HHS’ Office of Inspector General recently released a report detailing vulnerabilities in CMS’ oversight of billing at provider-based facilities. The report investigated a random sample of 333 ...

Bolstered by the Supreme Court's landmark decision in National Federation of Independent Business v. Sebelius, 132 S.Ct. 2566 (June 28, 2012), the movement toward affiliation as a means of improving ...

Provider-based billing was introduced in 2000 to improve access to care for patients on Medicaid and charity care. At the time, some physician practices limited or refused appointments for these ...

The submission of an attestation to a hospital’s and its off-campus outpatient department’s compliance with Medicare’s provider-based rules has long been voluntary under the Centers for Medicare & ...

Medicare-participating hospitals and their off-campus provider-based departments will soon face substantial new compliance obligations under the recently adopted Consolidated Appropriations Act of ...