The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of the Wasteful and Inappropriate Service Reduction...
Reed Smith LLP
On January 15, the Department of Justice (DOJ) reported that False Claims Act (FCA) recoveries for civil cases in fiscal year 2024...
In the final 2025 Medicare Physician Fee Schedule, which is set to be published in the Federal Register on December 9, the Centers for...
The Office of Inspector General of the Department of Health and Human Services (OIG) has published an unfavorable advisory opinion...
Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and...
The Department of Justice (DOJ) reported that its False Claims Act (FCA) recoveries for civil cases raked in approximately $2.7 billion...
Building on prior requests for information and an increased focus on Medicare Advantage oversight, the Centers for Medicare and Medicaid...
On October 26, 2023, the Department of Justice (“DOJ”) announced that a Miami federal grand jury returned an indictment charging a...
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal...
In part I, we discussed whether federal district courts could exercise jurisdiction under the federal-question statute over legal...
The Medicare Act does not expressly provide for judicial review of overpayment determinations made by the Centers for Medicare & Medicaid...
On March 27, 2023, two United States Senators, Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) introduced the bipartisan No Unreasonable...
The Centers for Medicare & Medicaid Services (CMS) recently issued a Medicare-related final rule invoking the agency’s statutory...
After a long line of opinions scrutinizing the use of rewards programs offered by providers, the Department of Health and Human Services’...
The Centers for Medicare and Medicaid Services has published a final rule that governed the way that Medicare Advantage and Medicare Part...
In November 2020, four months after the Trump Administration issued a series of Executive Orders reiterating its policy goals on reducing...