-30: Updated: 2023-01-23 10:14:25 Top Healthcare Law Issues in 2023

by Wachler & Associates, P.C.

2023-01-26: Updated: 2023-01-25 17:25:15 UPIC Audits on the Rise

by Wachler & Associates, P.C.

2023-01-23: Updated: 2023-01-18 17:24:07 COVID-19 Telehealth Integrity Report Issued by Pandemic Response Accountability Committee (PRAC)

by Wachler & Associates, P.C.

2023-01-19: Updated: 2023-01-18 17:20:30 OIG Advisory Opinion Approves Arrangement Involving NP Services Provided by Hospital

by Wachler & Associates, P.C.

2022-12-19: Updated: 2022-12-15 11:06:17 Medicare Telehealth Updates in 2023 Physician Fee Schedule

by Wachler & Associates, P.C.

2022-12-13: Updated: 2022-12-12 14:15:05 Extrapolation in Medicare Advantage Audits Causes Controversy

by Wachler & Associates, P.C.

2022-12-07: Updated: 2022-12-06 14:11:46 Clinical Laboratory Updates in 2023 Physician Fee Schedule

by Wachler & Associates, P.C.

2022-11-21: Updated: 2022-11-17 14:06:45 OIG Updates Work Plan for November 2022

by Wachler & Associates, P.C.

2022-11-14: Updated: 2022-11-11 17:20:28 NPDB Reporting Obligations Reinforced by Recent Court Decision

by Wachler & Associates, P.C.

2022-11-09: Updated: 2022-11-08 12:14:12 CMS Focuses Enforcement on Poorly Performing Nursing Homes

by Wachler & Associates, P.C.

2022-11-07: Updated: 2022-10-28 15:59:00 CMS Seeks Comments on Proposed National Healthcare Provider Directory

by Wachler & Associates, P.C.

2022-11-02: Updated: 2022-10-28 15:57:36 OIG Recommends UPICs Conduct More Medicaid Audits

by Wachler & Associates, P.C.

2022-10-31: Updated: 2022-10-28 15:41:44 OIG Releases Medicare Telehealth Program Integrity Report

by Wachler & Associates, P.C.

2022-10-25: Updated: 2022-10-24 17:37:27 HHS OIG Releases Template for Requests for Advisory Opinions

by Wachler & Associates, P.C.

2022-10-17: Updated: 2022-10-14 13:12:35 Audited by a UPIC? Batten Down the Hatches.

by Wachler & Associates, P.C.

2022-10-10: Updated: 2022-10-07 11:07:15 A Primer on Opting-Out of Medicare

by Wachler & Associates, P.C.

2022-10-03: Updated: 2022-09-29 11:19:01 More Changes to No Surprises Act Final Rule

by Wachler & Associates, P.C.

2022-09-28: Updated: 2022-09-27 10:47:10 HHS OIG Issues New Advisory Opinion Regarding Speaking Engagements

by Wachler & Associates, P.C.

2022-09-06: Updated: 2022-09-01 14:55:44 OIG Updates Work Plan for August 2022

by Wachler & Associates, P.C.

2022-08-31: Updated: 2022-08-30 16:59:16 HRSA Starting Audits for COVID-19 Testing

by Wachler & Associates, P.C.

2022-08-25: Updated: 2022-08-23 09:48:39 HHS Issues New Rules for No Surprises Act Dispute Resolution

by Wachler & Associates, P.C.

2022-08-22: Updated: 2022-08-18 13:40:42 Appealing Medicare Audits: What to Know

by Wachler & Associates, P.C.

2022-08-17: Updated: 2022-08-16 10:05:04 HHS and DOJ Release Guidance Regarding Accessibility of Telemedicine Services

by Wachler & Associates, P.C.

2022-08-10: Updated: 2022-08-15 14:56:59 Commercial Payor Audits of Labs for COVID-19 Growing

by Wachler & Associates, P.C.

2022-08-04: Updated: 2022-08-03 13:27:26 Contours of EKRA Still Forming

by Wachler & Associates, P.C.

2022-07-27: Updated: 2022-07-26 15:44:55 PHE Extended: What It Means (or Doesn’t Mean) for Providers

by Wachler & Associates, P.C.

2022-07-22: Updated: 2022-07-21 16:13:43 HHS OIG Issues Special Fraud Alert for Telemedicine

by Wachler & Associates, P.C.

2022-07-18: Updated: 2022-07-15 10:51:51 Insurer Rates Have Gone Public

by Wachler & Associates, P.C.

2022-07-06: Updated: 2022-07-05 17:37:01 Kickback Allegations Illustrate Compliance Challenges of Complex Transactions.

by Wachler & Associates, P.C.

2022-06-22: Updated: 2022-06-21 14:23:50 A Guide to SMRC Audits

by Wachler & Associates, P.C.

2022-06-20: Updated: 2022-06-17 17:07:49 Are Your Efforts to Collect Co-pays and Deductibles “Reasonable”?

by Wachler & Associates, P.C.

2022-06-15: Updated: 2022-06-14 15:17:53 Study May Forecast More Audits of Labs that Perform COVID-19 Testing

by Wachler & Associates, P.C.

2022-06-10: Updated: 2022-06-09 16:49:49 CMS Releases New Comparative Billing Report: What Does it Mean?

by Wachler & Associates, P.C.

2022-06-02: Updated: 2022-05-27 12:54:18 Michigan Passes Legislation to Improve Prior Authorization Process

by Wachler & Associates, P.C.

2022-05-31: Updated: 2022-05-27 12:49:54 Why It’s Important to Appeal that Medicare Audit

by Wachler & Associates, P.C.

2022-05-16: Updated: 2022-05-13 11:51:36 OIG Questions Medicare Advantage Denials

by Wachler & Associates, P.C.

2022-05-04: Updated: 2022-05-03 10:03:11 What Clinical Labs Can Expect in Audits of COVID-19 Testing Claims

by Wachler & Associates, P.C.

2022-05-02: Updated: 2022-04-29 16:38:33 Providing Cross-State Telehealth Services

by Wachler & Associates, P.C.

2022-04-27: Updated: 2022-04-26 17:20:00 An Introduction to Targeted Probe and Educate (TPE) Audits

by Wachler & Associates, P.C.

2022-04-25: Updated: 2022-04-22 17:01:52 DOJ Announces New Round of Pandemic-Related Charges

by Wachler & Associates, P.C.

2022-04-21: Updated: 2022-04-20 15:39:59 Consolidated Appropriations Act Extends Post-PHE Telehealth Coverage

by Wachler & Associates, P.C.

2022-04-18: Updated: 2022-04-15 16:08:00 CMS Terminating Several COVID-19 Blanket Waivers

by Wachler & Associates, P.C.

2022-04-14: Updated: 2022-04-13 14:01:56 Private Equity and Healthcare Investments

by Wachler & Associates, P.C.

2022-04-08: Updated: 2022-04-07 13:40:41 HHS to Allow Late PRF Reporting

by Wachler & Associates, P.C.

2022-03-22: Updated: 2022-03-22 09:20:30 HHS Withdraws No Surprises Act IDR Rule

by Wachler & Associates, P.C.

2022-03-16: Updated: 2022-03-16 11:41:37 HHS OIG Discusses 2022 Enforcement Priorities and Role in FCA Resolutions

by Wachler & Associates, P.C.

2022-03-14: Updated: 2022-03-14 08:59:06 FDA Outlines Termination Plan for COVID-19 EUAs and Enforcement Policies for Medical Devices and PPE

by Wachler & Associates, P.C.

2022-03-10: Updated: 2022-03-10 09:15:51 Referring Clinical Lab Services Under the “In Office Ancillary” Exception

by Wachler & Associates, P.C.

2022-03-08: Updated: 2022-03-08 09:13:15 HHS Delays SUNSET Rule …Again

by Wachler & Associates, P.C.

2022-02-24: Updated: 2022-02-24 09:29:57 A Primer on Appealing Medicare Audits

by Wachler & Associates, P.C.

2022-02-21: Updated: 2022-02-21 09:25:38 Supplemental Medical Review Contractor (SMRC) Audits for Feb. 2022

by Wachler & Associates, P.C.

2022-02-14: Updated: 2022-02-14 09:26:12 EKRA Continues to Cause Confusion for Clinical Labs

by Wachler & Associates, P.C.

2022-02-10: Updated: 2022-02-10 09:18:51 Healthcare Companies Paid 90% of all False Claims Act Settlements in 2021

by Wachler & Associates, P.C.

2022-02-07: Updated: 2022-02-07 09:33:14 HHS to Audit More Providers That Received COVID-19 Relief Funds

by Wachler & Associates, P.C.

2022-02-03: Updated: 2022-02-03 09:00:10 More Than One Medicare Audit? Better Check for Overlap.

by Wachler & Associates, P.C.

2022-02-01: Updated: 2022-02-01 09:23:22 OIG Opinion Underlines AKS Concerns About Healthcare Joint Ventures

by Wachler & Associates, P.C.

2022-01-20: Updated: 2022-01-20 09:24:07 New Guidance on Insurance Coverage of OTC COVID-19 Tests

by Wachler & Associates, P.C.

2022-01-18: Updated: 2022-01-18 09:34:45 OIG Updates Work Plan for January 2022

by Wachler & Associates, P.C.

2022-01-13: Updated: 2022-01-13 09:16:18 HHS Releases Additional $9 Billion in Provider Relief Funds

by Wachler & Associates, P.C.

2022-01-06: Updated: 2022-01-06 09:01:25 A Primer on Medicare Statistical Extrapolations

by Wachler & Associates, P.C.

2022-01-04: Updated: 2022-01-04 09:03:42 CMS Releases Guidance on Hospital Co-Location

by Wachler & Associates, P.C.

2021-12-21: Updated: 2021-12-21 09:10:17 OIG Shifts Course on Anesthesia Providers and the Anti-Kickback Statute

by Wachler & Associates, P.C.

2021-12-13: Updated: 2021-12-13 09:20:19 Primer on Provider Requirements under the No Surprises Act (Part II)

by Wachler & Associates, P.C.

2021-12-09: Updated: 2021-12-09 11:59:35 Primer on Provider Requirements under the No Surprises Act (Part I)

by Wachler & Associates, P.C.

2021-12-06: Updated: 2021-12-06 08:41:10 Administration Posed to Expand COVID Testing Insurance Coverage Mandate

by Wachler & Associates, P.C.

2021-12-01: Updated: 2021-12-01 09:01:05 HHS Reverses Course, COVID-19 LDTs to Require an EUA

by Wachler & Associates, P.C.

2021-11-29: Updated: 2021-11-29 09:05:58 Medicare Audits Return in Full Force

by Wachler & Associates, P.C.

2021-11-23: Updated: 2021-11-23 09:06:44 CMS Issues OPPS and ASC Final Rules for CY 2022, Reverses Course on Inpatient-Only and ASC Codes.

by Wachler & Associates, P.C.

2021-11-15: Updated: 2021-11-15 09:02:04 CMS Releases Vaccine Requirement for Some Medicare Providers

by Wachler & Associates, P.C.

2021-11-11: Updated: 2021-11-11 08:48:29 HHS OIG Revises Self-Disclosure Protocol

by Wachler & Associates, P.C.

2021-11-08: Updated: 2021-11-08 08:59:08 DOJ Allegations Illustrate Issues in Coding

by Wachler & Associates, P.C.

2021-11-05: Updated: 2021-11-05 08:54:24 Tips for Responding to a Medicare Revocation

by Wachler & Associates, P.C.

2021-11-03: Updated: 2021-11-03 09:27:05 False Claims Settlements Illustrate Compliance Challenges for Clinical Labs

by Wachler & Associates, P.C.

2021-11-01: Updated: 2021-11-01 09:13:27 HHS Proposes to Repeal Rules that Limit Its Authority

by Wachler & Associates, P.C.

2021-10-29: Updated: 2021-10-29 09:13:33 OIG Updates Work Plan For October 2021

by Wachler & Associates, P.C.

2021-10-27: Updated: 2021-10-27 09:08:31 UnitedHealth to Repay Providers Shortchanged for COVID Vaccine Administration

by Wachler & Associates, P.C.

2021-10-25: Updated: 2021-10-25 09:03:39 Appealing a Medicare Audit

by Wachler & Associates, P.C.

2021-10-22: Updated: 2021-10-22 09:07:48 HHS Restores Rulemaking Authority to FDA

by Wachler & Associates, P.C.

2021-10-19: Updated: 2021-10-19 09:08:17 State Relaxes Licensing Requirements to Address Healthcare Worker Shortage

by Wachler & Associates, P.C.

2021-10-13: Updated: 2021-10-13 09:15:07 OCR Settles Twentieth HIPAA Right of Access Initiative Investigation

by Wachler & Associates, P.C.

2021-10-11: Updated: 2021-10-11 09:03:12 OCR Issues Guidance on HIPAA, COVID-19 Vaccinations, and the Workplace

by Wachler & Associates, P.C.

2021-10-07: Updated: 2021-10-07 09:26:33 HHS Reports Progress Resolving Medicare Appeals Backlog

by Wachler & Associates, P.C.

2021-10-05: Updated: 2021-10-05 09:09:39 CMS Proposes Repeal of Breakthrough Devices Medicare Coverage Rule

by Wachler & Associates, P.C.

2021-09-30: Updated: 2021-09-30 08:55:24 HHS Expands Settlement Conference Facilitation

by Wachler & Associates, P.C.

2021-09-28: Updated: 2021-09-28 09:01:26 Allegations Show Pitfalls of AKS Compliance

by Wachler & Associates, P.C.

2021-09-20: Updated: 2021-09-20 09:16:42 HHS Announces Another $25.5 Billion in COVID-19 Provider Funding, Grace Period for Provider Relief Fund

by Wachler & Associates, P.C.

2021-09-10: Updated: 2021-09-10 16:13:20 CMS Proposes to Expand Its Authority to Revoke Medicare Billing Privileges

by Wachler & Associates, P.C.

2021-09-07: Updated: 2021-09-07 09:23:57 Implications if Medicare Expands to Cover Dental Services

by Wachler & Associates, P.C.

2021-09-01: Updated: 2021-09-15 13:59:29 HHS Expands Its Capability to Audit the Provider Relief Fund

by Wachler & Associates, P.C.

2021-08-30: Updated: 2021-08-30 09:35:49 Biden Administration Proposes to Rescind “Most Favored Nation” Drug Rule

by Wachler & Associates, P.C.

2021-08-24: Updated: 2021-08-24 08:55:39 Audits Growing More Burdensome on Pharmacies

by Wachler & Associates, P.C.

2021-08-19: Updated: 2021-08-19 09:13:53 CMS Relaunches TPE Audit Program After Public Health Emergency Pause

by Wachler & Associates, P.C.

2021-08-17: Updated: 2021-08-17 09:08:31 Updated 2021 PhRMA Code Echoes HHS OIG Guidance on Speaker Programs

by Wachler & Associates, P.C.

2021-08-12: Updated: 2021-08-12 09:09:01 Court Ruling Shows Limits on FDA Authority to Regulate Medical Devices

by Wachler & Associates, P.C.

2021-08-10: Updated: 2021-08-10 09:20:52 Congress Introduces Bill to Make It Easier to Prove False Claims Violations

by Wachler & Associates, P.C.

2021-08-05: Updated: 2021-08-05 08:24:44 CMS FY 2022 Budget Justification Requests Increased Funding for Medical Review

by Wachler & Associates, P.C.

2021-08-03: Updated: 2021-08-03 09:02:57 First PRF Reporting Deadline Coming Soon

by Wachler & Associates, P.C.

2021-07-28: Updated: 2021-07-28 09:04:39 CMS Proposes to Re-Revise the Stark Law’s Definition of “Indirect Compensation Arrangement”

by Wachler & Associates, P.C.

2021-07-26: Updated: 2021-07-26 09:33:09 CMS Proposes to Keep Medicare Coverage for Some Audio-Only Services

by Wachler & Associates, P.C.

2021-07-22: Updated: 2021-07-22 09:05:15 OIG Focuses Efforts on Telehealth Audits

by Wachler & Associates, P.C.

2021-07-20: Updated: 2021-07-20 08:58:51 Deadlines Approaching to Report Cardiac Device Overpayments

by Wachler & Associates, P.C.

2021-07-15: Updated: 2021-07-23 10:35:02 CMS Proposes to Keep Some Medicare Telehealth Access in 2022 Physician Fee Schedule

by Wachler & Associates, P.C.

