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15 Mar 2013, 12:42 pm
CMS's Administrator's Ruling (CMS-1455-R) was issued to address the significant number of pending appeals of Part A hospital inpatient reasonable and necessary denials while the new Proposed Rule entitled, Medicare Program; Part B Inpatient Billing in Hospitals, (CMS-1455-P), which proposes a permanent policy that would apply on a prospective basis, goes through notice and comment rulemaking. [read post]
27 Jul 2017, 4:35 pm by Michael Stevens
 Held real estate foreclosure action which sought to enforce a tax lien against B&P Apartments (B&P), was barred under the doctrine of res […] [read post]
30 Apr 2013, 7:47 am by Jessica Smith
In this second post on Rule 404(b) evidence [editor's note: the first post in this occasional series is here], I’ll address a point that sometimes gets overlooked in the admissibility analysis: In order for Rule 404(b) evidence to be relevant, there must be sufficient evidence that the defendant committed the other act in question. [read post]
2 Apr 2013, 4:31 pm
On April 2, 2013, the Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum to discuss CMS's Administrator's Ruling (CMS-1455-R) and Proposed Rule (CMS-1455-P) that provide for significant changes to Medicare's Part B payment policy when a Part A hospital inpatient claim is denied as not medically necessary because the care was not provided in the appropriate setting. [read post]
5 Feb 2020, 3:21 am by R. David Donoghue
P. 12(b)(2) motion to dismiss for lack of personal jurisdiction and denied as moot defendants’ Fed. [read post]