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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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Electronic Health Records Vendor Must Pay Over $150 Million in FCA Settlement

Inside the FCA Blog

Publications

June 12, 2017

DOJ recently announced a settlement agreement in one of its first cases against an electronic health records (EHR) vendor—eClinicalWorks (eCW). According to the terms of the settlement, eCW and three of its founders will pay $154.92 million to the government to settle claims alleging that eCW falsified the certification of its software and thereby caused physician practices to submit claims for payment that were materially false. Three other eCW employees—a software developer and two project managers—will pay between $15,000 and $50,000 each for their roles.

Practitioners Get Financial Incentives for Making "Meaningful Use" of Certified EHR Technology

eCW is an EHR vendor that develops and sells software for physician practices to use in maintaining EHR for their patients. To incentivize physician practices to make use of the EHR technology, the U.S. Department of Health and Human Services (HHS) established the Meaningful Use Program under the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. The HITECH Meaningful Use Program gives medical practitioners monetary incentives for submitting claims for payment that make "meaningful use" of certified EHR technology. To become certified, the HITECH Act requires that software companies, such as eCW, submit their EHR programs for testing.

Inside the FCA blog

To continue reading the content in this article on the firm's Inside the FCA blog, please click here to view the post.

Bass, Berry & Sims' Inside the FCA blog features news, commentary and thought leadership covering FCA, healthcare fraud and procurement fraud.


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