Publications by Laetitia L. Cheltenham

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Update: CMS to Annually Audit All Medicare Advantage Plans and Accelerate Completion of Prior Payment Year RADV Audits

[06/20/25]

CMMI’s New Strategy: What’s Changing for Providers?

[05/21/25]

Medicare 14-Day Rule Enforcement Action

[01/29/25]

CMS Announces New ACO Primary Care Flex Model as a Part of the Medicare Shared Savings Program for 2025

[03/21/24]

2024 Medicare Physician Fee Schedule Final Rule Makes Changes to Medicare Shared Savings Program

[11/29/23]

CMMI Requests Input on Upcoming Mandatory Episode-Based Payment Model

[07/25/23]

Making Care Primary: CMS Announces a New Primary Care Model 

[06/14/23]

CMS Accepting Applications for Participation in Revamped Medicare Shared Savings Program

[05/23/23]

CMS Publishes RADV Audit Methodology and Intent to Recover Overpayments

[02/14/23]

REACHing Beyond the Direct Contracting Model: CMS Announces the New ACO REACH Model Application Period

[03/03/22]

Federal Surprise Billing Round 2 – Good Faith Estimate for Uninsured/Self-Pay Patients & Patient‑Provider Dispute Process

[11/02/21]

Webinar Q&A: Surprise Billing and Price Transparency Update

[08/23/21]

Federal Surprise Billing Rules: The First Round Arrives

[07/26/21]

Be Prepared: CMS Resumes Hospital Survey Activities

[04/01/21]

Acute Care Hospitals Are Becoming More Frequent Targets of IJ Citations

[02/24/21]

"Don’t Let Surprise Billing Initiatives Take You by Surprise." AHLA, September 2019.

No Surprise Here…the Debate Continues on Surprise Billing

[08/28/19]

D.C. Circuit: CMS Manuals Are Policy Statements, Not Binding Authority

[01/30/18]

The D.C. Circuit Draws the Line at “Potential” Penalties Being Considered Obligations Under the False Claims Act

[01/22/18]

Seventh Circuit: Whistleblowers Cannot Build FCA Claims upon Public Information and Speculation

[08/14/17]

U.S. District Court Blocks Second Insurance Mega-Merger; Court Not Impressed with Anthem’s Plan to “Drop the Hammer” on Providers

[03/23/17]

U.S. District Court Blocks $37 Billion Aetna/Humana Merger; Decision Looming in Anthem/Cigna

[01/27/17]

"Summary of OAH Decision in M. Yaghi, DDS, P.A. v. N.C. Department of Health and Human Service," Case Nos.: 11 DHR 11579, 11 DHR 11580, North Carolina Society of Healthcare Attorneys (September 14, 2015).

"The Consumer Financial Protection Bureau and Class Action Waivers after AT&T v. Concepcion," 16 N.C. BANKING INST. 273 (2012).