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CMS Confirms Hospitals May Not Bill Secondary Payor Insurers For Amounts In Excess Of Medicare Coinsurance And Deductible Amounts

Client Alert | less than 1 min read | 10.04.11

CMS has re-affirmed earlier 2004 guidance that hospitals participating in the Medicare program may not, where Medicare is primary, bill secondary payor insurers for amounts in excess of applicable Medicare coinsurance and deductible amounts, regardless of the terms of hospital contracts with the payors.


Insights

Client Alert | 6 min read | 01.16.26

Trump Administration Rolls Out New DOJ Division for National Fraud Enforcement

On January 8, 2026, the Trump Administration announced the creation of a new Division for National Fraud Enforcement within the Department of Justice (DOJ). The division will be led by a newly appointed Assistant Attorney General (AAG), pending Senate confirmation, who will report directly to both the President and Vice President and operate out of the White House. Such a reporting structure is unprecedented in the history of the DOJ....