2021-07-13: Updated: 2021-07-13 11:53:58 President Biden Signs Executive Order Impacting Healthcare Sector

by Wachler & Associates, P.C.

2021-07-08: Updated: 2021-07-08 09:06:41 HHS Site-Neutral Pay Rule to Remain in Effect

by Wachler & Associates, P.C.

2021-07-06: Updated: 2021-07-06 08:52:26 Responding to a Targeted Probe and Educate Review

by Wachler & Associates, P.C.

2021-06-30: Updated: 2021-06-30 09:34:50 A Primer on SMRC Audits

by Wachler & Associates, P.C.

2021-06-28: Updated: 2021-06-28 09:01:34 HHS Releases Comments to Proposed HIPAA Privacy Rule

by Wachler & Associates, P.C.

2021-06-23: Updated: 2021-06-23 09:02:07 Sale of Goods in Physician Offices

by Wachler & Associates, P.C.

2021-06-21: Updated: 2021-06-21 09:14:06 What’s the Difference Between “In Office Ancillary” and “Incident To”?

by Wachler & Associates, P.C.

2021-06-15: Updated: 2021-06-15 09:01:12 HHS Reveals New PRF Reporting Requirements

by Wachler & Associates, P.C.

2021-06-14: Updated: 2021-06-14 08:52:05 Medicare Creates Additional Payment for At-Home COVID-19 Vaccine Administration

by Wachler & Associates, P.C.

2021-06-09: Updated: 2021-06-09 08:28:00 New Bill to Make Telemedicine Waivers Permanent as GAO Urges Caution

by Wachler & Associates, P.C.

2021-06-07: Updated: 2021-06-07 09:05:53 Vaccine Incentives for Healthcare Employers

by Wachler & Associates, P.C.

2021-06-02: Updated: 2021-06-02 09:09:18 A Primer on Corporate Practice of Medicine

by Wachler & Associates, P.C.

2021-05-26: Updated: 2021-05-27 15:35:34 CMS Delays Rule on Breakthrough Devices …Again.

by Wachler & Associates, P.C.

2021-05-24: Updated: 2021-05-24 09:13:15 OIG Makes Multiple Updates to Work Plan in May 2021

by Wachler & Associates, P.C.

2021-05-21: Updated: 2021-05-21 08:51:09 Is it Possible to Settle an Overpayment Demand? Depends on the Payor.

by Wachler & Associates, P.C.

2021-05-19: Updated: 2021-05-19 09:12:12 Common Reasons for Medicare Revocations

by Wachler & Associates, P.C.

2021-05-13: Updated: 2021-05-13 09:01:43 Will HHS Amend the PRF Spending Deadline and Reporting Requirements?

by Wachler & Associates, P.C.

2021-05-10: Updated: 2021-05-10 09:23:24 HHS Announces New Mechanism to Reimburse for COVID-19 Vaccine Administration

by Wachler & Associates, P.C.

2021-05-06: Updated: 2021-05-06 09:07:29 HHS, DOJ Active in National Telemedicine Fraud Enforcement

by Wachler & Associates, P.C.

2021-05-03: Updated: 2021-05-03 09:05:42 First Charges Filed Under the COVID-19 Consumer Protection Act

by Wachler & Associates, P.C.

2021-04-27: Updated: 2021-04-27 09:12:32 Are COVID-19 Liability Waivers by Patients Enforceable?

by Wachler & Associates, P.C.

2021-04-19: Updated: 2021-04-19 08:56:05 HHS OIG Issues COVID-19 Vaccine Compliance Reminder to Providers

by Wachler & Associates, P.C.

2021-04-15: Updated: 2021-04-15 09:04:27 A Primer on Medicare Claims Appeals

by Wachler & Associates, P.C.

2021-04-12: Updated: 2021-04-12 12:34:50 A Primer on Michigan’s New Balance Medical Billing Laws

by Wachler & Associates, P.C.

2021-04-09: Updated: 2021-04-09 08:58:52 Can Patient Assistance Programs Help Patients Pay for Medical Costs?

by Wachler & Associates, P.C.

2021-04-05: Updated: 2021-04-05 09:05:53 A Summary of Changes in E/M Telephone Billing During the COVID-19 Pandemic

by Wachler & Associates, P.C.

2021-03-29: Updated: 2021-03-29 09:34:19 First Provider Relief Fund Indictment Provides Window Into Enforcement Issues

by Wachler & Associates, P.C.

2021-03-25: Updated: 2021-03-25 09:07:52 CMS Increases Medicare Payment to Providers Administering COVID-19 Vaccines

by Wachler & Associates, P.C.

2021-03-22: Updated: 2021-03-22 09:06:44 A Primer on the Stark Law, Anti-Kickback Statute, and EKRA

by Wachler & Associates, P.C.

2021-03-18: Updated: 2021-03-18 09:09:44 A Peak Inside the $1.9 Trillion COVID-19 Relief Bill

by Wachler & Associates, P.C.

2021-03-16: Updated: 2021-03-16 09:15:49 Extension of Public Comment Period for Proposed HIPAA Modifications

by Wachler & Associates, P.C.

2021-03-12: Updated: 2021-03-12 09:07:14 COVID Testing Providers Face Hurdles for HRSA Reimbursement

by Wachler & Associates, P.C.

2021-03-03: Updated: 2021-03-03 09:03:51 OCR to Ease HIPAA Enforcement for Web-Based Scheduling of COVID-19 Vaccinations

by Wachler & Associates, P.C.

2021-03-01: Updated: 2021-03-01 11:19:15 A Primer on Medicare Revocation

by Wachler & Associates, P.C.

2021-02-24: Updated: 2021-02-24 09:06:25 Michigan Announces New Resources to Aid COVID-19 Vaccine Sign Up

by Wachler & Associates, P.C.

2021-02-22: Updated: 2021-02-22 09:20:36 OIG Opines on Per-Vaccine Compensation for Administrative Services

by Wachler & Associates, P.C.

2021-02-19: Updated: 2021-02-19 09:13:12 A Primer on Assignment of Payment

by Wachler & Associates, P.C.

2021-02-15: Updated: 2021-02-15 09:01:08 2021 Special Enrollment Period for the Health Insurance Marketplace

by Wachler & Associates, P.C.

2021-02-12: Updated: 2021-02-12 09:30:19 OIG Makes Multiple Updates to Work Plan in January 2021

by Wachler & Associates, P.C.

2021-02-10: Updated: 2021-02-10 09:13:26 MDHHS Partners with Wayne State University and Wayne Health to Expand Mobile COVID-19 Testing

by Wachler & Associates, P.C.

2021-02-03: Updated: 2021-02-09 10:48:21 A Primer on Medicare Targeted Probe and Educate Reviews

by Wachler & Associates, P.C.

2021-02-01: Updated: 2021-02-01 13:21:31 CMS Codifies Definition of “Reasonable and Necessary” in Medicare Coverage Determinations

by Wachler & Associates, P.C.

2021-01-27: Updated: 2021-01-27 09:05:20 Uncertainty Surrounding CARES Act Reimbursement for Out-of-Network COVID-19 Testing

by Wachler & Associates, P.C.

2021-01-25: Updated: 2021-01-25 10:10:34 HHS Updates PRF Reporting Requirements

by Wachler & Associates, P.C.

2021-01-21: Updated: 2021-01-21 09:19:44 CMS Implements New Prior Authorization Changes

by Wachler & Associates, P.C.

2021-01-18: Updated: 2021-01-18 09:45:15 CMS Finalizes Changes to Medicare Advantage and Part D Prescription Drug Programs

by Wachler & Associates, P.C.

2021-01-15: Updated: 2021-01-15 09:06:26 HHS Increases Fairness and Notice in Civil and Administrative Proceedings

by Wachler & Associates, P.C.

2021-01-13: Updated: 2021-01-13 09:19:22 OCR and HHS Issue Guidance on Health Information Exchanges

by Wachler & Associates, P.C.

2021-01-08: Updated: 2021-01-08 12:10:20 Michigan to Distribute COVID-19 Vaccine to Skilled Nursing Home Facilities through the Pharmacy Partnership for Long-term Care Program

by Wachler & Associates, P.C.

2021-01-05: Updated: 2021-01-05 13:25:34 CMS Releases New Measures Under Consideration Focusing on Increasing Data Innovation and Reducing Provider Burden

by Wachler & Associates, P.C.

2020-12-21: Updated: 2020-12-21 10:05:45 Michigan Releases New COVID-19 Tools to Reduce Exposure and Risk

by Wachler & Associates, P.C.

2020-12-18: Updated: 2020-12-18 12:00:11 HHS Increases Phase 3 of Provider Relief Fund and Will Begin Distribution

by Wachler & Associates, P.C.

2020-12-16: Updated: 2020-12-16 11:32:18 CMS Expands Telehealth Services and Flexibility for Non-Physician Providers

by Wachler & Associates, P.C.

2020-12-14: Updated: 2020-12-14 08:09:38 HHS Proposes HIPAA Modifications to Better Serve Patients

by Wachler & Associates, P.C.

2020-12-11: Updated: 2020-12-11 08:11:24 FDA Asserts Authority Over At-Home Collection Kits for COVID-19 LDTs

by Wachler & Associates, P.C.

2020-12-09: Updated: 2020-12-09 10:37:31 CMS Finalizes 2021 OPPS Rule, Officially Phasing Out the Inpatient Only List

by Wachler & Associates, P.C.

2020-12-04: Updated: 2020-12-04 09:02:04 Final Rule for Medicare Physician Fee Schedule

by Wachler & Associates, P.C.

2020-12-02: Updated: 2020-12-02 14:19:21 CMS Releases Finalized Stark and Anti-Kickback Rules

by Wachler & Associates, P.C.

2020-11-30: Updated: 2020-11-30 09:10:55 HHS OIG Issues Fraud Alert for Physician Speaking Engagements

by Wachler & Associates, P.C.

2020-11-23: Updated: 2020-11-23 09:35:23 New Michigan COVID-19 Liability Laws

by Wachler & Associates, P.C.

2020-11-20: Updated: 2020-11-20 13:38:46 Release of CMS 2020 Improper Payment Report

by Wachler & Associates, P.C.

2020-11-18: Updated: 2020-11-18 09:26:52 Upcoming Healthcare Policies from President-Elect Biden

by Wachler & Associates, P.C.

2020-11-16: Updated: 2020-11-16 11:50:02 Medicaid and CHIP Final Rule Creates Flexibility in the States

by Wachler & Associates, P.C.

2020-11-13: Updated: 2020-11-13 16:22:31 The Broadening of Provider Revocation Circumstances

by Wachler & Associates, P.C.

2020-11-11: Updated: 2020-11-11 08:13:44 FCC Launches $100 Million Telehealth Pilot Program

by Wachler & Associates, P.C.

2020-11-09: Updated: 2020-11-09 12:56:13 HHS Proposes to Review Its Regulations Every Ten Years

by Wachler & Associates, P.C.

2020-11-06: Updated: 2020-11-06 13:32:45 HHS Rewards Nursing Homes with $333 Million for Reduced COVID-19 Infections and Deaths

by Wachler & Associates, P.C.

2020-11-04: Updated: 2020-11-04 08:07:05 Provider Relief Fund for COVID-19 Vaccine Logistics and OIG Review of HRSA

by Wachler & Associates, P.C.

2020-11-02: Updated: 2020-11-02 13:37:30 Ransomware Attacks Imminent in Healthcare Entities

by Wachler & Associates, P.C.

2020-10-30: Updated: 2020-10-30 14:25:46 CMS Announces New Plan to Cover COVID-19 Vaccine Under Medicare

by Wachler & Associates, P.C.

2020-10-28: Updated: 2020-10-28 09:14:58 Purdue Pharma Settles OxyContin Investigation

by Wachler & Associates, P.C.

2020-10-26: Updated: 2020-10-26 10:22:53 HHS Expands PRF Payment Use for “Lost Revenue” and Phase 3 Eligibility

by Wachler & Associates, P.C.

2020-10-21: Updated: 2020-10-21 08:48:13 Medicare to Cut Payment for COVID-19 Testing That Takes More Than Two Days

by Wachler & Associates, P.C.

2020-10-19: Updated: 2020-10-19 13:14:27 MACs Resuming Post-Payment Review

by Wachler & Associates, P.C.

2020-10-16: Updated: 2020-10-16 08:12:11 White House will not Delay Hospital Price Transparency Requirements

by Wachler & Associates, P.C.

2020-10-14: Updated: 2020-10-14 15:28:06 Hospitals Must Report COVID Data by December 9 or Risk Medicare/Medicaid Termination

by Wachler & Associates, P.C.

2020-10-12: Updated: 2020-10-12 09:06:41 Provider Relief Fund Introduces Phase 3 General Distribution

by Wachler & Associates, P.C.

2020-10-09: Updated: 2020-10-09 13:09:32 CMS Releases Proposed OPPS 2021 Rule

by Wachler & Associates, P.C.

2020-10-07: Updated: 2020-10-07 09:56:10 Common Pitfalls in Home Health Audits

by Wachler & Associates, P.C.

2020-10-05: Updated: 2020-10-05 08:56:19 Final Update on AAP Recoupment Delay

by Wachler & Associates, P.C.

2020-10-02: Updated: 2020-10-02 12:11:52 Expedited Certification Process Available for Laboratories to Provide COVID-19 Testing

by Wachler & Associates, P.C.

2020-09-30: Updated: 2020-09-30 09:12:43 Due Process Issues Abound in Medicare Revocation Cases

by Wachler & Associates, P.C.

2020-09-28: Updated: 2020-09-28 08:20:04 CMS Expands Prior Authorization Ambulance Payment Model

by Wachler & Associates, P.C.

2020-09-25: Updated: 2020-09-28 08:00:38 CMS Releases Reporting Requirements for Provider Relief Fund

by Wachler & Associates, P.C.

2020-09-24: Updated: 2020-09-28 08:00:55 Update on CARES Act Advanced and Accelerated Payments Program Recoupments

by Wachler & Associates, P.C.

2020-09-23: Updated: 2020-09-28 08:01:26 Glow Inc. Settlement and Other Data Security News

by Wachler & Associates, P.C.

2020-09-21: Updated: 2020-09-28 08:05:31 CMS Announces Grants for Rural Healthcare Pilot Program

by Wachler & Associates, P.C.

2020-09-18: Updated: 2020-09-28 08:06:27 Special Enrollment Periods Available for Michigan Residents Affected by COVID-19

by Wachler & Associates, P.C.

2020-09-16: Updated: 2020-09-28 08:06:46 President Trump Issues Executive Order on Prescription Drug Prices

by Wachler & Associates, P.C.

2020-09-14: Updated: 2020-09-28 08:07:10 CMS Delays CARES Act Advanced and Accelerated Payments Program Recoupment

by Wachler & Associates, P.C.

2020-09-11: Updated: 2020-09-28 08:08:25 CMS Finalizes Rule for the FY 2021 Inpatient Prospective Payment System

by Wachler & Associates, P.C.

2020-09-09: Updated: 2020-09-28 08:09:22 Provider Relief Fund Eligibility Expanded to All Assisted Living Facilities

by Wachler & Associates, P.C.

2020-09-08: Updated: 2020-09-28 08:10:02 CMS Clarifies that PPP Loan Forgiveness will not Offset Expenses

by Wachler & Associates, P.C.

2020-09-04: Updated: 2020-09-28 08:10:18 Medicare Coverage of Innovative Technology Proposed Rule

by Wachler & Associates, P.C.

2020-09-02: Updated: 2020-09-28 08:10:45 Providers Still Waiting for Guidance on the Provider Relief Fund Reporting System

by Wachler & Associates, P.C.

2020-09-01: Updated: 2020-09-28 08:11:10 Private Payor Laboratory Audits

by Wachler & Associates, P.C.

2020-08-27: Updated: 2020-09-28 08:11:32 CMS Audits Resume During Public Health Emergency

by Wachler & Associates, P.C.

2020-08-17: Updated: 2020-09-28 08:11:53 Proposed Rule for CMS to Implement COVID-19 Telehealth Waivers

by Wachler & Associates, P.C.

2020-08-11: Updated: 2020-09-28 08:12:17 HHS Extends Provider Relief Fund Application

by Wachler & Associates, P.C.

2020-06-29: Updated: 2020-09-28 08:12:36 MIPS Extreme and Uncontrollable Circumstances

by Wachler & Associates, P.C.

2020-06-16: Updated: 2020-09-28 08:13:01 New Provider Relief Fund Targeted Allocations

by Wachler & Associates, P.C.

