Topic
Medicare
1,736 published works
Health Law Diagnosis
CMS Blocks $1.6 Billion in Lab Payments in Aggressive Expansion of AI-Powered Approach to Payment Suspensions and Revocations
By Danielle Tangorre, Guest Contributor
This post is co-authored by Seth Orkand, co-chair of Robinson+Cole’s Government Enforcement + White-Collar Defense Team. On August 28, 2026, the Centers for Medicare & Medicaid Services (CMS) announced that recent enforcement actions…
Original Source
DOJ Continues Medicare Advantage Enforcement Focus with $541.5 Million Settlement
By Jaime L.M. Jones, Matt Bergs, Lauren E. McBride
On August 26, 2026, the Department of Justice announced a $541.5 million settlement with a Florida-based provider group serving beneficiaries in the retirement community to resolve allegations that the group…
Hall, Render, Killian, Heath & Lyman, P.C. Blog
DMEPOS Supplier Enrollment Opens as Medicare Moratorium Expires
By Hall Render
On August 27, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced that the moratorium on accepting Medicare supplier enrollment applications for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies…
Medicaid & Medicare: A Legal Blog
$1.6 Billion in Medicare Fraud Stopped: What CMS’s Lab Crackdown Means for Legitimate Providers
The numbers are hard to ignore. The use of AI has substantially increased the number of audits over health care providers. Hence, the increase of amount of money found to…
Agricultural Law & Rural Practice | Solo Small Firm & General Practice Section
CMS Changes to Graduate Medical Education in 2027 IPPS Final Rule
By Hall Render
On August 4, 2026, the Centers for Medicare & Medicaid Services (“CMS”) published the Fiscal Year (“FY”) 2027 Inpatient Prospective Payment System (“IPPS”) Final Rule (the “Final Rule”), which can…
Medicaid & Medicare: A Legal Blog
Groundbreaking Case for Medicare Reimbursement!!
In Home Health, LLC v. Robert F. Kennedy, Jr., No. 25-3542 (6th Cir. July 27, 2026). Published for Binding Precedent per Sixth Circuit I.O.P. 32.1(b). I. Introduction On July 27,…
Agricultural Law & Rural Practice | Solo Small Firm & General Practice Section
Compliance Program Lessons from the Complete Health Settlement
By Hall Render
On August 4, 2026, the United States Department of Justice (“DOJ”) on behalf of the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services announced…
Medicaid & Medicare: A Legal Blog
Updated Recovery Audit Contractor (RAC) Program Report
The Centers for Medicare & Medicaid Services (CMS) Medicare Fee-for-Service Recovery Audit Program continues to operate through contracted Recovery Audit Contractors (RACs) across five designated regions nationwide. The RAC Program…
Medicaid & Medicare: A Legal Blog
Recovery Audit Contractor Reforms: Teeny Tiny Progress Made, But Providers Deserve More
The Recovery Audit Contractor (RAC) program was designed to identify and correct Medicare improper payments, but for years it operated as a blunt instrument—one that too often punished compliant providers…
Health Law Blog
Tax Implications of the Sirius Decision for Practice Group Offers
Originally published in Healthcare News and Healthcare Michigan In a prior article, I provided guidance for physicians and other medical professionals on how to compare the taxes payable under competing…