Corporate Compliance

This week in Medicare updates

Medicare Insider, March 31, 2015

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Testimony of Gary Cantrell, Deputy Inspector General for Investigations, before Subcommittee on Oversight
 
On March 24, OIG posted a transcript of the testimony of Gary Cantrell, Deputy Inspector General for Investigations for the OIG regarding OIG’s efforts to combat Medicare fraud.
 
View the transcript.
 
Testimony of Ann Maxwell, Assistant Inspector General for Evaluation and Inspections, before Subcommittee on Health
 
On March 24, OIG posted a transcript of the testimony of Ann Maxwell, Assistant Inspector General for Evaluation and Inspections the OIG regarding the integrity of the 340B Drug Pricing Program (340B program).
 
View the transcript.
 
OIG Advisory Opinion No. 15-04, regarding physician practices choosing preferred laboratories
 
On March 25, OIG posted a response to a request for an advisory opinion regarding a laboratory’s proposal to enter into agreements with physician practices to provide all laboratory services for the practices’ patients and waive all fees for those practices’ patients who are enrollees of certain insurance plans requiring the patients to use a different laboratory.
 
View the Advisory Opinion No. 15-04.
 
Update to Hospital Appeals Settlement
 
On March 26, CMS updated its Inpatient Hospital website with new information about the Hospital Appeals Settlement. CMS wrote it “is in the process of completing Round 1 of the settlement process. Round 2 validations have begun.” Participants are encouraged to review the revised "Critical Steps for Providers in the Appeals Settlement Process" found in the Downloads section below for additional instructions.
 
View the website.
 
View the “Critical Steps for Providers in the Appeals Settlement Process" document.

H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015
 
On March 26, the House of Representatives passed H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015. The bill addresses the Sustainable Growth Rate fix, prohibits elimination of the global period, extends the 2-midnight probe and educate audits through September 30, 2015 and extends several payment provisions, including the therapy caps and exception processes, through October 1, 2017.  A similar bill is pending a vote in the Senate for when they return from a scheduled break April 13.
 
View updates and the text of the bill.



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