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Attorney Spotlight

What is Shannon Wiley looking forward to at this year's Asembia Specialty Pharmacy Summit? Find out more>


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Experience Spotlight

Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Thought Leadership

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Thought Leadership Spotlight

Download the Healthcare Fraud & Abuse Review 2017, authored by Bass, Berry & Sims

The Healthcare Fraud & Abuse Review 2017 details all healthcare-related False Claims Act settlements from last year, organized by particular sectors of the healthcare industry. In addition to reviewing all healthcare fraud-related settlements, the Review includes updates on enforcement-related litigation involving the Stark Law and Anti-Kickback Statute, and looks at the continued implications from the government's focus on enforcement efforts involving individual actors in connection with civil and criminal healthcare fraud investigations.

Click here to download the Review.

The Sunset of Off-Campus Provider-Based Locations: What the Statute Says, Areas of Ambiguity and Practical Advice


March 17, 2016

Bass, Berry & Sims attorney Danielle Sloane will co-present during a webinar hosted by the American Health Lawyers Association on the topic of "The Sunset of Off-Campus Provider-Based Locations: What the Statute Says, Areas of Ambiguity and Practical Advice." The webinar will discuss the neutral payment statutory provision eliminating outpatient reimbursement to most new off-campus outpatient facilities, and will:

  • Explain what the statute says and does not say

  • Address the areas of ambiguity under the statute, including the parameters for "grandfathering" existing provider-based facilities

  • Discuss implications for other programs and payers including the 340B program

  • Draw upon CMS' current policy and practices to discuss some of the ways CMS may implement the ambiguous statutory provisions

  • Provide practical advice for how to manage the ambiguities today and for "hedging" against worse case scenarios

  • Discuss CMS's increasingly strict enforcement of existing provider-based requirements and consider the implications of those actions for the future of the provider-based status

The webinar will take place Thursday, March 17 from 2:00 p.m - 3:30 p.m. Eastern Time. For more information and registration, visit the AHLA website.

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