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Medicare
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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…
Inside the False Claims Act
What Happens in Vegas…Gets DOJ’s Attention: $95M Wound Care Fraud Indictment
By Denise Barnes, Emily Fountain, Ben Schrader, David Wilson
On August 5, the U.S. Department of Justice (DOJ) announced that a federal grand jury in the District of Nevada returned a six-count indictment charging Stephen Dubin, M.D., of Henderson,…
Medicaid & Medicare: A Legal Blog
The Absurdity of Boilerplate RAC Audit Denials: A Due Process Problem Hiding in Plain Sight
RACs and UPICs have become one of the most burdensome—and least accountable—mechanisms in the Medicare reimbursement system. Armed with contingency-fee arrangements that incentivize denials over accuracy, RACs and UPICs routinely…
Agricultural Law & Rural Practice | Solo Small Firm & General Practice Section
Skilled Nursing Facility Update: CMS Finalizes FY 2027 SNF PPS Rule: Payment Increase, QRP Reforms and Expanded MDS Reporting Requirements
By Hall Render
On July 30, 2026, the Centers for Medicare & Medicaid Services (“CMS”) issued its final rule updating Medicare payment policies and rates for skilled nursing facilities (“SNFs”) under the Skilled…
Montgomery McCracken Walker & Rhoads LLP
Healthcare Fraud Task Force Expands To Philly, Charges 19
Federal and Pennsylvania law enforcement officials on Tuesday announced charges against 19 defendants involved in home care, alleging they bilked Medicare and Medicaid out of funds meant for caregivers and…
Bill Madden's Blog
Abuse: Medicare subpoena ruling – Victoria.
By Bill Madden
ES v Trustees of the Marist Brothers (County Court Victoria 3 July 2026; Not available online). A written decision was not provided for this matter, with the Judicial Registrar indicating…