HeyJaredTony Maida
- Indexed articles, last 90 days
- 4
- Latest publication
- Sep 25, 2026
- Outlet visibility, for Mondaq
- Top 500K sites
- Earliest in this view
- Jul 9, 2026
Latest articles
A Potential Gamechanger For Appeals: Sixth Circuit Revives Medicare Payment Safe Harbor (opens the original)
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Under new US Court of Appeals for the Sixth Circuit precedent, if a Medicare provider reasonably interprets Medicare’s coverage requirements as covering an item or service and submits a claim for payment, the provider is not required to refund the payment even if a Medicare contractor subsequently deems the item or service noncovered. This decision breathes new life into an important statutory safe harbor and fundamentally restructures how Medicare coverage appeals should be approached. Under fe
The Royalty Line: OIG Draws Boundaries On Device Manufacturer Physician Consulting Payments (opens the original)
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Physician consulting arrangements and royalty payments are hardly new to the medical device industry and often play an important role in product development and innovation. However, the US Department of Health and Human Services Office of Inspector General’s (OIG’s) recent unfavorable advisory opinion, AO 26-10, expressed concerns about consulting arrangements with compensation connected to sales of products. In declining to protect a proposed “Product Line Royalty” model, OIG seems to have inte
CMS Enforcement Arsenal Expands To Share OIG’s Exclusion Authority (opens the original)
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During a recent press conference on US Department of Health and Human Services (HHS) antifraud initiatives, Secretary Robert F. Kennedy, Jr., announced that he was granting the Centers for Medicare & Medicaid Services (CMS) the authority to use the federal healthcare program exclusion authorities under the Social Security Act that had previously only been delegated to the HHS Office of the Inspector General (OIG). Secretary Kennedy said that by “expanding the exclusion authority,” both “CMS and
How Zocdoc Broke Regulatory Ground As An Online Healthcare Resource (opens the original)
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The idea seems brilliantly simple: Create a digital health marketplace to connect doctors and patients online and streamline access to care. In 2007, when the Zocdoc cofounders came up with this concept, it was game changing. And in practice, by breaking new ground in the highly regulated healthcare industry, it was also fraught with legal and logistical complexity. By 2016, to accelerate growth and expand access to care, Zocdoc wanted to shift its business model from flat-fee subscriptions to v
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Top 500K sites
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