Articles and Blogs

Current regulations (42 C.F.R 424.510(e)(1),(2)) require providers and suppliers to agree to receive Medicare payments via Electronic Funds Transfer (“EFT”) at the time of enrollment, revalidation, change of Medicare contractors or submission of an enrollment change request.  Additionally, the provider or supplier must submit a CMS-588 form to receive Medicare payment via EFT.  Section 1104... READ MORE

The Centers for Medicare & Medicaid Services (“CMS”) has posted a listing of providers who have already been sent a request to revalidate their Medicare enrollment information.  The listing contains the name and National Provider Identifier (“NPI”) of each provider, as well as the date the letter was sent.  Providers on the list, but... READ MORE

The Centers for Medicare & Medicaid Services (“CMS”) has made changes to the Medicare Overpayment Notification Process.  If an outstanding balance has not been resolved, providers previously received three notification letters regarding the overpayments:  (1) an initial demand letter, (2) a follow-up letter, and then (3) an intent to refer letter.  CMS would send the second... READ MORE

On November 3, 2011, GlaxoSmithKline (“GSK”) announced an agreement in principle with the U.S. government for the largest settlement to date to conclude ongoing government investigations against a pharmaceutical company marketing products in the U.S.  The $3 billion settlement against GSK, the world’s fourth largest pharmaceutical company, should be finalized in 2012 and is... READ MORE

Hall, Render, Killian, Heath & Lyman is pleased to announce associate attorney Andrea B. Anantharam, J.D., has joined the firm’s Troy office. Anantharam is a member of the Health practice group where she focuses on legal matters related to health care and transactional law.  She concentrates her practice in a variety of health care-related... READ MORE

Hall, Render, Killian, Heath & Lyman is pleased to announce associate attorney Katie J. Miller, J.D., has joined the firm’s Indianapolis office. Miller is a member of the Health practice group where she focuses on legal matters related to regulatory, compliance, corporate transactional and physician integration. In addition, she works with clients on intellectual... READ MORE

Hall, Render, Killian, Heath & Lyman is pleased to announce associate attorney Chad J. Wilson, J.D., DPT, has joined the firm’s Indianapolis office. Wilson is a member of the Health practice group where he focuses on legal matters related to the review of hospital and physician contracts, as well as transactional, regulatory and compliance... READ MORE

Hall, Render, Killian, Heath & Lyman is pleased to announce associate attorney Mary Kate McNamara, J.D., has joined the firm’s Indianapolis office. McNamara focuses her practice in the area of labor and employment law, with an emphasis on counseling employers through all areas of the employment relationship.  She advises clients on a wide variety... READ MORE

On November 1, 2011, the Centers for Medicare and Medicaid Services (CMS) issued its Calendar Year (CY) 2012 Medicare Physician Fee Schedule Final Rule (Final Rule) finalizing proposed changes that impact physician billing for services subject to a billing policy commonly known as the 3-Day Payment Window Rule (or 1-Day Payment Window Rule for... READ MORE

On October 28, 2011, the Centers for Medicare and Medicaid Services (“CMS”) published a Federal Register notice to inform the public that an application for Rural Health Clinic (“RHC”) deeming authority was submitted by the American Association for Accreditation of Ambulatory Surgery Facilities (“AAAASF”).  If approved, AAAASF, in addition to CMS, will be able... READ MORE