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The Centers for Medicare and Medicaid Services (“CMS”) has issued a proposed rule which would amend the existing regulations for reporting and returning identified overpayments (the...
The Centers for Medicare and Medicaid Services issued a proposed rule which would amend regulations for reporting and returning identified overpayments. CMS proposes to eliminate the reasonable diligence standard and replace it with the False Claim Act's standard of knowing.
On December 14, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that contemplates several changes to, and clarifications of, guidance for the Medicare...
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster)...
Four motions to dismiss the False Claim Act allegations against Kaiser are pending in Ninth Circuit. Kaiser is alleged to have violated the False Claims Act by submitting inaccurate diagnosis codes for its Medicare Advantage Plan enrollees to receive higher reimbursements.