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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

Healthcare Transactions: Year in Review 2018Last year, CVS Health Corp. (NYSE: CVS) announced it would purchase health insurer Aetna Inc. (NYSE: AET) for $67.5 billion, a transaction that would be one of the biggest healthcare mergers in the past decade. The transaction raises an intriguing question: is this the beginning of a transformational shift in healthcare?

Recently, members of our healthcare group authored the Healthcare Transactions: Year in Review outlining 2017 M&A activity and drivers in the following hot healthcare sectors:

• Managed Care
• Hospitals
• Post-Acute Care—Home Health & Hospice
• Ambulatory Surgery Centers (ASCs)
• Healthcare Information Technology (HIT)
• Behavioral Health
• Physician Practice Management

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Danielle Sloane Discusses CMS Final Overpayment Rule

Bloomberg BNA

Media Mentions

February 12, 2016

Bass, Berry & Sims attorney Danielle Sloane commented for a BNA article outlining the details of the Overpayments Rule issued by CMS on February 11. The new rule, effective March 14, implements long-awaited regulations that clarify the statutory requirements for Medicare providers to report and repay overpayments within 60 days and sets the lookback period at six years, which is less than the 10 years proposed in 2012. As Danielle stated for the article, "[o]verall, the final rule offers a fairly balanced and reasonable approach while still setting high expectations for providers to exercise diligence and return any overpayments that are due."

The full article, "Lookback Period Cut to Six Years in Final Overpayments Rule," was published by Bloomberg BNA's Health Law Resource Center on February 11, 2016 and is available online (subscription required).

Danielle's comments were also included in BNA's Health Care Blog article, "Are Providers Happy with the 60-day Final Rule?" published on February 12, 2016.

For additional analysis on the Final Rule, read the alert, "Starting the Clock: CMS Releases Final Rule for Reporting and Refunding Overpayments," authored by Bass, Berry & Sims attorneys Neal Curtis and Anna Grizzle.


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