2020-03-20: Updated: 2020-09-28 08:13:20 State Utilization of 1135 Waivers

by Wachler & Associates, P.C.

2020-03-19: Updated: 2020-09-28 08:13:36 CMS Expanding Telehealth to Combat COVID-19

by Wachler & Associates, P.C.

2020-01-17: Updated: 2020-01-17 09:55:49 Approaching the New Targeted Probe and Educate Program

by Wachler & Associates, P.C.

2019-12-30: Updated: 2020-01-07 15:27:58 CMS Final Rule on Affiliations for Provider Enrollment

by Wachler & Associates, P.C.

2018-12-17: Updated: 2018-12-17 09:16:30 OCR Imposing Fines on Smaller Providers for HIPAA Violations

by Wachler & Associates, P.C.

2018-12-07: Updated: 2018-12-07 15:23:28 Latest Updates to the OCPM

by Wachler & Associates, P.C.

2018-11-26: Updated: 2018-12-04 16:38:55 CMS Finalizes Review Choice Demonstration for Home Health Agencies

by Wachler & Associates, P.C.

2018-11-09: Updated: 2018-11-09 10:07:45 Court Orders HHS to Clear Medicare Appeals Backlog By 2022

by Wachler & Associates, P.C.

2018-10-25: Updated: 2018-10-25 14:46:29 Anthem Settles Data Breach Suit at Record $16 Million

by Wachler & Associates, P.C.

2018-10-03: Updated: 2018-10-04 15:57:52 IRFs Under Review for “Reasonable and Necessary” Requirement

by Wachler & Associates, P.C.

2018-09-28: Updated: 2018-09-28 08:36:31 PRRB Releases Significant Rule Changes Impacting the Appeals Process

by Wachler & Associates, P.C.

2018-08-31: Updated: 2018-08-31 09:05:25 Interstate Licensure for Providers Using Telemedicine

by Wachler & Associates, P.C.

2018-08-24: Updated: 2018-08-24 13:42:46 CMS Allows Step Therapy Under Medicare Advantage Plans

by Wachler & Associates, P.C.

2018-08-15: Updated: 2018-08-15 16:20:59 CMS Proposes Significant Changes to E/M Coding

by Wachler & Associates, P.C.

2018-08-13: Updated: 2018-08-13 08:42:54 CMS Final Rule Ends the “25% Rule”

by Wachler & Associates, P.C.

2018-08-10: Updated: 2018-08-10 08:10:08 OMHA Issues Updates to Its Case Processing Manual

by Wachler & Associates, P.C.

2018-07-27: Updated: 2018-08-01 12:34:59 Potential Stark Law and Anti-Kickback Statute Reforms to Support Coordinated Care

by Wachler & Associates, P.C.

2018-07-24: Updated: 2018-07-24 08:21:57 Azar Proposes Significant Changes to 340B Drug Discount Program

by Wachler & Associates, P.C.

2018-07-17: Updated: 2018-07-30 17:22:00 CMS Modernizing Medicare and Revitalizing the Doctor-Patient Relationship

by Wachler & Associates, P.C.

2018-07-02: Updated: 2018-07-02 11:29:20 Chronic Care Act Allows Medicare to Provide More Benefits for the Chronically Ill

by Wachler & Associates, P.C.

2018-06-27: Updated: 2018-06-27 11:18:38 House Passes Bill to Increase Opioid Addiction Treatment Access

by Wachler & Associates, P.C.

2018-06-19: Updated: 2018-06-19 09:38:30 Chapter 2A of Michigan Business Corporations Act Amended to Clarify Inconsistencies

by Wachler & Associates, P.C.

2018-06-15: Updated: 2018-07-30 16:25:43 OMHA Releases Details on Long-Awaited Settlement Conference Facilitation Expansion

by Wachler & Associates, P.C.

2018-06-04: Updated: 2018-06-04 16:40:56 OIG Notifying Providers of Incorrect Billing Practices

by Wachler & Associates, P.C.

2018-05-31: Updated: 2018-05-31 12:50:01 Pfizer Agrees to Pay $24 Million to Settle Anti-Kickback Claims

by Wachler & Associates, P.C.

2018-05-24: Updated: 2018-05-24 15:58:19 Rebranding of the Medicare and Medicaid EHR Incentives Program

by Wachler & Associates, P.C.

2018-05-15: Updated: 2018-05-15 15:32:31 OIG Issues Report on Toxicology Overpayments

by Wachler & Associates, P.C.

2018-04-11: Updated: 2018-10-04 16:02:32 OIG Issues Report on Outpatient PT Overpayments

by Wachler & Associates, P.C.

2018-04-11: Updated: 2018-04-11 09:43:09 Court Orders AHA to Provide Strategies for Eliminating Medicare Appeals Backlog

by Wachler & Associates, P.C.

2018-01-22: Updated: 2018-01-22 11:20:07 DOJ and Kmart Reach $32.3 Million Settlement to Pharmacy False Claims Suit

by Wachler & Associates, P.C.

2017-11-13: Updated: 2017-11-13 09:04:35 HHS OCR Issues Guidance on Mobile Devices and Compliance with HIPAA

by Wachler & Associates, P.C.

2017-08-18: Updated: 2017-08-18 11:57:45 AHA v Burwell Questioned by DC Circuit Court

by Wachler & Associates, P.C.

2017-07-31: Updated: 2017-07-31 15:11:28 OIG Reveals Plans to Scrutinize EHR Incentive Payments

by Wachler & Associates, P.C.

2017-06-12: Updated: 2017-06-12 12:48:52 HHS’ 2nd Update on Appeals Backlog Shows Little Progress

by Wachler & Associates, P.C.

2017-04-27: Updated: 2017-04-27 11:22:10 Lack of Business Associate Agreement Leads to $31k HIPAA Penalty

by Wachler & Associates, P.C.

2017-03-16: Updated: 2017-03-16 16:50:30 New Michigan Law Alters Practice Requirements for PAs

by Wachler & Associates, P.C.

2017-03-09: Updated: 2017-03-09 13:24:27 DOJ Provides Guidance for Corporate Compliance Programs in New Publication

by Wachler & Associates, P.C.

2016-12-14: Updated: 2016-12-14 18:49:26 Settlement Opportunity Available for Eligible Hospitals with Medicare Patient Status Denials

by Wachler & Associates, P.C.

2016-10-03: Updated: 2016-10-03 13:36:20 CMS Reopens Hospital Appeals Settlement

by Wachler & Associates, P.C.

2016-09-28: Updated: 2016-09-28 11:53:34 Mounting Pressure on HHS to Remedy Backlogged Medicare Appeals

by Wachler & Associates, P.C.

2016-09-21: Updated: 2016-09-21 11:34:05 Noridian Announces CMS Approved “Cross Recoveries” for Related Claims

by Wachler & Associates, P.C.

2016-08-05: Updated: 2016-08-05 09:58:30 SAMHSA Final Rule Increases Patient Limits for Physicians Prescribing Buprenorphine

by Wachler & Associates, P.C.

2016-08-03: Updated: 2016-08-03 15:37:56 OIG Releases Fraud, Waste, and Abuse Alert Concerning HHAs and Home-Visiting Physicians

by Wachler & Associates, P.C.

2016-06-30: Updated: 2016-06-30 16:07:21 CMS’ Holds Second Open Door Forum on its Upcoming Pre-Claim Review Demonstration

by Wachler & Associates, P.C.

2016-06-17: Updated: 2016-06-17 14:51:18 CMS Holds Open-Door Forum on its Upcoming HHA Pre-Claim Review Demonstration

by Wachler & Associates, P.C.

2016-06-16: Updated: 2016-06-16 14:53:47 Government Accountability Office Releases Critique of Medicare Appeals Process

by Wachler & Associates, P.C.

2016-06-10: Updated: 2016-06-10 17:52:23 CMS Implements HHA Pre-Claim Review Demonstration

by Wachler & Associates, P.C.

2016-04-22: Updated: 2016-05-17 20:27:27 Chicago-Area Doctor Convicted of Violating Federal Anti-Kickback Statute

by Wachler & Associates, P.C.

2016-04-18: Updated: 2016-05-17 20:27:34 CMS Releases Final Rule on Reporting and Returning Medicare Overpayments

by Wachler & Associates, P.C.

2016-03-01: Updated: 2016-05-17 20:27:39 HHS Modifies HIPAA to Allow for Easier Firearm Background Checks

by Wachler & Associates, P.C.

2016-02-29: Updated: 2016-05-17 20:27:44 CMS Releases Proposed Rule Changing Benchmarking Methodology for ACOs

by Wachler & Associates, P.C.

2016-02-25: Updated: 2016-05-17 20:27:49 OMHA Expands the Settlement Conference Facilitation Pilot to Part A Claim Appeals

by Wachler & Associates, P.C.

2016-02-23: Updated: 2016-05-17 20:27:56 OIG Advisory Opinion Examines Radiology Arrangement Regarding Transcription Fees Paid to Third Party

by Wachler & Associates, P.C.

2016-02-16: Updated: 2016-05-17 20:28:01 OCR Releases New HIPAA Guidance for Health App Developers

by Wachler & Associates, P.C.

2015-12-07: Updated: 2016-05-17 20:28:07 CMS Proposes Rule Implementing Discharge Planning Requirements

by Wachler & Associates, P.C.

2015-10-01: Updated: 2016-05-17 20:28:13 OMHA to Expand the Settlement Conference Facilitation Pilot

by Wachler & Associates, P.C.

2015-09-25: Updated: 2016-05-17 20:28:19 Florida Hospital District Settles False Claims Act Allegations for $69.5 Million

by Wachler & Associates, P.C.

2015-09-18: Updated: 2016-05-17 20:28:27 CMS Releases 2014 ACO Performance Results

by Wachler & Associates, P.C.

2015-07-22: Updated: 2016-05-17 20:28:33 Office of Civil Rights Announces HIPAA Settlement Stemming from Use of Internet Applications

by Wachler & Associates, P.C.

2015-07-20: Updated: 2016-05-17 20:28:39 U.S. Court of Appeals for the D.C. Circuit Rules on Stark Law Regulations

by Wachler & Associates, P.C.

2015-07-16: Updated: 2016-05-17 20:28:47 U.S. Court of Appeals for the Fourth Circuit Upholds $237 Million Judgment Against Toumey Healthcare System

by Wachler & Associates, P.C.

2015-07-09: Updated: 2016-05-17 20:28:53 Proposed Rule Shifts Medicaid Managed Care Enrollment Function to States

by Wachler & Associates, P.C.

2015-07-07: Updated: 2016-05-17 20:28:58 New York Attorney General Settlement Provides Guidance for Medical Practice Management Companies

by Wachler & Associates, P.C.

2015-06-30: Updated: 2016-05-17 20:29:02 CMS Proposes Revisions to Medicaid Managed Care Rules

by Wachler & Associates, P.C.

2015-05-20: Updated: 2016-05-17 20:29:10 Bill Introduced to Reform the RAC Program

by Wachler & Associates, P.C.

2015-05-19: Updated: 2016-05-17 20:29:16 Senate Finance Committee Examines Medicare Appeals Backlog

by Wachler & Associates, P.C.

2015-04-28: Updated: 2016-05-17 20:29:24 Proposed Stage 3 Meaningful Use Rules

by Wachler & Associates, P.C.

2015-04-20: Updated: 2016-05-17 20:29:32 OIG Advisory Opinion Clarifies that Excluded Providers May Receive Payments for Services Performed and Billed by Practice Prior to Exclusion

by Wachler & Associates, P.C.

2015-04-17: Updated: 2016-05-17 20:29:39 FDA Gives Finalized Guidance on Medical Device Data Systems, Mobile Apps, and Medical Image Storage and Communications Devices

by Wachler & Associates, P.C.

2015-04-03: Updated: 2016-05-17 20:29:45 CMS Offers Clarification to HHA Contradictory Guidance

by Wachler & Associates, P.C.

2015-03-02: Updated: 2016-05-17 20:29:52 CMS to Audit All Home Health Agencies

by Wachler & Associates, P.C.

2015-02-23: Updated: 2016-05-17 20:29:58 President’s 2016 Budget Proposes Changes to Recovery Audit Procedures

by Wachler & Associates, P.C.

2015-02-20: Updated: 2016-05-17 20:30:05 CMS Considers Shortening the Meaningful Use Reporting Period

by Wachler & Associates, P.C.

2015-02-17: Updated: 2016-05-17 20:30:14 CMS Modifies Manual Medical Review Process for Outpatient Therapy Claims Above Cap

by Wachler & Associates, P.C.

2015-02-06: Updated: 2016-05-17 20:30:22 Pharmaceutical Company Pays $39 million to Settle Anti-Kickback and False Claims Allegations

by Wachler & Associates, P.C.

2015-01-29: Updated: 2016-05-17 20:30:29 HHS Sets Timelines for Focus of Reimbursement to Shift from Quantity to Quality

by Wachler & Associates, P.C.

2015-01-28: Updated: 2016-05-17 20:30:35 CMS Announces New RAC Contract for DME, Home Health and Hospice Claims

by Wachler & Associates, P.C.

2015-01-13: Updated: 2016-05-17 20:30:42 House Republicans Release Proposal to Eliminate Two-Midnight Rule

by Wachler & Associates, P.C.

2014-12-22: Updated: 2016-05-17 20:30:51 Final Rule Tightens Provider Enrollment Policies, Expands CMS Authority

by Wachler & Associates, P.C.

2014-12-17: Updated: 2016-05-17 20:30:58 Medicare Pilot Program Requires Prior Authorization for Ambulance Transport Services

by Wachler & Associates, P.C.

2014-12-12: Updated: 2016-05-17 20:31:06 CMS Issues Proposed Rule Postponing ACO Penalties

by Wachler & Associates, P.C.

2014-12-05: Updated: 2016-05-18 11:54:52 Deadlines for Certification with the American Board of Radiology Approaching Quickly

by Wachler & Associates, P.C.

2014-11-12: Updated: 2016-05-17 20:31:24 CMS Announces Increased Reimbursement for Telehealth

by Wachler & Associates, P.C.

2014-11-05: Updated: 2016-05-17 20:31:34 CMS Finalizes Home Health Prospective Payment System Rule

by Wachler & Associates, P.C.

2014-11-04: Updated: 2016-05-17 20:31:44 Office of Medicare Hearings and Appeals Hosts Second Medicare Appellant Forum

by Wachler & Associates, P.C.

2014-10-28: Updated: 2016-05-17 20:31:54 CMS Extends Fraud and Abuse Waivers for ACO Shared Savings Program

by Wachler & Associates, P.C.

2014-10-22: Updated: 2016-05-17 20:32:02 IMPACT ACT to Standardize Data Collection for Post-Acute Care Facilities

by Wachler & Associates, P.C.

2014-10-13: Updated: 2016-05-17 20:32:10 OIG Releases Proposed Rule Affecting Anti-Kickback Statute Safe Harbors

by Wachler & Associates, P.C.

2014-10-06: Updated: 2016-05-17 20:32:18 Office for Civil Rights Advisor Warns Providers on HIPAA Audits: “Get Your House In Order”

by Wachler & Associates, P.C.

2014-10-02: Updated: 2016-05-17 20:32:25 CMS Open Door Forum Clarifies Key Points of 68% Settlement Offer to Hospitals

by Wachler & Associates, P.C.

2014-10-01: Updated: 2016-05-17 20:32:32 OCR Offers Guidance on HIPAA Privacy Rule and Same-sex Marriage

by Wachler & Associates, P.C.

2014-09-30: Updated: 2016-05-17 20:32:41 Medicare to Introduce More Star Ratings to Compare Providers

by Wachler & Associates, P.C.

2014-09-29: Updated: 2016-05-17 20:32:48 Federation of State Medical Boards Releases Model Legislation to Expedite Physician Licensure in Lieu of Telemedicine Push

by Wachler & Associates, P.C.

2014-09-25: Updated: 2016-05-17 20:32:56 CMS Final Rule Provides Greater Flexibility for Meeting EHR Meaningful Use Requirements

by Wachler & Associates, P.C.

2014-09-15: Updated: 2016-05-17 20:33:04 CMS Holds Conference Call on 68% Settlement Offer

by Wachler & Associates, P.C.

2014-09-08: Updated: 2016-05-17 20:33:11 CMS Announces Settlement Offer to Hospitals

by Wachler & Associates, P.C.

2014-08-29: Updated: 2016-05-17 20:33:20 Reports Show Increase in Individuals Participating in Employer-Based Health Plans

by Wachler & Associates, P.C.

