:
Updated:
Court Strikes Down HHS “Guidance” Regarding Online Tracking Technologies and HIPAA: Implications for Healthcare Providers
:
Updated:
Newly Released FTC Health Breach Notification Rule: A Guide for Non-HIPAA Health Apps and Technologies
:
Updated:
Monique Selby Selected as Unsung Legal Hero in 2023 by Michigan Lawyers Weekly
:
Updated:
Jessica L. Gustafson, Robert S. Iwrey, and Clinton Mikel Named as 2023 Michigan Super Lawyers
:
Updated:
Adrienne Dresevic Promoted to Chair of the ABA Health Law Section
:
Updated:
Jessica Gustafson Selected as an Influential Woman of Law in 2023
:
Updated:
Adrienne Dresevic Appointed to Chair ABA Health Law Section Dobbs Task Force
:
Updated:
Jessica Gustafson to Chair 2022 ABA Health Law Section Physicians Legal Issues Conference; Adrienne Dresevic and Jessica Gustafson to Present
:
Updated:
Robert S. Iwrey Selected as a 2022 DBusiness Top Lawyer in Health Care Law
:
Updated:
No Surprises Act Final Rule Published
:
Updated:
Robert S. Iwrey Selected as Super Lawyer for 13th Consecutive Year
:
Updated:
New York becomes 25th State to grant Nurse Practitioners Full Practice Authority
:
Updated:
Rise in HIPAA Class Action Suits: Partnership HealthPlan of California
:
Updated:
Evolving HIPAA Regulations Will Shape the Future of OCR’s Enforcement Regime
:
Updated:
Alarming Rate of Ransomware Data Breaches Calls for Increased Protection in Healthcare Industry
:
Updated:
HHS Files Notice of Appeal to Oppose Texas District Court Ruling Striking Down Portions of the No Surprises Act Independent Dispute Resolution Process
:
Updated:
HRSA Ends COVID-19 Uninsured Program
:
Updated:
Federal Court Strikes Down Portions of the No Surprises Act Implementing Regulations
:
Updated:
Coverage by Insurance Companies and Group Health Plans of Over-the-Counter COVID-19 Tests – New Requirement Issued by Biden-Harris Administration as of January 15, 2022
:
Updated:
The Supreme Court Blocks a COVID-19 Vaccine Mandate for 84-Million Workers, but Upholds a COVID-19 Vaccine Mandate for Healthcare Workers
:
Updated:
OIG Updates the Self-Disclosure Protocol: Key Changes
:
Updated:
HHS Issues Interim Final Rule Regarding Surprise Medical Billing
:
Updated:
Biden Administration Extends Suspension of Mandatory 2% Medicare FFS Payment Sequestration
:
Updated:
Adrienne Dresevic and Jessica L. Gustafson Nominated for ABA Health Law Section Leadership Positions
:
Updated:
Update on Provider Relief Fund Reporting Requirements
:
Updated:
New CMS Final Rule Provides Medicare Beneficiaries with Greater Surgical Options and Expands Coverage for Certain Surgical Procedures
:
Updated:
CMS Issues Final Rule to Permanently Expand Medicare Telehealth Services
:
Updated:
CMS and OIG Issue Updates to Stark Law, the Anti-Kickback Statute, and the Beneficiary Inducement Law
:
Updated:
New Michigan Law Prohibits Surprise Medical Billing
:
Updated:
How to Obtain Medicaid Enrollment Anniversary Date for New York OMIG and DRA Certification Requirements
:
Updated:
New York Law Requires Physicians to Immediately Post OPMC Signage
:
Updated:
Update to New York OMIG and DRA Certification Requirements
:
Updated:
5th Circuit Ruling Affirms Denial of Injunctive Relief Against Medicare Recoupment during the Administrative Appeals Process
:
Updated:
HHS and DOJ Issue Health Care Fraud and Abuse Annual Report for FY 2019
:
Updated:
Robert S. Iwrey Selected as a Super Lawyer and Jessica L. Gustafson Selected as a Rising Star
:
Updated:
Department of Labor Revises FFCRA Regulations and Redefines “Health Care Provider”
:
Updated:
An OIG Report Finds Inconsistency by MACs in Reviewing Medicare Extrapolated Overpayments
:
Updated:
Hospitals Brace for Renewed Focus on Total Joint Procedures
:
Updated:
The OMHA Expands the Settlement Conference Facilitation ADR Process to Appellants
:
Updated:
