86 matches.
- Events2026 and Beyond: Charting a Course for Medicare Advantage and Other VBC Programs3 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
- 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
- EventsAHIP Medicare, Medicaid, Duals & Commercial Markets: Current Legal Issues in Medicare Advantage and Part D1 minute read
- EventsRISE National 2025: Government Program Legal and Compliance Deep Dive - How to Navigate the Wave of Enforcement While Still Trying to Manage a Population and Stay Sane2 minute read
- BlogsCMS Issuing First Risk Adjustment Data Validation Audit Notices for PY2018 Since the RADV Final Rule1 minute read
- Firm AnnouncementsEpstein Becker Green Receives National Recognition and Top Rankings in the 2024 Edition of Legal 5003 minute read
- EventsAHIP’s 2024 Medicare, Medicaid, Duals & Commercial Markets Forum: Current Legal Issues in Medicare Advantage and Part D Final Rule1 minute read
- BlogsDOJ Brings Second Criminal Charges Related to Medicare Advantage Risk Adjustment9 minute read
- BlogsRare DOJ Criminal Indictment Related to Medicare Advantage Risk Adjustment9 minute read
Firm AnnouncementsEpstein Becker Green Earns National Recognition and High Rankings in the 2023 Edition of Legal 5003 minute read- EventsRISE National 2023: Developments in Risk Adjustment Enforcement, Compliance, and Agency Actions and What Your Organization Should Be Doing NowMarch 6, 20231 minute read
- BlogsCMS’s Final Rule on Medicare Advantage Risk Adjustment Data Validation3 minute read
- Media CoverageJason Christ Quoted in “Legal Experts Expect 'More Scrutiny' of Medicare Prior Authorization from Feds”2 minute read
- EventsFraud and Abuse & Managed Care: Key Issues and 2021 Updates1 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
- BlogsOIG Audits on Medicare Advantage Plans Continue3 minute read
- PublicationsOIG and CMS Issue Long-Awaited Value-Based Safe Harbors and Exceptions; Now What?2 minute read
- EventsBias in Artificial Intelligence: Legal Risks and Solutions3 minute read
- BlogsBias in Healthcare Algorithms4 minute read
Videos & Podcasts- PublicationsStark Law Updates Aimed at Advancing the Transition to Value-Based Care: CMS Issues a Final Rule Creating New Exceptions for Value-Based Arrangements26 minute read
- PublicationsOIG Issues a Final Rule Designed to Advance the Transition to Value-Based Care and Modernize the Regulatory Framework39 minute read
- EventsHealth Care Fraud and Abuse: Trends, Challenges and Opportunities1 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
- Media CoverageJason Christ Featured in "Risk Adjustment: 6 Legal and Compliance Issues to Watch in 2020"3 minute read
- PublicationsHHS's Regulatory Sprint to Coordinated Care – Part 3: CMS Proposes Expansive Set of Changes to Stark Regulations60 minute read
- PublicationsHHS’s Regulatory Sprint to Coordinated Care – Part 2: OIG Issues Long-Awaited Proposed Rules34 minute read
- PublicationsHHS's Regulatory Sprint to Coordinated Care - Part 1: CMS and OIG Issue Long-Awaited Proposed Rules10 minute read
- EventsTexas Health Law Conference: Artificial Intelligence – Evaluating Organizational Risks in Emerging Healthcare Technology1 minute read
- BlogsFederal Legislators Express Continued Concerns with Oversight of Medicare Advantage Plans3 minute read
- Firm AnnouncementsEpstein Becker Green Recognized as Top-Tier Law Firm by The Legal 500 United States, Receives Additional High Rankings4 minute read
- EventsManaged Care Disputes and Litigation: Medicare Risk Adjustment - Understanding the Implications of the Latest Enforcement and Litigation Developments1 minute read
- EventsRise Nashville: Recent Risk Adjustment Government Enforcement Actions and What to Do Now1 minute read
- EventsRise Nashville: Detailing the Pros and Cons of Natural Language Process; Is It the Right Solution for You?1 minute read
- EventsHospice Compliance Network Quarterly Roundtable1 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
- PublicationsResponse to RFIs: EBG Submits Comments to CMS on Stark Law Reforms and Is Preparing Comments to OIG on Anti-Kickback Statute and Beneficiary Inducement CMP Modifications8 minute read
- Firm AnnouncementsLegal 500 United States Recognizes Epstein Becker Green as Top-Tier Recommended Law Firm, Awards Additional High Rankings4 minute read
- PublicationsCMS Request for Information: Reforming the Stark Law to Facilitate the Transformation to Value-Based Care5 minute read