2014-08-26: Updated: 2016-05-17 20:27:47 Community Health Systems to Pay $98.15 million to Settle False Claims Act Allegations

by Wachler & Associates, P.C.

2014-08-22: Updated: 2016-05-17 20:27:55 OCR Announces Start of HIPAA Audit Program Phase 2

by Wachler & Associates, P.C.

2014-08-07: Updated: 2016-05-17 20:28:00 FDA to Bolster its Regulation of Diagnostic Testing

by Wachler & Associates, P.C.

2014-08-01: Updated: 2016-05-17 20:28:07 Bipartisan House Bill Proposes Increased Medicare Coverage of Telemedicine

by Wachler & Associates, P.C.

2014-07-14: Updated: 2016-12-14 13:59:16 Senate Report Finds the RAC Program to be Ineffective in Reducing Improper Payment Rates and Burdensome on Providers

by Wachler & Associates, P.C.

2014-07-10: Updated: 2016-05-17 20:28:19 HHS Unveils Statistical Sampling Pilot Program for ALJ Hearings on Medicare Audit Appeals

by Wachler & Associates, P.C.

2014-07-09: Updated: 2016-05-17 20:28:26 HHS Launches Pilot Program for Providers to Settle Medicare Overpayment Demands with CMS

by Wachler & Associates, P.C.

2014-07-08: Updated: 2016-05-17 20:28:32 Michigan Passes Law Allowing Direct Access to Physical Therapists

by Wachler & Associates, P.C.

2014-07-07: Updated: 2016-05-17 20:28:39 CMS Affirms Physicians May Bill Certain Pharmacy Services as “Incident To” But Highlights Recent Regulatory Amendments Regarding Compliance with State Law

by Wachler & Associates, P.C.

2014-07-03: Updated: 2016-05-17 20:28:46 CMS Proposes to Eliminate the Narrative Requirement for Documented Face-to-Face Encounters for Home Health Agencies

by Wachler & Associates, P.C.

2014-07-02: Updated: 2016-05-17 20:28:54 OIG Issues Special Fraud Alert Regarding Potentially Unlawful Laboratory Payments to Referring Physicians

by Wachler & Associates, P.C.

2014-06-27: Updated: 2016-05-17 20:29:00 Beaumont, Botsford, and Oakwood Approve Merger Agreement to Form Region’s Largest Health System

by Wachler & Associates, P.C.

2014-06-26: Updated: 2016-05-17 20:29:05 Michigan Supreme Court Issues Ruling on Michigan’s Generic Drug Substitution Statute

by Wachler & Associates, P.C.

2014-06-25: Updated: 2016-05-17 20:29:11 Federation of State Medical Boards Adopts Model Policy for the Appropriate Use of Telemedicine Technologies

by Wachler & Associates, P.C.

2014-06-23: Updated: 2016-05-17 20:29:19 Michigan Physicians Challenge UnitedHealthcare Terminations and Nonrenewals

by Wachler & Associates, P.C.

2014-06-20: Updated: 2016-05-17 20:29:27 HHS Releases Annual Reports on HIPAA Compliance and Information Breaches

by Wachler & Associates, P.C.

2014-06-19: Updated: 2016-05-17 20:29:33 Michigan Medicaid Audit Reveals $160 Million in Overpayments for Home Care Services – Should Providers be Worried?

by Wachler & Associates, P.C.

2014-06-16: Updated: 2016-05-17 20:29:42 OIG Recommends Increased Audits of E/M Services by CMS

by Wachler & Associates, P.C.

2014-06-13: Updated: 2016-05-17 20:29:49 Physicians Nationwide Face Terminations as Insurance Plans Move to Narrow Networks

by Wachler & Associates, P.C.

2014-06-10: Updated: 2016-05-17 20:29:56 Medtronic Settles with DOJ for $9.9 Million to Resolve Kickback Allegations

by Wachler & Associates, P.C.

2014-06-05: Updated: 2016-05-17 20:30:03 HHS Releases Proposed Rule Increasing OIG’s Authority to Combat Fraud under the ACA

by Wachler & Associates, P.C.

2014-05-30: Updated: 2016-05-17 20:30:09 Insurance Rule in the Affordable Care Act Worries Doctors

by Wachler & Associates, P.C.

2014-05-19: Updated: 2016-05-17 20:30:17 OIG Proposes Significant Changes to Provider Exclusion Authority

by Wachler & Associates, P.C.

2014-05-15: Updated: 2016-05-17 20:30:25 CGI Federal Sues HHS over New Contracts and Payment Terms

by Wachler & Associates, P.C.

2014-05-09: Updated: 2016-05-17 20:30:32 OCR Reaches $4.8 Million Settlement for HIPAA Violations

by Wachler & Associates, P.C.

2014-04-25: Updated: 2016-05-17 20:30:39 CMS Releases Physician Payment Data – Should E/M Providers Be Concerned?

by Wachler & Associates, P.C.

2014-04-17: Updated: 2016-05-17 20:30:47 AHA Files Lawsuit Contesting the Two-Midnight Rule

by Wachler & Associates, P.C.

2014-04-14: Updated: 2016-05-17 20:30:54 OIG Finds Limited Compliance with Face-to-Face Home Health Requirements

by Wachler & Associates, P.C.

2014-04-08: Updated: 2016-05-17 20:31:03 Moody’s Report: Two-Midnight Rule to Weaken Hospital Profitability

by Wachler & Associates, P.C.

2014-04-04: Updated: 2016-05-17 20:31:13 Two-Midnight Rule Enforcement Delay Extended to March 31, 2015

by Wachler & Associates, P.C.

2014-04-01: Updated: 2016-05-17 20:31:20 HHS to Conduct Pre-Audit HIPAA Surveys

by Wachler & Associates, P.C.

2014-03-21: Updated: 2016-05-17 20:31:27 Fox 2 Detroit Interviews Wachler & Associates’ Andrew Wachler regarding Beaumont, Botsford, Oakwood Merger

by Wachler & Associates, P.C.

2014-03-11: Updated: 2016-05-17 20:31:35 Legislation Unveiled to Clarify Two-Midnight Rule

by Wachler & Associates, P.C.

2014-02-28: Updated: 2016-05-17 20:31:45 Medicare to Re-Review Denials under the 2-Midnight Rule

by Wachler & Associates, P.C.

2014-02-26: Updated: 2016-05-17 20:31:54 Medicare Therapy Cap Exception Extended

by Wachler & Associates, P.C.

2014-02-20: Updated: 2016-05-17 20:32:02 RACs to Stop Requesting Medical Records from Providers

by Wachler & Associates, P.C.

2014-02-18: Updated: 2016-05-17 20:32:11 CMS Revises Medicare Policy Manuals Clarifying that Improvement Standards are Not Required for Coverage

by Wachler & Associates, P.C.

2014-02-12: Updated: 2016-05-17 20:32:19 Andrew Wachler on Pre-coverage of the February 12, 2014 OMHA Medicare Appellant Forum

by Wachler & Associates, P.C.

2014-02-11: Updated: 2016-05-17 20:32:27 FTC Reaffirms its Broad Authority in Regulating Private Healthcare Providers’ Inadequate Data Security Programs

by Wachler & Associates, P.C.

2014-02-05: Updated: 2016-05-17 20:32:34 CMS Releases Proposed Rule Regarding Changes to the Medicare Part D Program for 2015

by Wachler & Associates, P.C.

2014-02-03: Updated: 2016-05-17 20:32:43 CMS to Further Extend “Probe and Educate” Reviews to September 30, 2014

by Wachler & Associates, P.C.

2014-01-23: Updated: 2016-05-17 20:32:50 CMS to Make Physician Payment Information Available on Case-by-Case Basis

by Wachler & Associates, P.C.

2014-01-17: Updated: 2016-05-17 20:32:59 OIG Approves Industry Stakeholders’ Contributions to a Patient Assistance Program under the Anti-Kickback Statute

by Wachler & Associates, P.C.

2014-01-14: Updated: 2016-05-17 20:33:08 OIG Releases Report Regarding Clinicians Associated with High Cumulative Part B Payments

by Wachler & Associates, P.C.

2014-01-13: Updated: 2016-05-17 20:33:20 OMHA Announces Appellant Forum for February 12 to Discuss Increasing Efficiency in the ALJ Hearing Program

by Wachler & Associates, P.C.

2013-12-18: Updated: 2016-05-17 20:33:30 CMS to Hold a Fourth Open Door Forum on the FY 2014 IPPS Final Rule

by Wachler & Associates, P.C.

2013-12-13: Updated: 2016-05-17 20:33:38 CMS Advisory Opinion Approves Proposed Hospital Expansion under Stark Law’s Whole Hospital Exception

by Wachler & Associates, P.C.

2013-12-05: Updated: 2016-05-17 20:33:44 OIG Recommends Additional Quality Measure for Medicare Nursing Home Resident Hospitalization Rates

by Wachler & Associates, P.C.

2013-11-25: Updated: 2016-12-14 14:05:26 CMS Releases Update on Medicare Claim Denials for Incarcerated Beneficiaries

by Wachler & Associates, P.C.

2013-11-18: Updated: 2016-05-17 20:33:59 “Probe and Educate” Hospital Inpatient Audits Extended an Additional 3 Months

by Wachler & Associates, P.C.

2013-11-11: Updated: 2016-05-17 20:28:32 Open Door Forum on Final IPPS Rule Tomorrow at 1:00

by Wachler & Associates, P.C.

2013-10-31: Updated: 2016-05-17 20:28:40 CMS Reaches Four Settlements Under the Stark Self-Referral Disclosure Protocol in August and September

by Wachler & Associates, P.C.

2013-10-21: Updated: 2016-05-17 20:28:47 OIG Report on “Questionable” Billing for Polysomnography Services May Lead to Closer Scrutiny of Sleep Laboratories

by Wachler & Associates, P.C.

2013-10-16: Updated: 2016-05-17 20:28:54 Proposed PRIME Act Aims at “Preventing and Detecting” Medicare and Medicaid Fraud and Abuse

by Wachler & Associates, P.C.

2013-10-07: Updated: 2016-05-17 20:29:01 Proposed Bill to Narrow Stark Law Exception for In-Office Ancillary Services

by Wachler & Associates, P.C.

2013-10-03: Updated: 2016-05-17 20:29:07 Judge Orders Tuomey to Pay $237 Million for Stark and False Claims Act Violations

by Wachler & Associates, P.C.

2013-09-30: Updated: 2016-05-18 11:40:37 CMS Releases Comparative Billing Reports for Spinal Orthotics and Ordering Providers

by Wachler & Associates, P.C.

2013-09-26: Updated: 2016-05-17 20:29:19 CMS Delays RAC Reviews of Inpatient Admissions Under the Final Rule Until End of 2013.

by Wachler & Associates, P.C.

2013-09-26: Updated: 2016-05-17 20:29:27 Special Open Door Forum on Final IPPS Rule Today at 2:00

by Wachler & Associates, P.C.

2013-09-25: Updated: 2016-05-17 20:29:33 Home Health Care Business Operator Sentenced to Prison for $11M Medicare Fraud Scheme

by Wachler & Associates, P.C.

2013-09-23: Updated: 2016-05-17 20:29:41 Compliance with HIPAA HITECH Rule Effective Today

by Wachler & Associates, P.C.

2013-09-20: Updated: 2016-05-17 20:29:49 Michigan Medicaid Expansion Legislation Signed Into Law by Governor

by Wachler & Associates, P.C.

2013-09-18: Updated: 2016-05-17 20:29:55 OIG Releases Report on RACs and the Actions Taken by CMS to Address Improper Payments, Fraud Referrals, and Performance

by Wachler & Associates, P.C.

2013-09-16: Updated: 2016-05-17 20:30:02 CMS Issues Guidance on Physician Certification and Order

by Wachler & Associates, P.C.

2013-09-04: Updated: 2016-05-17 20:30:09 Michigan Medicaid Expansion Approved by House

by Wachler & Associates, P.C.

2013-08-12: Updated: 2016-05-17 20:30:23 Health Care for Detroit Employees and Retirees at Risk under Detroit Bankruptcy

by Wachler & Associates, P.C.

2013-08-07: Updated: 2016-05-17 20:30:30 CMS Issues Much Anticipated Final Rules on Payment of Medicare Part B Inpatient Services and Payment of Hospital Inpatient Services under Medicare Part A

by Wachler & Associates, P.C.

2013-08-01: Updated: 2016-05-17 20:30:36 What Do Providers Need to Know About Medicaid RACs?

by Wachler & Associates, P.C.

2013-07-31: Updated: 2016-05-18 11:36:50 The Medicare Appeals Process Is Overburdened

by Wachler & Associates, P.C.

2013-07-30: Updated: 2016-05-17 20:30:51 Medicare and Medicaid Program Integrity: MACs and ZPICs out, UPICs in

by Wachler & Associates, P.C.

2013-07-29: Updated: 2016-05-17 20:31:00 Increased Scrutiny on Medicare Sleep Study Payments

by Wachler & Associates, P.C.

2013-07-24: Updated: 2016-05-17 20:31:09 Update on Medicare Demand Letters Issued for Incarcerated Beneficiaries

by Wachler & Associates, P.C.

2013-07-23: Updated: 2016-05-18 11:35:41 CMS Issues Demand Letters to Providers and Suppliers with Claims for Services Provided to Allegedly Incarcerated Beneficiaries

by Wachler & Associates, P.C.

2013-07-22: Updated: 2016-05-17 20:31:25 CMS Releases CY 2014 OPPS Proposed Rule to Influence Hospitals and Outpatient Providers

by Wachler & Associates, P.C.

2013-07-17: Updated: 2016-05-17 20:31:34 CMS Issues Final Rule Requiring Written Agreements Between LTC Facilities and Hospices

by Wachler & Associates, P.C.

2013-07-16: Updated: 2016-05-17 20:31:44 OIG Reports Surgical Products Rebate Program Qualifies for Safe Harbor Protection from Anti-Kickback Statute

by Wachler & Associates, P.C.

2013-07-15: Updated: 2016-05-17 20:31:54 Six Stark Self-Referral Disclosure Protocol Settlements in June

by Wachler & Associates, P.C.

2013-07-08: Updated: 2016-05-17 20:32:02 Affordable Care Act Employer Mandate Penalties to be Delayed One Year

by Wachler & Associates, P.C.

2013-07-02: Updated: 2016-05-17 20:32:10 OIG Report on Individuals Without “Prescribing Authority” Recommends Increased Monitoring of Medicare Part D Prescribers

by Wachler & Associates, P.C.

2013-07-01: Updated: 2016-05-17 20:32:18 CMS to Cut Payments to HHA by 1.5%

by Wachler & Associates, P.C.

2013-06-27: Updated: 2016-05-17 20:32:26 OIG Announces $3.8 Billion in Expected Recoveries

by Wachler & Associates, P.C.

2013-06-27: Updated: 2016-05-17 20:32:34 RACs to Carefully Review IMRT Treatment Claims

by Wachler & Associates, P.C.

2013-06-25: Updated: 2016-05-17 20:32:43 Senate Finance Committee Discusses Medicare RAC Program with Providers

by Wachler & Associates, P.C.

2013-06-20: Updated: 2016-12-14 14:01:56 OIG Report on “Questionable” Prescribing Practices Likely to Lead to Closer Scrutiny of Physicians

by Wachler & Associates, P.C.

2013-06-20: Updated: 2016-05-17 20:32:59 Ambulance Company Owner Sentenced to $3,676,587 in Restitution to Medicare

by Wachler & Associates, P.C.

2013-06-18: Updated: 2016-05-17 20:33:08 New Bill Aims to Ensure Medicare Payment Accuracy and Reduce Red Tape

by Wachler & Associates, P.C.

2013-06-17: Updated: 2016-05-17 20:33:19 DME Competitive Bidding Program Round Two Begins July 1, 2013

by Wachler & Associates, P.C.

2013-06-13: Updated: 2016-05-17 20:33:30 New Research Reveals Bundled Payment Program Success

by Wachler & Associates, P.C.

2013-06-13: Updated: 2016-05-17 20:33:39 Amy Fehn and Reesa Handelsman Appointed to ABA Health Law Section Leadership Positions

by Wachler & Associates, P.C.

2013-06-11: Updated: 2016-05-17 20:33:47 Auditors Using Sophisticated Data Mining Techniques to Identify Fraud

by Wachler & Associates, P.C.

2013-06-10: Updated: 2016-05-17 20:33:54 Outpatient Therapy Services Must Assign G-Codes or Face Medicare Denials

by Wachler & Associates, P.C.