CMS Issues Proposed Rules for 2021 Medicare Physician Fee Schedule and the Outpatient Prospective Payment System
:
Updated:
SBA Releases Guidance for PPP Loan Forgiveness Applications
:
Updated:
HHS Provider Guidance Regarding Use of Provider Relief Fund Payments and Reporting Requirement
:
Updated:
Senate Passes Paycheck Protection Program Reform Bill to Provide Greater Flexibility to Small Businesses
:
Updated:
SBA Issues Rules for Paycheck Protection Program Loan Forgiveness – With Pending Legislation to Afford Borrowers Enhanced Flexibility for Forgiveness
:
Updated:
For Now, Medicare Beneficiaries Win Right to Challenge Certain Outpatient Observation Placement Orders
:
Updated:
MI Governor Whitmer Issues Executive Order to Re-Open Healthcare Facilities to Perform Non-Essential Medical and Dental Procedures
:
Updated:
OIG Develops Two Toolkits to Calculate Opioid Levels and Identify At-Risk Patients
:
Updated:
HHS to Distribute Additional $20 Billion Tranche of Provider Relief Funds – Applications Now Required
:
Updated:
HHS Finalizes Two Rules to Promote Patient Control and Access to Health Data
:
Updated:
CMS Issues Recommendations to Re-open Certain Non-Emergent Healthcare Facilities
:
Updated:
FDA Issues EUA for Sterilization Systems to Decontaminate 4 Million N95 Respirators Per Day
:
Updated:
AMA Releases Ethics Guidance for the COVID-19 Pandemic
:
Updated:
The EEOC Confirms Employers May Test Employees For COVID-19
:
Updated:
CMS Suspends Advance Payment Program to Part B Suppliers and Reevaluates Accelerated Payment Program
:
Updated:
HHS Issues Notification of Enforcement Discretion for Provision of Telehealth Services During COVID-19 Pandemic
:
Updated:
HHS to Distribute Additional $20 Billion Tranche of Provider Relief Funds – Applications Now Required
:
Updated:
Guidance for Resumption of Elective Surgery
:
Updated:
$100 Billion to be Distributed by HHS to Healthcare Providers Combating the COVID-19 Pandemic
:
Updated:
Department of Justice Announces Two Settlements Under the False Claims Act
:
Updated:
New COVID-19 Regulatory Requirements Announced for Nursing Homes
:
Updated:
HHS Announcement: $10 Billion Available for Hospitals in COVID-19 High Impact Areas But Hospitals Have Mere Hours to Apply
:
Updated:
HHS Issues Terms and Conditions for Federal Awards Issued Under the PHSSEF
:
Updated:
CMS Increasing Medicare Payments for High-Throughput COVID-19 Tests
:
Updated:
CMS Distributing $30 Billion Under the CARES Act, Medicare Providers/Suppliers to Automatically Receive ACH Deposits . . . but Conditions Apply
:
Updated:
CMS Issues Guidance to Mitigate the Spread of COVID-19 in Long-Term Care Facilities
:
Updated:
Department of Labor Extends FFCRA Employee Leave to Combat Effects of COVID-19 in the Workplace
:
Updated:
CMS to Distribute $30 Billion in Grants Under the CARES Act to Providers to Alleviate the Burden Imposed by COVID-19
:
Updated:
CMS Issues Blanket Waivers Under Stark Law
:
Updated:
Temporary Extension to Michigan FOIA Responses Can Impact Licensing Matters
:
Updated:
SBA Issues Subsequent Interim Final Rule Regarding Affiliation Rules Under the PPP to Supplement Initial Rule
:
Updated:
Paycheck Protection Program is Live – What Businesses Need to Know about Forgivable Loan Program
:
Updated:
CMS Expands the Accelerated and Advance Payments Program during COVID-19 Emergency
:
Updated:
CARES Act Loans for Middle Market Businesses Over 500 Employees but Less Than 10,000
:
Updated:
SBA Issues New Paycheck Protection Program Interim Final Rule
:
Updated:
CMS Responds to FAQs Regarding COVID-19 Provider Burden Relief
:
Updated:
MI Governor Whitmer Announces Expansion of Unemployment Benefits for Workers Affected by COVID-19
:
Updated:
MI Governor Whitmer Signs Executive Order Relieving Supervision Requirements for PAs, NPs, & Other Certain Restrictions and Requirements Governing the Provision of Medical Services
:
Updated:
