On October 17, 2019, the Centers for Medicare & Medicaid Services (CMS) formally published its proposed rule (the PSR Rule) to update exceptions to the Physician Self-Referral Law (PSR Law, also known ...
The prior January 2021 Final Rule codified a regulatory definition of "reasonable and necessary" which implemented standards for making determinations under Section 1862(a)(1)(A) of the Social ...
Physicians use different definitions of "reasonable medical certainty" when testifying as expert witnesses in child abuse cases. The variability is troubling because it could result in flawed rulings, ...
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