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OIG Plans New Guidance for Medicare Advantage and Nursing Homes

By Holly Buckley, Timothy Fry, Kimberly J. Kannensohn, Anna Timmerman, Kristen H. Chang & Daniel Bush on April 3, 2024
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On Feb. 21, the Office of Inspector General of the U.S. Department of Health and Human Services announced the first four subsectors for which it will publish industry segment-specific compliance program guidance. Guidance published in 2024 will focus on Medicare Advantage and nursing facilities. Subsequent guidance will focus on hospitals and clinical laboratories.

Read on for background and highlights of this guidance and recommended next steps for healthcare providers.

Photo of Holly Buckley Holly Buckley

Holly Buckley is the Chair of the firm’s Healthcare Department, one of the largest healthcare practices in the United States. A partner in the Chicago office, Holly focuses on corporate healthcare transactional work and regulatory matters. She primarily counsels private equity funds and…

Holly Buckley is the Chair of the firm’s Healthcare Department, one of the largest healthcare practices in the United States. A partner in the Chicago office, Holly focuses on corporate healthcare transactional work and regulatory matters. She primarily counsels private equity funds and healthcare clients, including hospitals and health systems, medical practices and physician-owned hospitals, and ambulatory surgery centers, on a variety of matters, including structuring transactions, regulatory due diligence, affiliation agreements and compliance matters.

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Photo of Timothy Fry Timothy Fry

Tim helps clients navigate the thorny compliance and regulatory issues prevalent in the healthcare industry. He advises on the federal Anti-Kickback Statute and Stark Law, Medicare policy, state fraud and abuse laws, and state licensure and certificate of need rules, among other regulatory…

Tim helps clients navigate the thorny compliance and regulatory issues prevalent in the healthcare industry. He advises on the federal Anti-Kickback Statute and Stark Law, Medicare policy, state fraud and abuse laws, and state licensure and certificate of need rules, among other regulatory schemes. His significant healthcare industry knowledge also allows him to counsel efficiently on regulatory aspects of strategic transactions, including structuring guidance, healthcare due diligence and compliance matters.

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Photo of Kimberly J. Kannensohn Kimberly J. Kannensohn

Kimberly focuses her practice on the provision of corporate, regulatory and compliance counseling to healthcare and life sciences companies. The cornerstone of her practice is providing guidance to clients regarding HIPAA and the HITECH Act, the Medicare and Medicaid fraud and abuse laws…

Kimberly focuses her practice on the provision of corporate, regulatory and compliance counseling to healthcare and life sciences companies. The cornerstone of her practice is providing guidance to clients regarding HIPAA and the HITECH Act, the Medicare and Medicaid fraud and abuse laws, the Stark Law, Medicare coverage and reimbursement rules, and state healthcare laws and regulations.

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Photo of Anna Timmerman Anna Timmerman

Anna’s practice focuses on healthcare transactional and regulatory matters for a variety of healthcare providers, including dental support organizations, management services organizations, ambulatory surgery centers and surgery center management companies, behavioral health companies and hospitals, as well as private equity sponsors in their…

Anna’s practice focuses on healthcare transactional and regulatory matters for a variety of healthcare providers, including dental support organizations, management services organizations, ambulatory surgery centers and surgery center management companies, behavioral health companies and hospitals, as well as private equity sponsors in their platform and subsequent transactions.

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Photo of Kristen H. Chang Kristen H. Chang

Kristen assists clients in traversing regulatory, compliance, corporate transactional, and reimbursement issues related to the healthcare industry. She counsels clients on the federal Anti-Kickback Statute, Stark Law, Medicare policy, state fraud and abuse laws, state corporate practice of medicine laws, state licensure laws…

Kristen assists clients in traversing regulatory, compliance, corporate transactional, and reimbursement issues related to the healthcare industry. She counsels clients on the federal Anti-Kickback Statute, Stark Law, Medicare policy, state fraud and abuse laws, state corporate practice of medicine laws, state licensure laws, HIPAA, fee-splitting prohibitions, and other regulatory matters.

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Photo of Daniel Bush Daniel Bush

Danny practices as part of the firm’s healthcare department, where he focuses on corporate healthcare mergers and acquisitions as well as regulatory compliance. Danny completed his undergraduate degree at the University of Washington and then both his law degree and Master of Health…

Danny practices as part of the firm’s healthcare department, where he focuses on corporate healthcare mergers and acquisitions as well as regulatory compliance. Danny completed his undergraduate degree at the University of Washington and then both his law degree and Master of Health Administration at the University of Iowa.

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  • Posted in:
    Administrative, Corporate & Commercial
  • Blog:
    The FCA Insider
  • Organization:
    McGuireWoods LLP
  • Article: View Original Source

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