- EventsMedicare Risk Adjustment Landscape: Learning from Today's Environment to Prepare for What Comes Next1 minute read
- EventsFraud and Abuse Enforcement in the Risk Adjustment Industry: The Shifting State of Play1 minute read
- EventsNHPCO's 32nd Management and Leadership Conference: Top Five Hospice Risk Areas – What You Need to Know and Do Now1 minute read
Videos & Podcasts- Firm AnnouncementsEpstein Becker Green Receives Top Rankings in The Legal 500 United States for 20163 minute read
- EventsBlue Cross Blue Shield 2016 National Summit: The Yin and Yang of Risk Mitigation - What Drives a Successful Compliance Partnership with Legal Counsel1 minute read
- Media CoverageJason Christ, Serra Schlanger Mentioned in "Hospices Beware, OIG Is Taking a Closer Look at Patient Care"2 minute read
- EventsHCCA's 20th Annual Compliance Institute1 minute read
- EventsAHLA Advanced Compliance Education Webinar Series, Part VI: Compliance for Medicare Advantage Plans1 minute read
- Events2015 NAHC Annual Meeting: How to Mitigate Risk - Enforcement Trends in Home Health and Hospice1 minute read
- Events2015 Blue National Summit2 minute read
- EventsEnforcement Trends and Risk Mitigation for Home Health and Hospice Providers2 minute read
- Media CoverageEmily Bajcsi, Jason Christ Interviewed in "How Hospices Can Prepare for Increased Federal Audits Under the IMPACT Act"7 minute read
- PublicationsOIG Proposes New Safe Harbors to the Anti-Kickback Statute and New Exceptions to the Two Civil Monetary Penalty Provisions31 minute read
- PublicationsWhat Health Care Organizations Need to Know About Electronic Discovery – Five Considerations That Should Not Be Overlooked During Healthcare Fraud Investigations2 minute read
- PublicationsWhat Health Care Organizations Need to Know About Electronic Discovery—Five Considerations That Should Not Be Overlooked During Health Care Fraud Investigations2 minute read
- Firm AnnouncementsEpstein Becker Green Promotes Three Attorneys in Its National Health Care and Life Sciences and Labor and Employment Practices2 minute read
- PublicationsThe OIG's Updated Self-Disclosure Protocol: Greater Transparency, but Proceed with Caution, as appeared in Bloomberg BNA's Health Care Fraud Report1 minute read
- PublicationsOIG Unveils Updated Self-Disclosure Protocol19 minute read
- Firm AnnouncementsEpstein Becker Green Attorneys Author AHLA Bestselling Book: Legal Issues in Healthcare Fraud and Abuse: Navigating the Uncertainties, Fourth Edition4 minute read
- Media CoverageJason Caron, Jason Christ Article on Stark Law Published in Imaging Economics1 minute read
- PublicationsThe Stark Reality, in Imaging Economics1 minute read
- EventsAmerican Ambulance Association: 2010 Annual Convention & Tradeshow1 minute read
- PublicationsCMS Opens Its Doors by Creating the Stark Voluntary Self-Referral Disclosure Protocol—But Enter at Your Own Risk, as appeared in BNA's Health Law Reporter1 minute read
- PublicationsCMS Issues Proposed Regulations Concerning Disclosure Requirements for Certain Imaging Services Under the Stark Law's In-Office Ancillary Services Exception8 minute read
- PublicationsTop Ten Issues for Health Lawyers in 2010: Fraud and Abuse, Stark, and Anti-Kickback Issues, as appeared in AHLA Connections3 minute read
- PublicationsElectronic Health Records Pose Several Challenges, as appeared in The National Law Journal9 minute read
- PublicationsEpstein Becker Green Giving Back – Fall 20091 minute read
- EventsThe Stark Reality: The Practical Application of the Stark Law1 minute read
- PublicationsOIG Approves Ambulance Joint Venture, Emphasizes Public Benefit9 minute read
- EventsAnti-Kickback: Facts Circumstances and Intent1 minute read
- EventsThe Stark Law - Regulatory Geometry1 minute read
- EventsTop 5 Legal Issues and Trends Affecting the Medical Transport Industry in 20091 minute read
- PublicationsTop Ten Health Law Issues for 2009, in Health Lawyers News Vol 13 #11 minute read
- EventsStark: A Defense and Compliance Perspective1 minute read
- EventsEverything You Wanted to Know About Stark but were Afraid to Ask
- EventsPracticing Law in Washington DC
- PublicationsStark Marches On: The 2009 IPPS Final Rule, in American Health Lawyers Member Briefing1 minute read
- PublicationsThe "Agony" and the "Ecstasy" Continues With Issuance of Final Phase III Stark Regulations1 minute read
- PublicationsPharmaceutical Law: Regulation of Research, Development and Marketing — ABA Health Law Section1 minute read