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Compliance & Legal

By Jeff Lagasse | 02:51 pm | September 05, 2025
An extension would give providers predictability, which they need to expand capacity and invest in staff and tech, groups say.
By Jeff Lagasse | 03:51 pm | September 03, 2025
The facilities violated the Nursing Home Reform Act, in part by failing to develop care plans for their residents, DOJ says
By Jeff Lagasse | 10:22 am | September 03, 2025
More than $6M in claims were allegedly submitted to Medicare for DME and genetic testing that were medically unnecessary.
By Jeff Lagasse | 10:14 am | September 02, 2025
PBMs’ overseas group purchasing organizations may be used to avoid transparency and oversight, committee says.
By Jeff Lagasse | 03:05 pm | August 28, 2025
The nursing home’s severe understaffing, a result of financial fraud, led to several patient deaths, the New York AG finds.
By Susan Morse | 11:25 am | August 26, 2025
The rule would cause at least 1.8M Americans to lose ACA coverage in 2026, says lawsuit.
By Jeff Lagasse | 02:58 pm | August 25, 2025
The groups say the AHRQ’s cessation of its grantmaking process violates statutory and regulatory requirements.
By Susan Morse | 11:17 am | August 25, 2025
Settlement is expected to benefit over 1M providers with another 15,589 requesting to opt out as of April, according to court documents.
By Susan Morse | 11:12 am | August 22, 2025
A Texas judge vacated a 2024 final rule that would have limited payment to third-party administrators who help MA marketers.
By Jeff Lagasse | 10:44 am | August 21, 2025
The court says it lacks the ability to ‘second-guess’ CMS’ data collection and scoring methodology.