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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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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.

Shannon Wiley Outlines CMS Medicaid Drug Rebate Program Final Rule

AHLA Life Sciences and Regulation, Accreditation, & Payment Practice Groups Alert


February 3, 2016

Bass, Berry & Sims attorney Shannon Wiley outlined the details of the Centers for Medicare & Medicaid Services (CMS) final rule on the Medicaid drug rebate program that goes into effect April 1, 2016. The article focuses on the new rule related to the determination of average manufacturer price (AMP). As stated in the article, "[o]n the issue of AMP calculation, the Final Rule addressed the use of the industry norm 'presumed inclusion' approach versus the proposed 'buildup' approach when calculating sales to wholesalers for drugs distributed to retail community pharmacies."

The full article, "CMS Releases Final AMP Rule," was published by the Life Sciences and Regulation, Accreditation, & Payment Practice Groups of the American Health Lawyers Association (AHLA) on February 1, 2016. The full article is available to members to the AHLA website.

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