October 2019

Polsinelli is pleased to share the Reimbursement and Payor Dispute Update. This newsletter is a designated source of news, information and guidance on the constantly evolving reimbursement industry.

In This Issue:

  • Federal Cases Offer Medicare Enrolled Providers Possible Injunctive Relief from Recoupments While Awaiting Administrative Appeal
  • CMS Finalizes Expansion of Provider Enrollment Disclosure Requirements and Expansion of its Revocation and Denial Authorities
  • Assignments of Benefits Contracts Not Airtight for Out of-Network Providers
  • Federal Judge Overturns CMS’s Unlawful Expansion of Site-Neutral Payments
  • Along Came Escobar: Are Medicare Conditions of Participation Now Material to Payment?
  • Managed Care Issues in Corporate Transactions

View the full newsletter here.