43 matches.
- BlogsThe Case for Regular Legal Maintenance: A Litigation Readiness Mindset for Modern Health Care Organizations6 minute read
- BlogsTexas Court Strikes Down CMS’s RADV Rule – CMS’s Treatment of Actuarial Equivalence and the FFS Adjustor Does Matter, After All8 minute read
- PublicationsCMS’s Rescission of 2022 EMTALA Guidance Presents New Considerations for Hospitals, Post-Dobbs11 minute read
- BlogsCMS Doubles Down on Medicare Advantage Recoupment: Announces Aggressive RADV Strategy to Reclaim Billions18 minute read
- BlogsA Closer Look at Proposed Changes to Medicare Advantage in the “No UPCODE Act”13 minute read
- EventsHot Topics in VBE Fraud and Abuse, Compliance, and Investigations - On-Demand WebinarFebruary 20252 minute read
- BlogsCMS Issuing First Risk Adjustment Data Validation Audit Notices for PY2018 Since the RADV Final Rule1 minute read
- BlogsCMS Announces Comprehensive Plan to Ensure EMTALA Compliance8 minute read
- PublicationsMedicare Advantage, Part D, and More: Proposed Rule Outlines Significant Policy and Technical Changes for CY 202535 minute read
- EventsHCCA’s Healthcare Enforcement Compliance Conference: Managed Care Enforcement and Compliance1 minute read
- EventsLegal, Regulatory, and Compliance Summit on Medicare Advantage: CMS Audit Readiness - How to Set Your MAO Up for Success in the Year Ahead1 minute read
- EventsAHLA Health Plan Law and Compliance Institute: A Moving Target—Key Litigation and Regulatory Developments in Medicare Advantage Risk Adjustment1 minute read
- Firm AnnouncementsThirteen Epstein Becker Green Attorneys Named to the 2023 Washington, DC, Super Lawyers and Rising Stars Lists4 minute read
- BlogsCMS’s Final Rule on Medicare Advantage Risk Adjustment Data Validation3 minute read
- PublicationsBiden Administration Prioritizes Health Equity in Proposed Reforms to Medicare Managed Care33 minute read
Firm AnnouncementsEpstein Becker Green Attorneys Recognized by 2023 Best Lawyers for Excellence in the Legal Profession11 minute read- PublicationsIn Wake of Dobbs Decision, CMS Issues Guidance to Hospitals on EMTALA Obligations12 minute read
- BlogsThe Department of Justice (“DOJ”) Continues its Medicare Advantage (“MA”) Enforcement Efforts with a $90 Million Dollar Settlement Against Downstream Provider Sutter Health4 minute read
- PublicationsCMS Wins on Partial Appeal—D.C. Circuit Court Rules Against United’s Initially Successful Challenge to the Medicare Part C Overpayment Rule13 minute read
- Firm AnnouncementsThirty-Five Epstein Becker Green Attorneys Recognized as “Ones to Watch” by The Best Lawyers in America 20225 minute read
- BlogsOIG Audits on Medicare Advantage Plans Continue3 minute read
- EventsRISE National 2021: Overview of the Latest Risk Adjustment Litigation Cases and Lessons Learned1 minute read
- Media CoverageTeresa Mason Featured in “Handling and (Hopefully) Avoiding CMS’s Targeted Probe and Educate Program”2 minute read
- EventsDisruption in U.S. Healthcare: Compliance for Entrepreneurs1 minute read
- PublicationsOIG Issues a Final Rule Designed to Advance the Transition to Value-Based Care and Modernize the Regulatory Framework39 minute read
- BlogsA Reflection on RBG’s Impact and Legacy3 minute read
- Firm AnnouncementsTwenty-Six Epstein Becker Green Attorneys Recognized as “Ones to Watch” by The Best Lawyers in America 20214 minute read
- Media CoverageEight Epstein Becker Green Attorneys Featured in "Law360 Names Attys Who Moved Up the Firm Ranks in Q1"2 minute read
- EventsAnnual East Coast Nurse Attorneys Meeting: Medicare Advantage - Provider Liability and Enforcement1 minute read
- EventsRISE Nashville 2020: Hot 2020 Legal and Compliance Issues for Risk Adjustment Organizations1 minute read
- EventsHCCA 2020 Managed Care Compliance Conference: Risk Adjustment Compliance – Can You Afford the Risk?1 minute read
- Firm AnnouncementsEpstein Becker Green Announces 2020 Promotions4 minute read
- BlogsFederal Legislators Express Continued Concerns with Oversight of Medicare Advantage Plans3 minute read
- EventsTAANA 2019 Annual Conference: EMTALA – Lessons Learned from Violations and Self-Disclosures1 minute read
- EventsEMTALA: The Golden Rule of the Emergency Room - Lessons Learned from Violations and Self-Disclosures1 minute read
- EventsRise Nashville: Recent Risk Adjustment Government Enforcement Actions and What to Do Now1 minute read
- EventsHealth Plan Alliance: Federal Enforcement impact on Risk Adjustment MA Landscape1 minute read
- EventsMedicare Advantage Risk Adjustment Compliance Do's and Don'ts: How to Effectively Deploy Limited Resources on Emerging Risk Areas1 minute read
- BlogsMedicare Advantage Downstream Provider Settles Risk Adjustment False Claims Allegations3 minute read
- PublicationsHHS-OIG Work Plan – Medicare Advantage7 minute read
- EventsFraud and Abuse Enforcement in the Risk Adjustment Industry: The Shifting State of Play1 minute read
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Videos & Podcasts