2013-06-06: Updated: 2016-05-17 20:34:01 RACs to Recover Radiation Oncology Treatment Payments

by Wachler & Associates, P.C.

2013-06-05: Updated: 2016-05-17 20:34:07 Wachler & Associates Partner Quoted by Michigan Lawyers Weekly

by Wachler & Associates, P.C.

2013-06-04: Updated: 2016-05-17 20:34:13 Pharmaceutical Company Violates Anti-Kickback Statute and Pleads Guilty to Fraud

by Wachler & Associates, P.C.

2013-06-03: Updated: 2016-05-17 20:34:22 Medicaid fraud control units (MCFUs) to receive Federal funding for data mining activities to identify fraud

by Wachler & Associates, P.C.

2013-05-29: Updated: 2016-05-17 20:34:29 Hospital Lobbying Groups Push Congress to Pass RAC Bill

by Wachler & Associates, P.C.

2013-05-28: Updated: 2016-05-17 20:34:36 Idaho State University Agrees to $400,000 Settlement For HIPAA Violation

by Wachler & Associates, P.C.

2013-05-23: Updated: 2016-05-17 20:34:43 HHS Announces Pre-Existing Condition Insurance Plan (PCIP) Payments to Providers Will Decrease

by Wachler & Associates, P.C.

2013-05-20: Updated: 2016-05-17 20:34:50 Bard Agrees to $48.26 Million Settlement for FCA Violations

by Wachler & Associates, P.C.

2013-05-17: Updated: 2016-05-17 20:34:57 Jury Rules Tuomey Violated Stark Law and the FCA through Physician Employment Agreements

by Wachler & Associates, P.C.

2013-05-15: Updated: 2016-05-17 20:35:04 Recovery Auditors (RACs) target Hospice Face-to-Face Recertifications

by Wachler & Associates, P.C.

2013-05-14: Updated: 2016-05-17 20:35:11 Blue Cross Blue Shield of Michigan Auditing Physicians Performing In-Office Drug Screens

by Wachler & Associates, P.C.

2013-05-09: Updated: 2016-05-17 20:35:18 OIG Issues Special Advisory on Exclusion Issues

by Wachler & Associates, P.C.

2013-05-08: Updated: 2016-05-17 20:35:25 OIG Release Report Focusing on Hospice’s Use of General Inpatient Care

by Wachler & Associates, P.C.

2013-05-06: Updated: 2016-05-17 20:35:32 Therapy Providers Face Manual Review of Outpatient Therapy Claims, CMS Releases FAQ

by Wachler & Associates, P.C.

2013-05-03: Updated: 2016-05-17 20:35:38 CMS Releases Proposed Rule to Revise Provider Enrollment Provisions and the Incentive Reward Program

by Wachler & Associates, P.C.

2013-04-29: Updated: 2016-05-17 20:35:43 CMS Releases Proposed Rule Regarding Hospital Inpatient Admissions

by Wachler & Associates, P.C.

2013-04-24: Updated: 2016-05-17 20:35:49 CMS Announces Plans to Introduce a Fifth RAC for DME and HHH

by Wachler & Associates, P.C.

2013-04-23: Updated: 2016-05-17 20:35:57 CMS Updates Additional Document Requests Limits for Medicare Providers

by Wachler & Associates, P.C.

2013-04-18: Updated: 2016-05-17 20:36:03 OIG Releases Updated Provider Self-Disclosure Protocol

by Wachler & Associates, P.C.

2013-04-05: Updated: 2016-05-17 20:36:10 Intermountain Health System Agrees to $25.5 Million Settlement in Stark Violation Case

by Wachler & Associates, P.C.

2013-04-02: Updated: 2016-05-17 20:36:17 CMS Holds Open Door Forum to Address Recent Changes to the Medicare Part B Payment Policy Following the Denial of a Part A Inpatient Hospital Claim

by Wachler & Associates, P.C.

2013-03-29: Updated: 2016-05-17 20:36:25 CMS to Hold Open Door Forum to Discuss Recent Changes to the Medicare Part B Payment Policy

by Wachler & Associates, P.C.

2013-03-29: Updated: 2016-05-17 20:36:33 CMS Releases Change Request 8185 to Implement Recent CMS Ruling.

by Wachler & Associates, P.C.

2013-03-27: Updated: 2016-05-17 20:36:39 OCR Issues ICR on HIPAA Audit Program

by Wachler & Associates, P.C.

2013-03-22: Updated: 2016-05-17 20:36:46 OMHA Releases Instructions for Submitting Withdrawals of Part A Appeals

by Wachler & Associates, P.C.

2013-03-18: Updated: 2016-05-17 20:36:53 MACs to Recover Annual Wellness Visit Overpayments

by Wachler & Associates, P.C.

2013-03-15: Updated: 2016-05-17 20:37:00 CMS Announces Revised Policy on Part B Billing Following the Denial of a Part A Inpatient Hospital Claim

by Wachler & Associates, P.C.

2013-03-14: Updated: 2016-05-17 20:37:07 The United States Senate Committee on Finance Released a Comprehensive Report to Combat Waste, Fraud, and Abuse in Medicare and Medicaid

by Wachler & Associates, P.C.

2013-03-06: Updated: 2016-05-17 20:37:16 DOJ and HHS Report Record Recoveries from Healthcare Fraud

by Wachler & Associates, P.C.

2013-02-22: Updated: 2016-05-17 20:37:24 Senate Bill Aims to Close Observation Stay Loophole

by Wachler & Associates, P.C.

2013-02-19: Updated: 2016-05-17 20:37:31 Andrew Wachler to Present at RAC University’s Live Webcast on February 21, 2013

by Wachler & Associates, P.C.

2013-02-06: Updated: 2016-05-17 20:37:40 Wachler & Associates Partner is quoted in Home Health Line Article

by Wachler & Associates, P.C.

2013-02-05: Updated: 2016-05-17 20:37:49 CMS Releases Proposed Rule Providing an Exemption to Group Health Plan Contraceptive Coverage for Eligible Religious Organizations

by Wachler & Associates, P.C.

2013-01-18: Updated: 2016-05-17 20:37:56 Department of Health and Human Services Issues Letter to Providers on Disclosures to Avert Threats to Health or Safety

by Wachler & Associates, P.C.

2013-01-14: Updated: 2016-05-17 20:38:06 Fiscal-Cliff Agreement Gives Medicare Officials Five Years to Collect Overpayments

by Wachler & Associates, P.C.

2012-12-07: Updated: 2016-05-17 20:38:15 RACs Correct $2.4 Billion in Improper Payments in FY 2012

by Wachler & Associates, P.C.

2012-12-04: Updated: 2016-05-17 20:38:25 New Home Health Issues Added to CMS-Approved Issues List for RAC Region B

by Wachler & Associates, P.C.

2012-11-26: Updated: 2016-05-17 20:38:35 CMS Releases Final Rule for New Survey and Sanction Options for Home Health Agencies

by Wachler & Associates, P.C.

2012-11-26: Updated: 2016-05-17 20:38:43 CMS Reminds Providers to Prepare and Maintain Legible Medical Records

by Wachler & Associates, P.C.

2012-11-16: Updated: 2016-05-17 20:38:54 OIG Releases Report Addressing Improvements Needed at the ALJ Appeal Level

by Wachler & Associates, P.C.

2012-11-13: Updated: 2016-05-17 20:39:04 CMS Releases DME Face-to-Face Encounter Final Rule

by Wachler & Associates, P.C.

2012-11-02: Updated: 2016-05-17 20:39:13 AHA Files Lawsuit Against HHS Regarding Full Part B Reimbursement

by Wachler & Associates, P.C.

2012-10-31: Updated: 2016-05-18 13:26:46 Proposed Settlement Agreement Filed in Federal Court Which Could Change SNF and Home Health Coverage

by Wachler & Associates, P.C.

2012-10-30: Updated: 2016-05-17 20:39:31 AHA Sends Letter to OIG Urging Contractor Reform

by Wachler & Associates, P.C.

2012-10-25: Updated: 2016-05-18 12:38:00 Medicare Audit Improvement Act of 2012 Proposes to More Heavily Regulate Audit Contractors

by Wachler & Associates, P.C.

2012-10-17: Updated: 2016-05-17 20:39:50 HDI Posts First Pre-Payment Review Issue

by Wachler & Associates, P.C.

2012-10-15: Updated: 2016-05-17 20:39:58 OIG Work Plan Looks at Physician-Owned Distributorships

by Wachler & Associates, P.C.

2012-10-11: Updated: 2016-05-17 20:40:07 OIG 2013 Work Plan Includes Reviews of DME Suppliers

by Wachler & Associates, P.C.

2012-10-10: Updated: 2016-05-17 20:40:16 OIG Work Plan Includes Review of Hospitals

by Wachler & Associates, P.C.

2012-10-09: Updated: 2016-05-17 20:40:24 OIG 2013 Work Plan Includes Reviews of Long-Term Care Providers

by Wachler & Associates, P.C.

2012-10-08: Updated: 2016-05-17 20:40:33 OIG 2013 Work Plan Includes Review of Ambulance Suppliers

by Wachler & Associates, P.C.

2012-10-02: Updated: 2016-05-18 12:42:12 OIG Report Finds Medicare Paid $24.6 Million for Illegal Prescription Refills

by Wachler & Associates, P.C.

2012-10-01: Updated: 2016-05-17 20:40:51 Federal Government Warns Hospitals on Fraudulent EHR Use

by Wachler & Associates, P.C.

2012-09-28: Updated: 2016-05-17 20:40:59 HHS Office of Civil Rights Secures $1.5 million HIPAA Settlement

by Wachler & Associates, P.C.

2012-09-25: Updated: 2016-05-17 20:41:06 OMB Issues Report to Congress Warning of $11.1 Billion Medicare Cut

by Wachler & Associates, P.C.

2012-09-24: Updated: 2016-05-17 20:41:15 CMS to Conduct Special Open Door Forum on Medicare’s Prior Authorization for Power Mobility Devices Demonstration

by Wachler & Associates, P.C.

2012-09-20: Updated: 2016-05-18 12:39:52 Ninth Circuit Decides RAC Reopening is Not Subject to Appeal

by Wachler & Associates, P.C.

2012-09-20: Updated: 2016-05-17 20:41:31 OIG Report Finds Overpayments to Inpatient Rehab Facilities

by Wachler & Associates, P.C.

2012-09-18: Updated: 2016-05-17 20:29:01 Name Change for Region A RAC

by Wachler & Associates, P.C.

2012-09-14: Updated: 2016-05-17 20:29:09 CMS Releases Follow-Up Comparative Billing Reports for Podiatry Services

by Wachler & Associates, P.C.

2012-09-14: Updated: 2016-05-17 20:29:16 OIG Issues Unfavorable Advisory Opinion Regarding an Ambulance Supplier’s Proposal to Waive Cost-Sharing Amounts for Part-Time Emergency Medical Services

by Wachler & Associates, P.C.

2012-09-13: Updated: 2016-05-17 20:29:24 Comparative Billing Reports Sent to Skilled Nursing Facilities

by Wachler & Associates, P.C.

2012-09-06: Updated: 2016-05-17 20:29:33 AHA Survey Shows RAC Denials Up in 2nd Quarter

by Wachler & Associates, P.C.

2012-09-04: Updated: 2016-05-17 20:29:42 DOJ Contacts Hospitals About Improperly Billed Heart Implants

by Wachler & Associates, P.C.

2012-08-31: Updated: 2016-05-17 20:29:50 Congressman Urges Investigation Into Connolly

by Wachler & Associates, P.C.

2012-08-31: Updated: 2016-05-17 20:29:57 Ohio Providers May Be Subject to Double Audit Under Demonstration Program

by Wachler & Associates, P.C.

2012-08-31: Updated: 2016-05-17 20:30:05 CMS Begins Prepayment Review Demonstration Program

by Wachler & Associates, P.C.

2012-08-13: Updated: 2016-05-17 20:30:12 OIG Report Finds Overpayments for Cancer Drug Herceptin

by Wachler & Associates, P.C.

2012-08-10: Updated: 2016-05-17 20:30:18 CMS to Release Comparative Billing Reports for SNF Billing Practices

by Wachler & Associates, P.C.

2012-08-08: Updated: 2016-05-17 20:30:25 Breakthrough in the Effort to Obtain Full Part B Reimbursement for Hospitals with Inpatient Claims Denied for Medical Necessity

by Wachler & Associates, P.C.

2012-08-07: Updated: 2016-05-17 20:30:32 CMS Begins Meaningful Use Audits

by Wachler & Associates, P.C.

2012-08-06: Updated: 2016-05-17 20:30:39 OIG Issues Report on Questionable Billing by Home Health Agencies

by Wachler & Associates, P.C.

2012-08-06: Updated: 2016-05-17 20:30:47 CMS to Hold Special Open Door Forum on RAC Audit Prepayment Review Program

by Wachler & Associates, P.C.

2012-08-06: Updated: 2016-05-17 20:30:54 CMS Releases Provider Compliance Interactive Map

by Wachler & Associates, P.C.

2012-08-03: Updated: 2016-05-17 20:31:03 CMS Considers Changing its Policy Regarding the Services That can be Rebilled to Medicare Part B

by Wachler & Associates, P.C.

2012-07-20: Updated: 2016-05-17 20:31:13 Massive Prescription Drug Scheme Uncovered

by Wachler & Associates, P.C.

2012-07-20: Updated: 2016-05-17 20:31:23 CMS Issues Proposed Rule That Would Change Home Health Face-to-face Requirements

by Wachler & Associates, P.C.

2012-07-13: Updated: 2016-05-17 20:31:32 Recent RAC Activity

by Wachler & Associates, P.C.

2012-07-10: Updated: 2016-05-17 20:31:38 OIG Issues Report on Duplicate Payments for Hospice Medications

by Wachler & Associates, P.C.

2012-07-10: Updated: 2016-05-17 20:31:47 CMS Proposes to Add More Face-to-Face Requirements as a Condition of Payment

by Wachler & Associates, P.C.

2012-07-03: Updated: 2016-05-17 20:31:56 CMS Accepting ACO Advance Payment Model Applications

by Wachler & Associates, P.C.

2012-06-29: Updated: 2016-05-17 20:32:06 Congressional Committee Requests GAO Study of CMS Contractor Redundancies

by Wachler & Associates, P.C.

2012-06-22: Updated: 2016-05-17 20:32:13 Medicare Fraud Task Force Targets Psychotherapy Providers

by Wachler & Associates, P.C.

2012-06-19: Updated: 2016-05-17 20:32:23 OIG Testimony Before Congressional Subcommittee Outlines Inadequacies of Medicaid Integrity Programs

by Wachler & Associates, P.C.

2012-06-14: Updated: 2016-05-17 20:32:30 CMS Extends Notice of Intent to Apply Deadline for ACO Participation in the Shared Savings Program

by Wachler & Associates, P.C.

2012-06-12: Updated: 2016-05-17 20:32:40 CMS Releases RAC Data: More Than 43% of Overpayment Appeals Returned in Favor of Providers

by Wachler & Associates, P.C.

2012-06-11: Updated: 2016-05-17 20:32:48 Congressional Subcommittee Hears OIG Testimony on Medicare Benefit Integrity Contractors

by Wachler & Associates, P.C.

2012-06-11: Updated: 2016-05-17 20:32:56 Federal District Court Overturns Part B Claim on Judicial Review

by Wachler & Associates, P.C.

2012-06-08: Updated: 2016-05-17 20:33:05 HHS Releases Memo to Consumers Highlighting HIPAA Rights to Access Health Records

by Wachler & Associates, P.C.

2012-06-05: Updated: 2016-05-17 20:33:13 State AG HIPAA Training Materials Available Online

by Wachler & Associates, P.C.

2012-06-01: Updated: 2016-05-17 20:33:21 CMS to Release Comparative Billing Reports for Home Oxygen Services

by Wachler & Associates, P.C.

2012-06-01: Updated: 2016-05-17 20:33:31 Recent RAC Activity

by Wachler & Associates, P.C.

2012-05-31: Updated: 2016-05-17 20:33:40 CMS to Release Comparative Billing Reports for Evaluation and Management Services

by Wachler & Associates, P.C.

2012-05-29: Updated: 2016-05-17 20:33:49 Knowledge of Illegality Not Required For Criminal Charges Under HIPAA

by Wachler & Associates, P.C.

2012-05-14: Updated: 2016-05-17 20:33:56 CMS Provides List of Providers Who Need to Revalidate Their Medicare Enrollment

by Wachler & Associates, P.C.

