A federal judicial master's critique of CMS' audit case against a health insurer, "A mere possibility of an overpayment is not enough for the government to carry its burden.” The problem with the government’s allegations is that the government knew of the very chart...
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CMS/Cardinal Health, Novitas Improper Audits and Claw Backs
I represent many health care providers. I also represent health care businesses respond to CMS, Cardinal Health and or Novitas Solutions improper medicare medicaid audits and claw backs. My clients email me these audit letters that are generated through AI data...
Pennsylvania’s Updated Use of Prior Criminal Records In Licensing Decisions
On June 24 2020, the General Assembly enacted Senate Bill 637 which reforms occupational licensing by getting rid of outdated criminal record restrictions for the professions and occupations which are regulated by boards and commissions within the Bureau of...
State Board of Nursing: Additional Temporary: License Renewal Waivers
March 27, 2020 State Board of Nursing: Additional Temporary Waivers Summary: The Department of State’s Bureau of Professional and Occupational Affairs (BPOA) requested, and Governor Wolf granted, waivers to several regulatory/statutory provisions related to the...