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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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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.

Anna Grizzle Provides Insight on CMS Update Allowing RACs to Request Additional Documentation from Providers

Bloomberg BNA

Media Mentions

May 9, 2016

Bass, Berry & Sims attorney Anna Grizzle was quoted in an article for Bloomberg BNA outlining the CMS update released May 3 allowing recovery audit contractors (RACs) to request additional documents from healthcare providers with high claim denial rates. As Anna points out, "the new document request limits are an indication of the Centers for Medicare & Medicaid Services' efforts to target high-risk providers based on data analysis."

The full article, "Medicare Says Auditors Can Ask Providers for More Documents," was published by Bloomberg BNA's Health Law Resource Center on May 6, 2016, and is available online.

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