2012-05-08: Updated: 2016-05-17 20:34:03 CMS Delays Implementation of Physician Payments Sunshine Act

by Wachler & Associates, P.C.

2012-04-30: Updated: 2016-05-17 20:34:11 CMS Publishes Final Rule With New Provider and Supplier Requirements

by Wachler & Associates, P.C.

2012-04-30: Updated: 2016-05-17 20:34:17 GAO Report Examines CMS Efforts to Strengthen Screening

by Wachler & Associates, P.C.

2012-04-17: Updated: 2016-05-17 20:34:24 Various Health Care Organizations Comment on CMS’ New Demonstration Programs

by Wachler & Associates, P.C.

2012-04-13: Updated: 2016-05-17 20:34:30 OIG Releases Its Updated List of Excluded Individuals and Entities

by Wachler & Associates, P.C.

2012-04-10: Updated: 2016-05-17 20:34:37 HHS Announces Proposed Rule to Simpify the Administrative Process for Health Care Providers

by Wachler & Associates, P.C.

2012-04-06: Updated: 2016-05-17 20:34:45 Recent RAC Activity

by Wachler & Associates, P.C.

2012-04-05: Updated: 2016-05-17 20:34:53 CMS to Release Comparative Billing Reports for Cardiology Services

by Wachler & Associates, P.C.

2012-03-23: Updated: 2016-05-17 20:35:02 CMS Releases ACO Eligibility Memo

by Wachler & Associates, P.C.

2012-03-20: Updated: 2016-05-17 20:35:08 CMS Adopts Final Rule for DMEPOS Standards

by Wachler & Associates, P.C.

2012-03-16: Updated: 2016-05-17 20:35:15 HHS Settles First Breach Notification Case

by Wachler & Associates, P.C.

2012-03-06: Updated: 2016-05-17 20:35:20 CMS Proposes Regulations to Implement the Law Regarding Reporting and Returning Overpayments

by Wachler & Associates, P.C.

2012-03-06: Updated: 2016-05-17 20:35:27 CMS Provides List of Providers Sent Notices to Revalidate Their Medicare Enrollment

by Wachler & Associates, P.C.

2012-02-28: Updated: 2016-05-17 20:35:35 CMS Releases FY2012 RAC Report

by Wachler & Associates, P.C.

2012-02-28: Updated: 2016-05-17 20:35:42 OIG Releases Review MIC Report

by Wachler & Associates, P.C.

2012-02-27: Updated: 2016-05-17 20:35:49 Recent RAC Activity

by Wachler & Associates, P.C.

2012-02-27: Updated: 2016-05-17 20:35:56 Zone Program Integrity Contractor (ZPIC) Audits

by Wachler & Associates, P.C.

2012-02-14: Updated: 2016-05-18 12:28:32 Recent RAC Activity

by Wachler & Associates, P.C.

2012-02-14: Updated: 2016-05-17 20:36:10 RAC Posts First Home Health Issue

by Wachler & Associates, P.C.

2012-02-09: Updated: 2016-05-17 20:36:16 CMS Posts Self-Referral Disclosure Protocol Settlements on Its Website

by Wachler & Associates, P.C.

2012-02-09: Updated: 2016-05-17 20:36:24 Medical Billing Professional Sentenced to Prison for Defrauding Medicare and Medicaid

by Wachler & Associates, P.C.

2012-02-06: Updated: 2016-05-17 20:36:29 CMS Announces New Start Date for Prior Authorization of PMDs and Recovery Audit Prepayment Review Demonstration Programs

by Wachler & Associates, P.C.

2012-01-30: Updated: 2016-05-17 20:36:37 CMS’ Q4 Audit Program Activity: $353.7 Million in Improper Payments, Increased Focus on Medical Necessity Claims

by Wachler & Associates, P.C.

2012-01-27: Updated: 2016-05-17 20:36:44 CMS Clarifies Procedure for MAC Claims Against DMEPOS Suppliers’ Surety Bonds

by Wachler & Associates, P.C.

2012-01-25: Updated: 2016-05-17 20:36:50 CMS Publishes Important Reminder to Providers and Suppliers Regarding Referred or Ordered Services and Items

by Wachler & Associates, P.C.

2012-01-23: Updated: 2016-05-17 20:36:55 RACs Target Skilled Nursing Facilities with High Therapy Resource Utilization Groups

by Wachler & Associates, P.C.

2012-01-19: Updated: 2016-05-17 20:37:02 CMS Clarification of 3-Day Payment Window when Inpatient Admission is Denied

by Wachler & Associates, P.C.

2012-01-17: Updated: 2016-05-17 20:37:09 Recent RAC Activity

by Wachler & Associates, P.C.

2012-01-13: Updated: 2016-05-17 20:37:16 CNN Quotes Managing Partner Andrew Wachler on ABIM Allegations

by Wachler & Associates, P.C.

2012-01-05: Updated: 2016-05-17 20:37:26 CMS Announces Interim Final Rule Creating New Standards for EFTs

by Wachler & Associates, P.C.

2012-01-03: Updated: 2016-05-17 20:37:33 CMS has Delayed the Recovery Auditor Pre-Payment Review Demonstration Program

by Wachler & Associates, P.C.

2011-12-30: Updated: 2016-05-17 20:37:40 CMS Announces Delay of Power Mobility Device Demonstration Program

by Wachler & Associates, P.C.

2011-12-29: Updated: 2016-05-17 20:37:46 CMS Implements 3-day Payment Window Policy for Wholly Owned or Wholly Operated Physician Practices

by Wachler & Associates, P.C.

2011-12-23: Updated: 2016-05-17 20:37:51 Ten Highlights from the Proposed Physician Payment Sunshine Act Rule

by Wachler & Associates, P.C.

2011-12-22: Updated: 2016-05-17 20:38:00 CMS’ Special Open Door Forum on Recovery Auditor Pre-Payment Review Demonstration Program

by Wachler & Associates, P.C.

2011-12-20: Updated: 2016-05-17 20:38:07 CMS to Reopen Home Health Claims Denied Based on Face-to-Face Requirements

by Wachler & Associates, P.C.

2011-12-19: Updated: 2016-05-17 20:38:17 CMS Announces Special Open Door Forum for the Recovery Auditor Pre-Payment Review Demonstration Program

by Wachler & Associates, P.C.

2011-12-05: Updated: 2016-05-17 20:38:25 CMS AB Demonstration Program: Hospitals’ Participation in December 8 Open Door Forum

by Wachler & Associates, P.C.

2011-11-30: Updated: 2016-05-17 20:38:35 Open Door Forum for Part A to Part B Rebilling Demonstration Program

by Wachler & Associates, P.C.

2011-11-30: Updated: 2016-05-17 20:38:43 CMS Releases Last Quarter’s Data on Medicare RAC Collections

by Wachler & Associates, P.C.

2011-11-29: Updated: 2016-05-17 20:38:53 CMS Releases Part A to B Rebilling Demonstration Program Enrollment Application

by Wachler & Associates, P.C.

2011-11-22: Updated: 2016-05-17 20:39:02 OIG Releases Report Highlighting ZPIC Oversight Issues

by Wachler & Associates, P.C.

2011-11-22: Updated: 2016-05-17 20:39:11 CMS to Release Comparative Billing Reports for Nerve Conduction Studies

by Wachler & Associates, P.C.

2011-11-21: Updated: 2016-05-17 20:39:16 CMS Announces Special Open Door Forum for Part A to Part B Rebilling Demonstration Program

by Wachler & Associates, P.C.

2011-11-17: Updated: 2016-05-17 20:39:24 HHS’ OCR Set to Begin HIPAA Audit Pilot Program

by Wachler & Associates, P.C.

2011-11-17: Updated: 2016-05-17 20:39:33 CMS Announces RAC Pre-Payment Review Demonstration Program

by Wachler & Associates, P.C.

2011-11-16: Updated: 2016-05-17 20:39:41 CMS Announces Part A to Part B Rebilling Demonstration Program

by Wachler & Associates, P.C.

2011-11-10: Updated: 2016-05-17 20:39:50 Recent RAC Activity

by Wachler & Associates, P.C.

2011-11-08: Updated: 2016-05-17 20:39:58 Physician Payment Sunshine Act Rules Delayed

by Wachler & Associates, P.C.

2011-10-26: Updated: 2016-05-17 20:40:06 Recent RAC Updates

by Wachler & Associates, P.C.

2011-10-26: Updated: 2016-05-17 20:40:13 CMS Announces the Creation of Its Advance Payment Model

by Wachler & Associates, P.C.

2011-10-24: Updated: 2016-05-17 20:40:19 20 Notable Aspects of the Final ACO Rule

by Wachler & Associates, P.C.

2011-10-20: Updated: 2016-05-17 20:40:26 CMS Releases Final Rule for Accountable Care Organizations

by Wachler & Associates, P.C.

2011-10-20: Updated: 2016-05-17 20:40:34 OIG Releases Unfavorable Advisory Opinion Regarding an Arrangement Between a Physician-Invested Entity and a Pathology Laboratory

by Wachler & Associates, P.C.

2011-10-19: Updated: 2016-05-17 20:40:44 US District Court Denies an Ambulance Services’ Request for Preliminary Injunction Against a Medicare PSC

by Wachler & Associates, P.C.

2011-10-14: Updated: 2016-05-17 20:40:52 CMS Sends ACO Final Rule to the Office of Management and Budget for Review

by Wachler & Associates, P.C.

2011-10-14: Updated: 2016-05-17 20:41:00 OIG Releases Fiscal Year 2012 Work Plan

by Wachler & Associates, P.C.

2011-10-12: Updated: 2016-10-28 15:51:33 Recent RAC Updates (DCS Healthcare and CGI Federal)

by Wachler & Associates, P.C.

2011-10-12: Updated: 2016-10-28 15:51:07 Recent RAC Updates (CGI Federal New Issues and CIGNA Government Services New Issues)

by Wachler & Associates, P.C.

2011-10-11: Updated: 2016-05-17 20:41:24 Senate Finance Committee Publishes Report About Home Health Agencies

by Wachler & Associates, P.C.

2011-10-06: Updated: 2016-05-17 20:41:33 Andrew Wachler Quoted in the American Medical News Regarding National Practitioner Data Bank’s Move to Shut Down Public Access

by Wachler & Associates, P.C.

2011-09-29: Updated: 2016-05-17 20:41:41 OIG Releases Favorable Advisory Opinion Regarding an Exclusivity Agreement Between a Nonprofit Corporation and Community Hospitals

by Wachler & Associates, P.C.

2011-09-29: Updated: 2016-05-17 20:41:50 CMS Releases MLN Matters Article to Assist Chiropractors in Understanding Medicare Coverage Policies

by Wachler & Associates, P.C.

2011-09-27: Updated: 2016-05-17 20:29:32 DMEPOS Competitive Bidding Round 2 Update

by Wachler & Associates, P.C.

2011-09-22: Updated: 2016-05-17 20:29:39 CMS to Release Comparative Billing Reports for Chiropractors Who Practice in the Office Setting

by Wachler & Associates, P.C.

2011-09-21: Updated: 2016-05-17 20:29:45 President Obama Plans to Reform Medicare and Medicaid to Further Aid the Deficit Reduction

by Wachler & Associates, P.C.

2011-09-16: Updated: 2016-05-17 20:29:52 OIG Responds to the Senate Finance Committee’s Concerns Over PODs

by Wachler & Associates, P.C.

2011-09-15: Updated: 2016-05-17 20:29:58 CMS Releases Its Final Rule Implementing the Medicaid RAC Program

by Wachler & Associates, P.C.

2011-09-15: Updated: 2016-05-17 20:30:06 CMS Releases a New RAC Statement of Work

by Wachler & Associates, P.C.

2011-09-12: Updated: 2016-05-17 20:30:13 Medicare Strike Force Operation Results in Largest Fraudulent Medicare Billing Takedown in Strike Force History

by Wachler & Associates, P.C.

2011-09-08: Updated: 2016-05-17 20:30:20 OIG Finds IDTFs Did Not Comply With Medicare Standards During Unannounced Site Visits

by Wachler & Associates, P.C.

2011-09-02: Updated: 2016-05-17 20:30:27 Medicare Fraud Indictments in Detroit

by Wachler & Associates, P.C.

2011-09-01: Updated: 2016-05-17 20:30:34 CMS Introduces Its esMD Pilot Enabling Providers to Electronically Submit Requested Documentation to Review Contractors

by Wachler & Associates, P.C.

2011-09-01: Updated: 2016-05-17 20:30:42 Recent RAC Updates

by Wachler & Associates, P.C.

2011-08-25: Updated: 2016-05-17 20:30:48 CMS to Release Comparative Billing Reports for Providers Ordering DME

by Wachler & Associates, P.C.

2011-08-24: Updated: 2016-05-17 20:30:54 HHS Introduces the Bundled Payments Initiative to Help Providers Coordinate Patient Care

by Wachler & Associates, P.C.

2011-08-24: Updated: 2016-05-17 20:31:03 Recent RAC Updates

by Wachler & Associates, P.C.

2011-08-22: Updated: 2016-05-17 20:31:13 New Bill Introduced to Grant Physicians Greater Due Process Rights in Peer Review

by Wachler & Associates, P.C.

2011-08-17: Updated: 2016-05-17 20:31:22 OIG Issues Unfavorable Advisory Opinion Regarding an Exclusive Provider Arrangement Between Medical Equipment Supplier and SNF

by Wachler & Associates, P.C.

2011-08-16: Updated: 2016-05-17 20:31:28 Affordable Care Act Requires Medicare Providers to Revalidate Their Enrollment By March 2013

by Wachler & Associates, P.C.

2011-08-15: Updated: 2016-05-17 20:31:36 Recent RAC Updates

by Wachler & Associates, P.C.

2011-08-11: Updated: 2016-05-17 20:31:46 CMS to Release Comparative Billing Reports for Outpatient Physical Therapy Services with the KX Modifer

by Wachler & Associates, P.C.

2011-08-10: Updated: 2016-05-18 12:36:00 HHS Estimates $48 Billion of Improper Payments Were Paid to Healthcare Providers in 2010

by Wachler & Associates, P.C.

2011-08-09: Updated: 2016-05-18 12:34:49 OIG Issues Favorable Advisory Opinion Regarding a Pay-for-Performance Compensation Plan

by Wachler & Associates, P.C.

2011-08-08: Updated: 2016-05-17 20:32:13 MACs Now Responsible for Issuing Medicare Audit Overpayment Demand Letters

by Wachler & Associates, P.C.

2011-08-03: Updated: 2016-05-17 20:32:22 Michigan Pharmacists and Doctors Indicted for Fraudulently Billing Millions of Dollars to Medicare

by Wachler & Associates, P.C.

2011-08-03: Updated: 2016-05-17 20:32:29 ASC Pay-for-Performance Program Coming Soon

by Wachler & Associates, P.C.

2011-08-02: Updated: 2016-05-17 20:32:36 OIG Issues Favorable Opinion Regarding the Use of a Preferred Hospital Network as Part of Medicare Supplemental Health Insurance Policies

by Wachler & Associates, P.C.

2011-08-02: Updated: 2016-05-17 20:32:44 CMS Announces Intentions of Reducing Medicare Payments for Hospice Patients Residing in Nursing Facilities

by Wachler & Associates, P.C.

2011-07-28: Updated: 2016-05-17 20:32:52 FDA Proposes First Regulations on the Health-Related Mobile Application Industry

by Wachler & Associates, P.C.

2011-07-21: Updated: 2016-05-17 20:32:59 Proposed Rule Requires Face-to-Face Encounter for Medicaid Home Health Beneficiaries

by Wachler & Associates, P.C.

2011-07-20: Updated: 2016-05-17 20:33:08 Patient Sues Tufts Medical Center for Violating Her Privacy Rights

by Wachler & Associates, P.C.

2011-07-19: Updated: 2016-05-17 20:33:20 Detroit Clinic Owner Sentenced to 27 Months in Prison for Medicare Fraud

by Wachler & Associates, P.C.

2011-07-19: Updated: 2016-05-17 20:33:30 CMS Releases 3rd Quarter Summary of Medicare FSS RAC Recoveries

by Wachler & Associates, P.C.

2011-07-18: Updated: 2016-05-17 20:33:38 HHS Suspects Nursing Homes may be Committing Medicare Fraud

by Wachler & Associates, P.C.

2011-07-18: Updated: 2016-05-17 20:33:45 GAO Report Finds CMS’ Systems to Detect Fraud ‘Inadequate and ‘Underused’

by Wachler & Associates, P.C.

