Audit Articles

To view our Health Law Articles, please visit our Health Law Articles page

"The Current Legal Landscape of Physician-Owned Distributorships" by Reesa N. Handelsman, RAC Monitor, October 2014

"CMS Offers 'One-Size-Fits-All' Settlement for Inpatient Hospital Reviews"  Andrew B. Wachler, Esq. and Erin Diesel Roumayah, Esq., September 2014.

"Recently Unveiled Pilot Programs Provide Alternative Methods for Resolving Medicare Claim Appeals" Andrew B. Wachler, Esq., Jessica C. Forster, Esq. and Kevin R. Miserez, Esq., The ABA Health eSource, Summer 2014.

"The Final Rule has Taken Effect: Does Your Hospital Comply with CMS’ Requirements?," Kevin R. Miserez, and Jessica C. Forster, Esq., Michigan Medical Law Report, Vol. 9, No. 4, Winter 2013

"CMS's Final Rule Regarding the Payment of Part B Inpatient Services and the Revised Standard for Hospital Inpatient Admissions," Andrew B. Wachler, Esq. and Jesse A. Markos, ABA Health Vol. 10, No. 1, September 2013.

"What the OIG Study Means for Providers," Michael D. Bossenbroek, Esq. and Erin D. Roumayah, Esq., Legal Leanings, Fall 2013.

"CMS Provides Guidance to Hospitals on the Physician Certification and Inpatient Admission Order Requirements Under the New Inpatient Rule," Andrew B. Wachler, Esq., Jessica C. Forster, Esq., Kevin R. Miserez, Esq., Michigan Medical Law Report, Fall 2013.

"CMS Issues Demand Letters to Providers and Suppliers with Claims for Services Provided to Allegedly Incarcerated Beneficiaries," Andrew B. Wachler, Esq., Jessica C. Forster, Esq., RAC Monitor, August 2013.

"AHA Files Second Amended Complaint Against HHS," Kevin R. Miserez, Esq., RAC Monitor, May 2013.

"Implementation of CMS Administrator’s Ruling on Inpatient Part B Claims Begins," Andrew B. Wachler, Esq., Jessica Forster, Esq. and Kevin R. Miserez, Esq., RAC Monitor, April 2013.

"Reports from the Trenches: Increasing the Need for Healthcare Providers to 'Police' Medicare Contractors," Jennifer Colagiovanni, Esq. and Jessica Forster, Esq., RAC Monitor, February 2013.

"Report Focuses on Nursing Facilities’ Payment, Quality," Rebecca Robichaud and Kevin R. Miserez, Esq., Michigan Medical Law Report, Vol. 8, No. 4, Winter 2012.

"Recent Medicare Appeals Council Cases Provide Additional Support for Part B Reimbursement when Inpatient Hospital Admission is Denied," Andrew B. Wachler, Esq. and Jennifer Colagiovanni, Esq., RAC Monitor, October 2012.

"Hospitals See Some Success with Part B Reimbursement After Initial RAC Denial," Andrew B. Wachler, Esq. and Jessica Lange, Esq., Michigan Medical Law Report, Vol. 8, No. 3, Fall 2012.

"Comparative Billing Reports to Focus on Evaluation, Management Services" Amy Fehn, Esq., Michigan Medical Law Report, Summer 2012.

"Avoiding Referral of a Medicare Overpayment to Department of Treasury" Christopher Laney, Esq., Michigan Medical Law Report, Summer 2012.

"RAC Program Will Impact Inpatient Short Stays" Jessica Forster, Esq. and Christopher Laney, Esq., Michigan Medical Law Report, Spring 2012.

"RAC Prepayment Review and Hospital Rebilling Demonstration Programs" Jessica Forster, Esq. and Christopher Laney, Esq., Michigan Medical Law Report, Spring 2012.

"CMS Moves Forward with Prior Authorization of Power Mobility Devices Demonstration Program" Jennifer Colagiovanni, Esq. and Jessica Forster, Esq., RAC Monitor, February 2012.

"Increased Audit Scrutiny Aimed at Skilled Nursing Facilities" Jennifer Colagiovanni, Esq. and Jessica Forster, Esq., RAC Monitor, February 2012.

"Inpatient Denials and Part A and/or Part B Reimbursement" Andrew B. Wachler, Esq. and Jessica Forster, Esq., RAC Monitor, January 2012.

"What You Need to Know: Inpatient Denials and Part A/Part B Reimbursement" Andrew B. Wachler, Esq. and Jessica Forster, Esq., RAC Monitor, January 2012.

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