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What's Been Missing: District Court Orders the Government to Produce Complete Universe of Claims in Provider's Due Process Challenge to Extrapolated Overpayment | K&L Gates LLP

On 5 March 2024, in an issue of first impression in the District of South Carolina, a district court judge overseeing judicial review of a final agency decision in a Medicare claims. ....

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CMS's Final RADV Rule Announces No Extrapolation Methodology, No FFS Adjuster | Morgan Lewis

The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of. ....

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UPIC Report Card: The OIG's Evaluation of the UPICs Provides Insight Into the Future of Hospice Audits | Husch Blackwell LLP

The Department of Health and Human Services Office of the Inspector General (OIG) recently released a report detailing its evaluation of CMS’s primary fraud, abuse and waste. ....

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Stephen Bittinger Healthcare Lawyer KL Gates Law Firm Charleston

Stephen Bittinger Healthcare Lawyer KL Gates Law Firm Charleston Medicare and Medicaid audits, private payer audits, federal regulatory termination and exclusion proceedings, False Claims Act prosecutions, and health care revenue issues. In addition, he has experience advising clients on defending and appealing audits by Recovery Audit Contractors, Zone Program Integrity ....

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