2011-07-14: Updated: 2016-05-17 20:33:51 CMS to Release Comparative Billing Reports for Physicians Ordering Spinal Orthotic Devices

by Wachler & Associates, P.C.

2011-07-13: Updated: 2016-05-17 20:33:59 OIG Concerned About the Rising Costs of Hospice Care

by Wachler & Associates, P.C.

2011-07-12: Updated: 2016-05-17 20:34:06 Recently Released Medical Marijuana Memo Contradicts Obama Administration’s Policy Not to Interfere with State Law

by Wachler & Associates, P.C.

2011-07-12: Updated: 2016-05-17 20:34:12 The University of California at Los Angeles Health System Agrees to Settle After Violating HIPAA

by Wachler & Associates, P.C.

2011-07-11: Updated: 2016-05-18 12:31:08 Recent RAC Updates

by Wachler & Associates, P.C.

2011-07-11: Updated: 2016-05-17 20:34:25 CMS Releases Article Discussing DRG Coding Vulnerabilities for Inpatient Hospitals

by Wachler & Associates, P.C.

2011-07-07: Updated: 2016-05-17 20:34:31 CMS Proposes to Rescind the Signature Requirement for Lab Requisitions Required under the 2011 Medicare Physician Fee Schedule

by Wachler & Associates, P.C.

2011-07-06: Updated: 2016-05-17 20:34:38 DRG Coding Vulnerabilities in the Recovery Audit Program

by Wachler & Associates, P.C.

2011-06-30: Updated: 2016-05-17 20:34:46 OIG Issues Unfavorable Opinion Involving an Incentive Arrangement Between a DME Supplier and Several IDTFs

by Wachler & Associates, P.C.

2011-06-30: Updated: 2016-05-17 20:34:53 Obama Administration Opts to Abandon Its Recently Announced “Mystery Shopper” Survey

by Wachler & Associates, P.C.

2011-06-29: Updated: 2016-05-17 20:35:00 CMS Advisory Opinion Finds Non-Compete Provision Meets the Requirements of Stark Law Physician Recruitment Exception

by Wachler & Associates, P.C.

2011-06-28: Updated: 2016-05-17 20:35:07 Obama Administration Implements “Mystery Shopper” Initiative to Address the Increasing Shortage of Primary Care Doctors

by Wachler & Associates, P.C.

2011-06-27: Updated: 2016-05-17 20:35:13 Senate Report Probes PODs

by Wachler & Associates, P.C.

2011-06-23: Updated: 2016-05-17 20:35:20 Comparative Billing Reports and the Risk of a Future Audit

by Wachler & Associates, P.C.

2011-06-22: Updated: 2016-05-17 20:35:27 HITPC Recommended to Push Back Stage 2 Meaningful Use Requirement Deadline

by Wachler & Associates, P.C.

2011-06-22: Updated: 2016-05-17 20:35:35 Wachler & Associates Attorney Participated on ABA’s ACO Task Force

by Wachler & Associates, P.C.

2011-06-20: Updated: 2016-05-17 20:35:42 DCS Healthcare Announced 11 New Issues for Medical Necessity Review

by Wachler & Associates, P.C.

2011-06-16: Updated: 2016-05-17 20:35:49 Pioneer ACO Model Program Participation Deadline Extended

by Wachler & Associates, P.C.

2011-06-15: Updated: 2016-05-17 20:35:56 OIG Issues Favorable Opinion Regarding a Vaccine Reminder Program

by Wachler & Associates, P.C.

2011-06-13: Updated: 2016-05-17 20:36:03 New Rule in Effect for Provider Enrollment Process

by Wachler & Associates, P.C.

2011-06-13: Updated: 2016-05-17 20:36:10 ONC Announces New Initiative to Promote Health Information Technology

by Wachler & Associates, P.C.

2011-06-09: Updated: 2016-05-17 20:36:16 AARP Tool Implemented to Fight Medicare Fraud

by Wachler & Associates, P.C.

2011-06-08: Updated: 2016-05-17 20:36:24 OIG Reports Providers Charged Medicare for Nonmedical Services

by Wachler & Associates, P.C.

2011-06-07: Updated: 2016-05-17 20:36:29 CMS Proposed Rule Regarding E-prescribing Requirements for Physicians

by Wachler & Associates, P.C.

2011-06-06: Updated: 2016-05-17 20:36:35 Sleep Medicine Company Agrees to $650,000 Settlement

by Wachler & Associates, P.C.

2011-06-03: Updated: 2016-05-17 20:36:41 OIG Announces $3.4 Billion in Semiannual Recovery

by Wachler & Associates, P.C.

2011-06-03: Updated: 2016-05-17 20:36:48 RAC Program Expands to Medicare Part D in Third Quarter of 2011

by Wachler & Associates, P.C.

2011-06-02: Updated: 2016-05-17 20:36:54 Healthcare Providers Receive $158 Million in EHR Incentives from U.S. Government

by Wachler & Associates, P.C.

2011-06-02: Updated: 2016-05-17 20:37:00 Pioneer ACO Model Program Participation Deadline

by Wachler & Associates, P.C.

2011-06-01: Updated: 2016-05-17 20:37:07 OIG Issues Favorable Opinion Regarding Shared Services of an Air Force Medical Group and Community Hospital

by Wachler & Associates, P.C.

2011-06-01: Updated: 2016-05-17 20:37:16 HHS Announces Proposed Changes to HIPAA Privacy Rule

by Wachler & Associates, P.C.

2011-05-31: Updated: 2016-05-17 20:37:24 Company Agrees to Settle Medicare Fraud Claim for $650,000

by Wachler & Associates, P.C.

2011-05-27: Updated: 2016-05-17 20:37:32 Recent ACO Updates

by Wachler & Associates, P.C.

2011-05-27: Updated: 2016-05-17 20:37:38 Recent RAC Updates

by Wachler & Associates, P.C.

2011-05-26: Updated: 2016-05-17 20:37:43 OIG Reports that CMS has made Duplicate Payments to Home Health Services

by Wachler & Associates, P.C.

2011-05-26: Updated: 2016-05-17 20:37:49 Bill Passed Limiting Medical Malpractice Liability

by Wachler & Associates, P.C.

2011-05-25: Updated: 2016-05-17 20:37:55 All Four RAC Regions Have Recently Added Additional Issues Approved for Review in RAC Audits

by Wachler & Associates, P.C.

2011-05-25: Updated: 2016-05-17 20:38:06 CMS Issues Relaxed Telemedicine Rules

by Wachler & Associates, P.C.

2011-05-24: Updated: 2016-05-17 20:38:15 Survey Highlights Key Problems for EHR Switch

by Wachler & Associates, P.C.

2011-05-24: Updated: 2016-05-17 20:38:25 EHR Incentive Payments Begin This Week

by Wachler & Associates, P.C.

2011-05-23: Updated: 2016-05-17 20:38:35 OIG Issues Unfavorable Opinion on Proposed Joint Venture

by Wachler & Associates, P.C.

2011-05-23: Updated: 2016-05-17 20:38:43 Physicians Using EHRs Increased by 9%

by Wachler & Associates, P.C.

2011-05-17: Updated: 2016-05-17 20:38:54 Physician Convicted of Medicare Fraud for Violating the Anti-Kickback Statute

by Wachler & Associates, P.C.

2011-05-17: Updated: 2016-05-17 20:39:03 32 Employees Dismissed for Violating HIPAA

by Wachler & Associates, P.C.

2011-05-17: Updated: 2016-05-17 20:39:12 RAC Recovered $237.8 Million in Six-Month Period

by Wachler & Associates, P.C.

2011-05-17: Updated: 2016-05-17 20:39:22 U.S. Attorneys Warn States About Potential Prosecution for Medical Marijuana Use

by Wachler & Associates, P.C.

2011-05-16: Updated: 2016-05-17 20:39:31 Face to Face Checklist for Power Wheelchairs

by Wachler & Associates, P.C.

2011-04-15: Updated: 2016-05-17 20:39:41 Attestations To Meaningful Use Requirements Begin April 18

by Wachler & Associates, P.C.

2011-04-15: Updated: 2016-05-17 20:39:50 Phase 2 of DME Competitive Bidding Process Expected In Spring of 2011

by Wachler & Associates, P.C.

2011-04-13: Updated: 2016-05-17 20:39:58 Ambulatory-care Physicians Satisfied with EHR Systems

by Wachler & Associates, P.C.

2011-04-08: Updated: 2016-05-17 20:40:06 Update: Face-to-Face Requirments Effective April 1, 2011

by Wachler & Associates, P.C.

2011-04-08: Updated: 2016-05-17 20:40:12 Highlights from CMS Telephone Conference on Accountable Care Organizations

by Wachler & Associates, P.C.

2011-04-08: Updated: 2016-05-17 20:40:18 Proposed Rule Relaxes DMEPOS Supplier Restrictions

by Wachler & Associates, P.C.

2011-04-06: Updated: 2016-05-17 20:40:26 30 Highlights from the ACO Proposed Rule

by Wachler & Associates, P.C.

2011-04-01: Updated: 2016-05-17 20:40:33 Proposed Law Would Protect Michigan Hospitals That Apologize To Patients For Mistakes

by Wachler & Associates, P.C.

2011-03-30: Updated: 2016-05-17 20:40:44 The Regulations are coming! Ten things that we already know about Accountable Care Organizations.

by Wachler & Associates, P.C.

2011-03-30: Updated: 2016-05-17 20:40:52 Groups Seek Additional Delay In Face-to-Face Encounter Requirement

by Wachler & Associates, P.C.

2011-03-16: Updated: 2016-05-17 20:41:02 Proposed Bill Seeks to Strengthen Health Care Enforcement Tools

by Wachler & Associates, P.C.

2011-03-11: Updated: 2016-05-17 20:41:09 State Attorney Generals Have Workshops in HIPAA Enforcement

by Wachler & Associates, P.C.

2011-03-09: Updated: 2016-05-17 20:41:16 GAO Report Discovers Waste in Government Programs

by Wachler & Associates, P.C.

2011-03-04: Updated: 2016-05-17 20:41:23 Justice Department Seeks Clarification on Health Care Reform Suit Ruling

by Wachler & Associates, P.C.

2011-03-02: Updated: 2016-05-17 20:41:33 Recent RAC Activity

by Wachler & Associates, P.C.

2011-02-25: Updated: 2016-05-17 20:41:40 CMS Announces New Limits on RAC Record Requests

by Wachler & Associates, P.C.

2011-02-18: Updated: 2016-05-17 20:41:49 Medicare Strike Force Continues Aggressive Investigations of Health Care Providers, Makes 111 Arrests

by Wachler & Associates, P.C.

2011-02-11: Updated: 2016-05-17 20:41:56 New Issues Posted by RACs

by Wachler & Associates, P.C.

2011-02-04: Updated: 2016-05-17 20:42:02 E-Prescribing Program Offers Participating Physicians Incentives

by Wachler & Associates, P.C.

2011-01-28: Updated: 2016-05-17 20:42:09 OIG Issues Favorable Opinion Regarding Waivers of Co-Payments and Other Cost Sharing Amounts By a Charity Hospital

by Wachler & Associates, P.C.

2011-01-26: Updated: 2016-05-17 20:30:59 CVS Pays for Improper Billing

by Wachler & Associates, P.C.

2011-01-21: Updated: 2016-05-17 20:31:07 Moratorium on Enforcement of the Face-to-Face Encounter Requirement of Home Health and Hospice Services

by Wachler & Associates, P.C.

2011-01-19: Updated: 2016-05-17 20:31:15 ONC Released Final Rule on Electronic Health Record Certification

by Wachler & Associates, P.C.

2011-01-18: Updated: 2016-05-17 20:31:24 DAB Adds Clarity to What Constitutes a Mobile Independent Diagnostic Testing Facility

by Wachler & Associates, P.C.

2011-01-14: Updated: 2016-05-17 20:31:33 Increased Spending by the Obama Administration to Fight Fraud

by Wachler & Associates, P.C.

2011-01-06: Updated: 2016-05-17 20:31:44 Federal Government Increases Fight against Medicare Fraud

by Wachler & Associates, P.C.

2011-01-05: Updated: 2016-05-17 20:31:52 Andrew Wachler quoted in the Detroit Free Press regarding DMC’s Settlement with the Federal Government

by Wachler & Associates, P.C.

2011-01-04: Updated: 2016-05-17 20:31:59 The OIG Publishes an Unfavorable Advisory Opinion on a Proposal to Offer Transportation Services to Skilled Nursing Facilities

by Wachler & Associates, P.C.

2011-01-04: Updated: 2016-05-17 20:32:06 DMC to Pay a $30 Million Settlement to the Federal Government

by Wachler & Associates, P.C.

2010-12-23: Updated: 2016-05-17 20:32:13 OIG Reports a $25.9 billion Expected Recovery of Savings in FY 2010

by Wachler & Associates, P.C.

2010-12-20: Updated: 2016-05-17 20:32:22 Medicare Physician Rate Cut Delayed for One Year

by Wachler & Associates, P.C.

2010-12-16: Updated: 2016-05-17 20:32:30 Federal District Court Holds That the Individual Mandate in PPACA is Unconstitutional

by Wachler & Associates, P.C.

2010-12-13: Updated: 2016-05-17 20:32:38 The Red Flag Program Clarification Act of 2010 Passes in the House and Senate

by Wachler & Associates, P.C.

2010-12-03: Updated: 2016-05-17 20:32:47 The Justice Department Announces $3 Billion Recovery from Pursuing False Claims Against the Federal Government

by Wachler & Associates, P.C.

2010-11-22: Updated: 2016-05-17 20:32:54 Proposed Purchase Of DMC Has Been Conditionally Approved

by Wachler & Associates, P.C.

2010-11-18: Updated: 2016-05-17 20:33:01 Health care summit series continues in Brooklyn, New York

by Wachler & Associates, P.C.

2010-11-12: Updated: 2016-05-17 20:33:09 The United States Supreme Court Refuses to Hear Challenge to the Healthcare Reform Law

by Wachler & Associates, P.C.

2010-11-10: Updated: 2016-05-17 20:33:20 Device Manufacturer Settles False Claims Qui Tam Action

by Wachler & Associates, P.C.

2010-11-08: Updated: 2016-05-17 20:33:30 CMS Publishes Proposed Rule Regarding Medicaid RAC Activities

by Wachler & Associates, P.C.

2010-11-04: Updated: 2016-05-17 20:33:39 Pacemaker and Defilbrillator Implantations Make Prime RAC Targets

by Wachler & Associates, P.C.

2010-11-01: Updated: 2016-05-17 20:33:48 The U.S. Justice Department Files Lawsuit Against Blue Cross Blue Shield of Michigan

by Wachler & Associates, P.C.

2010-10-27: Updated: 2016-05-17 20:33:55 Joint Commission Announces Accreditation Standards for Patient-Centered Medical Homes

by Wachler & Associates, P.C.

2010-10-25: Updated: 2016-05-17 20:34:03 OIG Releases Work Plan For Fiscal Year 2011

by Wachler & Associates, P.C.

2010-10-25: Updated: 2016-05-17 20:34:10 Most Recent RAC Activity

by Wachler & Associates, P.C.

2010-10-20: Updated: 2016-05-19 17:19:21 CMS Releases Letter to State Medicaid Directors Regarding Medicaid RACs

by Wachler & Associates, P.C.

2010-10-18: Updated: 2016-05-17 20:34:22 OIG Advisory Opinion 10-20 and 10-21

by Wachler & Associates, P.C.

2010-10-13: Updated: 2016-05-17 20:34:29 U.S. District Judge Refuses to Grant Injunction Against Health Care Reforms Implemented through the Affordable Care Act

by Wachler & Associates, P.C.

2010-10-08: Updated: 2016-05-17 20:34:36 American Hospital Association Releases RACTrac Survey

by Wachler & Associates, P.C.

2010-10-07: Updated: 2016-05-17 20:34:43 OIG Advisory Opinion 10-17

by Wachler & Associates, P.C.

2010-10-06: Updated: 2016-05-17 20:34:51 The OIG Publishes Two Favorable Advisory Opinions

by Wachler & Associates, P.C.

2010-09-30: Updated: 2016-05-17 20:34:58 CMS Begins Preparing for RAC Expansion to Medicaid

by Wachler & Associates, P.C.

2010-09-29: Updated: 2016-10-28 15:54:03 Centers for Medicare and Medicaid Services (CMS) publish the Medicare self-referral protocol (SRDP)

by Wachler & Associates, P.C.

