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CMS Proposed Rule Addresses Multiple Aspects of Medicare Advantage Program for 2024, Including an Overpayment Rule Update

By Lindsey Fetzer, Dawn Perez-Slavinski & Julia Tamulis on December 20, 2022
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On December 14, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that contemplates several changes to, and clarifications of, guidance for the Medicare Advantage (MA) program in coverage year 2024.

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Photo of Lindsey Fetzer Lindsey Fetzer

Lindsey Fetzer, a member in the Washington, D.C. office, represents clients in connection with government and internal investigations and litigations involving alleged violations of the False Claims Act (FCA), Anti-Kickback Statute (AKS), Foreign Corrupt Practice Act (FCPA), and other criminal and civil regulations.

Lindsey Fetzer, a member in the Washington, D.C. office, represents clients in connection with government and internal investigations and litigations involving alleged violations of the False Claims Act (FCA), Anti-Kickback Statute (AKS), Foreign Corrupt Practice Act (FCPA), and other criminal and civil regulations. Lindsey has represented clients in foreign and domestic matters involving the U.S. Department of Justice (DOJ), U.S. Securities and Exchange Commission (SEC), and other primary enforcement agencies.

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Photo of Dawn Perez-Slavinski Dawn Perez-Slavinski

Using her insight gained at the U.S. Department of Health and Human Services, Office of the General Counsel (HHS-OGC), Dawn Perez-Slavinski advises healthcare clients on complex regulatory issues implicated by day-to-day operations, healthcare transactions, and internal and government investigations. Her practice focuses on…

Using her insight gained at the U.S. Department of Health and Human Services, Office of the General Counsel (HHS-OGC), Dawn Perez-Slavinski advises healthcare clients on complex regulatory issues implicated by day-to-day operations, healthcare transactions, and internal and government investigations. Her practice focuses on evaluating and mitigating legal risks and exposure that arise in the context of healthcare program participation, billing, and reimbursement requirements. As part of this work, Dawn also helps clients comply with government reporting and repayment obligations. In addition, Dawn assists clients in navigating emerging areas, such as regulatory waivers issued in the context of COVID-19, and eligibility and permitted uses for HHS’s Relief Fund payments.

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Photo of Julia Tamulis Julia Tamulis

Julia Tamulis focuses her practice on counseling a diverse range of clients on complex healthcare regulatory issues affecting operations and compliance matters. Julia provides healthcare regulatory guidance to health plans on Medicare Advantage and risk adjustment matters. She also advises pediatric hospital systems…

Julia Tamulis focuses her practice on counseling a diverse range of clients on complex healthcare regulatory issues affecting operations and compliance matters. Julia provides healthcare regulatory guidance to health plans on Medicare Advantage and risk adjustment matters. She also advises pediatric hospital systems on compliance issues, including daily operations matters and internal compliance audits and reviews.

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  • Posted in:
    Health Care
  • Blog:
    Inside the False Claims Act
  • Organization:
    Bass, Berry & Sims PLC
  • Article: View Original Source
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