Carla DewBerry

Jul 5, 2024 | natlawreview.com | Carla DewBerry

Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program got good news from The Centers for Medicare and Medicaid Services (CMS) related to widespread fraud involving urinary catheters that is estimated to involve as much as US$3 Billion in false claims. CMS has announced that it will hold ACOs harmless against the fraud by excluding the fraudulent claims from shared savings calculations.

Jun 22, 2023 | natlawreview.com | Carla DewBerry

On 8 June 2023, in Health and Hospital Corporation of Marion County v. Talevski, the United States Supreme Court ruled that the rights set out in the Federal Nursing Home Reform Act (FNHRA) can be enforced under 42 U.S.C. § 1983 by a resident of a publicly-owned nursing home. Claims recognized under § 1983 can result in an award of damages and attorney’s fees to the plaintiff that may not be otherwise available. FNHRA is a federal statute enacted under Art.

May 4, 2023 | jdsupra.com | Carla DewBerry |Macy Flinchum

The 1 May 2023 Federal Register contains a proposal from the Centers for Medicare & Medicaid Services (CMS) to revise the scoring methodology under the Hospital Value-Based Purchasing Program (Hospital VBP Program) as part of its Inpatient Prospective Payment Systems (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCHPPS) Proposed Rule for FY 2024.1 The proposed changes include the following major changes that impact a participating hospital’s score: The maximum Total...

May 3, 2023 | natlawreview.com | Carla DewBerry

The 1 May 2023 Federal Register contains a proposal from the Centers for Medicare & Medicaid Services (CMS) to revise the scoring methodology under the Hospital Value-Based Purchasing Program (Hospital VBP Program) as part of its Inpatient Prospective Payment Systems (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCHPPS) Proposed Rule for FY 2024.1 The proposed changes include the following major changes that impact a participating hospital’s score: The maximum Total...

May 2, 2023 | klgates.com | Carla DewBerry |Macy Flinchum

2 May 2023 US Health Care and FDA Alert The 1 May 2023 Federal Register contains a proposal from the Centers for Medicare & Medicaid Services (CMS) to revise the scoring methodology under the Hospital Value-Based Purchasing Program (Hospital VBP Program) as part of its Inpatient Prospective Payment Systems (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCHPPS) Proposed Rule for FY 2024.1 The proposed changes include the following major changes that impact a participating...