2010-09-23: Updated: 2016-05-17 20:35:11 RAC for Region A Adds New Issues for Medical Necessity Review

by Wachler & Associates, P.C.

2010-09-23: Updated: 2016-05-17 20:35:18 CMS Publishes Proposed Rule Implementing Affordable Care Act Provisions

by Wachler & Associates, P.C.

2010-09-22: Updated: 2016-05-17 20:35:26 The OIG Publishes an Unfavorable Advisory Opinion Involving a Manufacturer’s Proposal to Compensate Providers for Warranty-Covered Services

by Wachler & Associates, P.C.

2010-09-20: Updated: 2016-05-17 20:35:34 U.S. District Judge Likely to Allow Lawsuit Challenging Healthcare Reform to Proceed

by Wachler & Associates, P.C.

2010-09-17: Updated: 2016-05-17 20:35:41 Concierge Medical Practices on the Rise

by Wachler & Associates, P.C.

2010-09-15: Updated: 2016-05-17 20:35:49 CMS Publishes a New Rule Affecting DME Providers

by Wachler & Associates, P.C.

2010-09-10: Updated: 2016-05-19 17:19:34 The DMC Announces Cost-Savings From the Use of Electronic Medical Records

by Wachler & Associates, P.C.

2010-09-08: Updated: 2016-05-17 20:36:04 The OIG Publishes Two Advisory Opinions

by Wachler & Associates, P.C.

2010-09-02: Updated: 2016-05-17 20:36:12 The ONC Names Technology Review Bodies to Certify EHR Systems

by Wachler & Associates, P.C.

2010-09-01: Updated: 2016-05-17 20:36:19 RACs for Regions D and C Add Medical Necessity Reviews to Approved Issues Lists

by Wachler & Associates, P.C.

2010-08-26: Updated: 2016-05-17 20:36:25 Michigan Selects Insurer for High Risk Insurance Pool

by Wachler & Associates, P.C.

2010-08-24: Updated: 2016-05-17 20:36:33 Michigan Doctor Sentenced to Prison for Medicare Fraud

by Wachler & Associates, P.C.

2010-08-23: Updated: 2016-05-17 20:36:39 The OIG Publishes Reports Targeting IRFs

by Wachler & Associates, P.C.

2010-08-19: Updated: 2016-05-17 20:36:46 Michigan Receives $1 Million of Grants to Improve Oversight of Health Insurance Premium Increases

by Wachler & Associates, P.C.

2010-08-18: Updated: 2016-05-17 20:36:52 OIG Publishes Report Showing Overpayments to DME Suppliers

by Wachler & Associates, P.C.

2010-08-17: Updated: 2016-05-17 20:37:00 OIG Report Identifies Overpayments to Physicians for Incorrect Place of Service Codes

by Wachler & Associates, P.C.

2010-08-16: Updated: 2016-05-17 20:37:07 CMS Reminds Providers of the Document Retention Requirements

by Wachler & Associates, P.C.

2010-08-13: Updated: 2016-05-17 20:37:16 RACs Will Begin Medical Necessity Reviews

by Wachler & Associates, P.C.

2010-08-12: Updated: 2016-05-17 20:37:25 OIG LEIE Search Errors

by Wachler & Associates, P.C.

2010-08-11: Updated: 2016-05-17 20:37:33 Michigan Attorney General Mike Cox Will Host a Forum on DMC-Vanguard Deal

by Wachler & Associates, P.C.

2010-08-11: Updated: 2016-05-17 20:37:40 The OIG Releases an Advisory Opinion Regarding the Anti-Kickback Statute

by Wachler & Associates, P.C.

2010-08-10: Updated: 2016-05-17 20:37:49 District Court Ruling – Medicare Contractors Can Reopen Claims Regardless of “Good Cause”

by Wachler & Associates, P.C.

2010-08-03: Updated: 2016-05-17 20:37:56 HHS Announces Grants to Help States Implement Health Insurance Exchanges

by Wachler & Associates, P.C.

2010-07-08: Updated: 2016-05-17 20:38:05 Michigan Group’s Effort to Push Back Healthcare Reform Falls Short

by Wachler & Associates, P.C.

2010-07-07: Updated: 2016-05-17 20:38:15 The Department of Health and Human Services Opens Notice and Comment Period for New HIPAA Privacy Rule

by Wachler & Associates, P.C.

2010-07-06: Updated: 2016-05-17 20:38:22 Michigan’s Medicaid Funding at Risk

by Wachler & Associates, P.C.

2010-07-05: Updated: 2016-05-17 20:38:28 Update on ABIM Recommended Suspensions

by Wachler & Associates, P.C.

2010-07-01: Updated: 2016-05-17 20:38:35 The OIG’s Report on Inpatient Rehabilitation Facility Claims Could Lead to RAC Reviews

by Wachler & Associates, P.C.

2010-06-28: Updated: 2016-05-17 20:38:43 Codification of the Hospital 3-Day Payment Window

by Wachler & Associates, P.C.

2010-06-27: Updated: 2016-05-17 20:38:54 RACs Post New Issues

by Wachler & Associates, P.C.

2010-06-24: Updated: 2016-05-17 20:39:04 CMS Reports that Providers Are Winning a Large Percentage of Appeals

by Wachler & Associates, P.C.

2010-06-23: Updated: 2016-05-17 20:39:13 The OIG Releases an Advisory Opinion Regarding the Dietitian and Social Worker Services Provided at a Freestanding Radiation Oncology Center

by Wachler & Associates, P.C.

2010-06-22: Updated: 2016-05-17 20:39:22 The Senate Passes a Plan to Fix Medicare Physician Payment for Another Six Months

by Wachler & Associates, P.C.

2010-06-21: Updated: 2016-05-17 20:39:31 Federal Wrangling May Negatively Impact Michigan’s Medicaid Program

by Wachler & Associates, P.C.

2010-06-20: Updated: 2016-05-17 20:39:40 Michigan’s Uninsured Chronically Ill May Have New Coverage Option

by Wachler & Associates, P.C.

2010-06-17: Updated: 2016-05-18 12:46:33 Update on ABIM Suspensions**

by Wachler & Associates, P.C.

2010-06-17: Updated: 2016-05-17 20:39:47 Government Accountability Office (GAO) Recommends Post-Payment Reviews to Focus on Home Health and Durable Medical Equipment

by Wachler & Associates, P.C.

2010-06-14: Updated: 2016-05-17 20:40:00 Accountable Care Organizations Grow in Michigan

by Wachler & Associates, P.C.

2010-06-10: Updated: 2016-05-18 12:48:22 The American Board of Internal Medicine Takes Formal Action Against Physicians**

by Wachler & Associates, P.C.

2010-06-09: Updated: 2016-05-17 20:40:15 The RAC for Region D Adds New Issues

by Wachler & Associates, P.C.

2010-06-08: Updated: 2016-05-17 20:40:23 St. Jude Medical Center to Pay $3.7 Million Kickback Settlement

by Wachler & Associates, P.C.

2010-06-03: Updated: 2016-05-17 20:40:32 The OIG Releases Two Advisory Opinions

by Wachler & Associates, P.C.

2010-05-31: Updated: 2016-05-17 20:40:56 BCBSM Will Cease Payment on CPT Consultation Codes for Medicare Plus Blue PFFS and Medicare Plus Blue PPO

by Wachler & Associates, P.C.

2010-05-31: Updated: 2016-05-17 20:40:50 Sale of DMC to Vanguard Health Systems is Delayed

by Wachler & Associates, P.C.

2010-05-31: Updated: 2016-05-17 20:40:42 RACs Post New Issues for All Four Regions

by Wachler & Associates, P.C.

2010-05-25: Updated: 2016-05-17 20:41:05 Motion to Dismiss Virginia Attorney General’s Healthcare Reform Challenge

by Wachler & Associates, P.C.

2010-05-24: Updated: 2016-05-17 20:41:13 Health Alliance of Greater Cincinnati Settles False Claims Suit

by Wachler & Associates, P.C.

2010-05-23: Updated: 2016-05-17 20:41:19 CMS Releases MLN Matters Article Explaining Additions to the Medicare Program Integrity Manual

by Wachler & Associates, P.C.

2010-05-16: Updated: 2016-05-17 20:41:50 MLN Matters Article Discusses New Remittance Advice Code Created to Identify Claims Subject to the Limitation on Home Health Prospective Payment System Outlier Payments

by Wachler & Associates, P.C.

2010-05-16: Updated: 2016-05-17 20:41:41 CMS Clarifies Signature Requirements

by Wachler & Associates, P.C.

2010-05-16: Updated: 2016-05-17 20:41:33 U.S. Western District Court of Michigan Dismisses False Claims Act Claim for Failure to State a Claim with the Required Particularity

by Wachler & Associates, P.C.

2010-05-16: Updated: 2016-05-17 20:41:26 PPACA Grants Authority to the Secretary of the Department of Health & Human Services to Require Health Care Providers to Adopt Compliance Programs

by Wachler & Associates, P.C.

2010-05-11: Updated: 2016-05-17 20:42:16 CMS Issues New Transmittal to Address Concerns with Recoupments

by Wachler & Associates, P.C.

2010-05-11: Updated: 2016-05-17 20:42:09 Request for Information on the Expansion of the Right to Receive an Accounting of Disclosures

by Wachler & Associates, P.C.

2010-05-11: Updated: 2016-05-17 20:42:02 Surgeon Sentenced to Prison for HIPAA Violation

by Wachler & Associates, P.C.

2010-05-11: Updated: 2016-05-17 20:41:56 Requirements for the Home Health Care CAHPS Survey

by Wachler & Associates, P.C.

2010-04-30: Updated: 2016-05-17 20:42:22 The RAC for Region C Adds New Issues

by Wachler & Associates, P.C.

2010-04-26: Updated: 2016-05-17 20:42:28 Healthcare Reform Legislation Changes Medicare Timely Filing Requirements

by Wachler & Associates, P.C.

2010-04-25: Updated: 2016-05-17 20:42:34 Professional Medical Organizations Adopt New Ethics Codes

by Wachler & Associates, P.C.

2010-04-20: Updated: 2016-05-17 20:42:44 Proposed Bipartisan Bill Extends Electronic Health Records Incentives to Mental Health Professionals

by Wachler & Associates, P.C.

2010-04-20: Updated: 2016-05-17 20:42:39 Medicare Physician Rate Cut Delayed until May 31, 2010

by Wachler & Associates, P.C.

2010-04-14: Updated: 2016-05-17 20:42:50 Healthcare Reform Results in Amendments to the Anti-Kickback Statute

by Wachler & Associates, P.C.

2010-04-14: Updated: 2016-05-17 20:43:18 Healthcare Reform Adds Reporting Requirements for Vendor-Provider Relationships

by Wachler & Associates, P.C.

2010-04-14: Updated: 2016-05-17 20:43:13 Changes in CLIA Requirement for Processing Personnel

by Wachler & Associates, P.C.

2010-04-14: Updated: 2016-05-17 20:43:07 Proposed House Bill Would Increase Penalties for Medicare Fraud

by Wachler & Associates, P.C.

2010-04-14: Updated: 2016-05-17 20:43:02 Check the RAC!

by Wachler & Associates, P.C.

2010-04-14: Updated: 2016-05-17 20:42:55 Healthcare Reform’s Changes to Home Health Certification and DME Certification

by Wachler & Associates, P.C.

2010-04-11: Updated: 2016-05-17 20:43:23 The Healthcare Reform Bill Amends Civil Monetary Penalties Law

by Wachler & Associates, P.C.

2010-04-06: Updated: 2016-05-17 20:37:59 Andrew Wachler participates as a guest speaker at the RAC Monitor Webinar

by Wachler & Associates, P.C.

2010-04-06: Updated: 2016-05-17 20:37:51 Andrew Wachler presented “The New Audit Landscape: MICs, MACs, and RACs” for an American Bar Association (ABA) teleconference

by Wachler & Associates, P.C.

2010-03-31: Updated: 2016-05-17 20:38:15 Recovery Audit Contractors (RACs) for three Regions post new issues for non-medical necessity DRG validation inpatient claims reviews

by Wachler & Associates, P.C.

2010-03-31: Updated: 2016-05-17 20:38:07 Medicare Appeals Council requires RACs to use covered Medicare Part B services to off-set a Medicare Part A overpayment

by Wachler & Associates, P.C.

2010-03-28: Updated: 2016-05-17 20:38:33 The Patient Protection and Affordable Act of 2009 strengthens the False Claims Act (FCA)

by Wachler & Associates, P.C.

2010-03-28: Updated: 2016-05-17 20:38:25 Healthcare Reform Bill to Enhance Pain Management Treatment

by Wachler & Associates, P.C.

2010-03-24: Updated: 2016-05-17 20:39:31 Rush University Medical Center Agrees to $1.5 Million Settlement to Resolve Alleged FCA Violations

by Wachler & Associates, P.C.

2010-03-24: Updated: 2016-05-17 20:39:22 Florida Legislation to Increase Medicaid Antifraud Efforts

by Wachler & Associates, P.C.

2010-03-24: Updated: 2016-05-17 20:39:13 The Department of Health and Human Services Invests More Funds to Advance the Meaningful Use of Health IT

by Wachler & Associates, P.C.

2010-03-24: Updated: 2016-05-17 20:39:04 The American Hospital Association Submits Comments to CMS on Proposed EHR Meaningful Use Rule

by Wachler & Associates, P.C.

2010-03-24: Updated: 2016-05-17 20:38:54 Fewer Doctors Accepting Medicaid

by Wachler & Associates, P.C.

2010-03-24: Updated: 2016-05-17 20:38:45 Michigan Receives Health Information Technology Grant

by Wachler & Associates, P.C.

2010-03-24: Updated: 2016-05-17 20:38:40 Expansion of the RAC Program

by Wachler & Associates, P.C.

2010-03-10: Updated: 2016-05-17 20:39:48 Michigan Providers Must Charge Patients Less for Copies of Medical Records

by Wachler & Associates, P.C.

2010-03-10: Updated: 2016-05-17 20:39:41 The Department of Health and Human Services Releases a Notice of Proposed Rulemaking for the Establishment of Certification Programs for Health Information Technology (Health IT)

by Wachler & Associates, P.C.

2010-03-08: Updated: 2016-05-17 20:40:01 National Practitioner Data Bank Expanded

by Wachler & Associates, P.C.

2010-03-08: Updated: 2016-05-17 20:39:56 Medicare Physician Payment Cuts – Ten More Days

by Wachler & Associates, P.C.

2010-03-02: Updated: 2016-05-17 20:40:24 Expansion of Michigan’s Chiropractic Scope of Practice

by Wachler & Associates, P.C.

2010-03-02: Updated: 2016-05-17 20:40:16 Michigan’s Governor Establishes Health Inspector General

by Wachler & Associates, P.C.

2010-03-02: Updated: 2016-05-17 20:40:09 First State Attorney General to Take Action against Covered Entity Responsible for Massive HIPAA Violations

by Wachler & Associates, P.C.

2010-02-21: Updated: 2016-05-17 20:40:50 RACs Reporting Potential Cases of Fraud

by Wachler & Associates, P.C.

2010-02-21: Updated: 2016-05-17 20:40:42 Preventing the 21 percent cut in Medicare payments – Hurdles to Overcome in the Senate

by Wachler & Associates, P.C.

2010-02-21: Updated: 2016-05-17 20:40:31 Home Health Providers See Changes to Payments in 2010

by Wachler & Associates, P.C.

2010-02-09: Updated: 2016-05-17 20:41:00 CMS Rescinds Change Request 6375

by Wachler & Associates, P.C.

2010-02-07: Updated: 2016-05-17 20:41:08 CMS Announces Modified Additional Documentation Request Limits for Institutional Providers

by Wachler & Associates, P.C.

2010-02-03: Updated: 2016-05-17 20:41:23 Health Professionals Petition the FTC for Relief from Red Flags Rule

by Wachler & Associates, P.C.

2010-02-03: Updated: 2016-05-17 20:41:16 Region D RAC Approves Anesthesia Services for Review

by Wachler & Associates, P.C.

2010-01-26: Updated: 2016-05-17 20:41:33 U.S District Court Dismisses Lawsuit Regarding Physician Payment Cuts to Medicare Reimbursements

by Wachler & Associates, P.C.

2010-01-23: Updated: 2016-05-17 20:41:40 OIG Fraud Alert to DME Suppliers on Telemarketing Prohibition

by Wachler & Associates, P.C.