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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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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.

CFPB Warns Furnishers of Consumer Data


September 6, 2013

Earlier this week, the Consumer Financial Protection Bureau (CFPB) reminded entities that furnish information to consumer reporting agencies (CRAs) about their obligation to investigate consumer disputes. The Fair Credit Reporting Act (FCRA) requires CRAs to notify the furnisher when a consumer disputes the accuracy of information that was provided by the furnisher to the CRA. That notification must include "all relevant information" provided by the consumer in support of the dispute. In turn, the FCRA requires the furnisher to conduct an investigation of the dispute; report the results to the CRA; and, if the furnished information was inaccurate, provide corrected information to every CRA that received the inaccurate information.

The thrust of the CFPB bulletin appears to be recent updates to e-OSCAR – the system used by the three largest credit bureaus to communicate with furnishers about credit disputes. In December 2012, the CFPB issued a report which highlighted that e-OSCAR did not allow CRAs to provide furnishers with documents submitted by consumers in support of their disputes. The credit bureaus recently have upgraded e-OSCAR so that it is now capable of sending furnishers documents provided by consumers. The only novel guidance in the bulletin issued by the CFPB this week is the advice that each furnisher maintain a system capable of receiving information provided by CRAs regarding disputes, "including supporting documentation."

Companies that provide consumer information to CRAs should ensure that their systems are compliant with the newly upgraded e-OSCAR functionality. Furnishers of consumer information also should ensure that their dispute resolution procedures take into account the documentation that previously was unavailable through e-OSCAR. Finally, in addition to their obligation to investigate disputes transmitted from CRAs, furnishers are reminded that the FCRA also requires furnishers to maintain written policies and procedures to investigate disputes received directly from consumers. The CFPB bulletin demonstrates the renewed focus that the federal regulators – the CFPB and Federal Trade Commission – have placed on FCRA compliance by furnishers and all other entities subject to the Act.

If you have any questions about the content of this alert, please contact the author listed above or any of the FCRA team members listed here.

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