tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Don’t Miss AKS, CMP Updates in New Rule

Hint: Expect safe harbors that promote value and coordination. Many of the federal rollbacks over the past year have been initiated to reduce providers’ burdens. Now, the feds have turned the spotlight on fraud and abuse regulations, offering better safeguards to encourage care coordination with pro-patient policies. Context: The HHS Office of Inspector General (OIG) announced a bevy of changes in tandem with the Centers for Medicare & Medicaid Services (CMS) Stark update in its own proposed rule. OIG’s proposed rulemaking aligns with HHS Regulatory Sprint to Coordinated Care policies and impacts Civil Monetary Penalties (CMPs) and the...

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