Monica Wallace

Jan 8, 2025 | jdsupra.com | Abby Higgins |Monica Wallace

OverviewThe Centers for Medicare & Medicaid Services’ (CMS) 2025 Home Health Prospective Payment System final rule (Final Rule) expanded the scope of providers subject to a provisional period of enhanced oversight (PPEO) to include providers reactivating their Medicare enrollment and billing privileges after being in a deactivated status.

Jan 8, 2025 | mondaq.com | Tony Maida |Emily Cook |Monica Wallace

This issue of McDermott'sHealthcareRegulatory Check-Uphighlights regulatory activity for November2024. We discuss several US Department of Justice (DOJ)enforcement actions involving the False Claims Act (FCA) and theAnti-Kickback Statute (AKS).

Jan 3, 2025 | jdsupra.com | Monica Wallace

This issue of McDermott’s Healthcare Regulatory Check-Up highlights regulatory activity for November 2024. We discuss several US Department of Justice (DOJ) enforcement actions involving the False Claims Act (FCA) and the Anti-Kickback Statute (AKS).

Dec 20, 2024 | jdsupra.com | Monica Wallace

The Centers for Medicare and Medicaid Services (CMS) finalized material changes to the overpayment rules for Medicare Parts A, B, C, and D effective January 1, 2025. These changes create new ambiguity and practical challenges for organizations dealing with a potential overpayment. Organizations should consider reviewing their procedures for identifying and returning overpayments to comply with new timelines contained in the regulation.

Nov 25, 2024 | mondaq.com | Tony Maida |Emily Cook |Monica Wallace |Amanda Enyeart

This issue of McDermott's Healthcare Regulatory Check-Up highlights regulatory activity for October 2024. We discuss several enforcement actions pertaining to healthcare fraud, including alleged violations under the False Claims Act (FCA) and the federal Anti-Kickback Statute (AKS). We also review other regulatory updates in the healthcare field, including notable updates from the Centers for Medicare & Medicaid Services (CMS). READ FULL REPORT.