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Experience Spotlight

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.

Matt Curley Examines FCA Enforcement in Long-Term Care Industry

McKnight’s Long-Term Care News


June 8, 2017

Bass, Berry & Sims attorney Matt Curley authored an article for McKnight's Long-Term Care News examining recent False Claims Act (FCA) enforcement actions within the long-term care industry. The article looks at cases within the last year that questioned the medical necessity of hospice and related care provided to Medicare beneficiaries. As Matt points out in the article, "[l]ong-term care providers face particular risk due to recent headline-grabbing settlements and theories of liability that second-guess care provided, often times years after the fact. By closely tracking the allegations in the enforcement actions brought against this sector of the healthcare industry, long-term care providers can take significant steps toward identifying risk areas and appropriately evaluating and addressing potential compliance issues when those issues arise."

The full article, "Enforcement Focus remains on LTC," was published by McKnight's Long-Term Care News on June 7, 2017, and is available online.

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