Michigan Executive Order Issued to Temporarily Ease Restrictions on Pharmacists and Increase Access to Prescriptions During COVID-19 Pandemic
:
Updated:
OIG Seeks to Minimize Burdens on Providers
:
Updated:
N.Y. Department of Health Expands Telehealth Policy for Medicaid During COVID-19 Pandemic
:
Updated:
Due to Multiple Allegations, the Michigan Bureau of Professional Licensing Sends Reminder of Appropriate Prescribing and Dispensing
:
Updated:
MI Gov. Whitmer Signs Order Allowing Pharmacists to Dispense Emergency Refills of Prescriptions
:
Updated:
MDHHS Expands Telemedicine and Permits Flexibility with Telemedicine Requirements to Combat COVID-19
:
Updated:
New York Executive Order Grants Immunity to Healthcare Providers Responding to COVID-19 Outbreak
:
Updated:
A Message to Our Clients
:
Updated:
OCR Issues Notification of Enforcement Discretion for Telehealth Remote Communications During COVID-19 Nationwide Public Health Emergency
:
Updated:
CMS Releases Recommendations Urging the Delay of Non-Essential Procedures, Elective Surgeries
:
Updated:
MI Governor Issues Executive Order to Waive Certain CON Requirements and LARA Licensing Requirements
:
Updated:
OIG Issues Policy Statement to Reduce/Waive Cost-Sharing Amounts for Telehealth Services during the COVID-19 Outbreak
:
Updated:
February 29, 2020, Deadline for Reporting Small Health Care Data Breaches Approaches
:
Updated:
HLP’s Adrienne Dresevic and Clinton Mikel on the Planning Committee of the First Annual Taos Health Law Roundtable
:
Updated:
Bill Allowing ‘Remote Pharmacies’ Passes MI Legislature
:
Updated:
OIG Launches Redesigned Hotline Website
:
Updated:
Robert S. Iwrey Selected as a 2020 DBusiness Top Lawyer!
:
Updated:
HLP Named to ABA Health Law Section Top 10 Law Firms for 2019-2020
:
Updated:
Governor Cuomo: Additional Protections for New York Consumers from Surprise Medical Bills
:
Updated:
Stark, AKS, and CMP Reforms on the Horizon with New HHS Proposed Rules
:
Updated:
CMS Issues New Rule to Strengthen the Ability to Stop Fraud
:
Updated:
Robert S. Iwrey and Arturo Trafny Publish White Paper Discussing Licensure Requirements & Ramifications in Michigan
:
Updated:
Jessica L. Gustafson to Co-Host Strafford Webinar September 25, 2019
:
Updated:
Robert S. Iwrey Selected as a 2020 Top Lawyer by DBusiness Magazine
:
Updated:
Please join the HLP at the 2019 Physician Legal Issues in Chicago, IL
:
Updated:
Robert S. Iwrey Selected as a Super Lawyer and Jessica L. Gustafson Selected as a Rising Star
:
Updated:
Ashland Physician and Substance Abuse Treatment Center Agree to Pay $1.4 Million to Resolve Civil Claims
:
Updated:
Robert S. Iwrey selected as a Best Lawyer in Health Care Law for the 26th Edition of The Best Lawyers in America
:
Updated:
American College of Physicians Issues New Guidelines for Breast Cancer Screening
:
Updated:
2020 OPPS Proposed Rule: Further Price Transparency Requirements for Hospitals
:
Updated:
Patient Recruiter Found Guilty in $1.3 Million Medicare Kickback Scheme
:
Updated:
New Information Regarding Appropriate Use Criteria is Released
:
Updated:
Bay City Vascular Surgeon Charged in Connection with $60 Million Health Care Fraud
:
Updated:
Midwife Profession to Require Licensure on August 1, 2019
:
Updated:
LARA Launches New Licensing System
:
Updated:
CMS Proposes Elimination of RAPs and Implementation of PDGM for CY 2020
:
Updated:
Healthcare Innovation: Compliance
:
Updated:
CMS Announces Inpatient Rehabilitation Facility (IRF) Appeals Settlement Initiative
:
Updated:
Additional SCF Opportunities Become Available
:
Updated:
Proposed Rule to Revise ACA Section 1557 Enforces Civil Rights in Healthcare and Eliminates Billions in Unnecessary Costs
:
Updated:
SCOTUS Clarifies Statute of Limitations for Qui Tam Actions
:
Updated:
CMS Temporarily Pauses BFCC-QIO Short Stay and HWDRG Reviews
:
Updated:
HHS Caps Maximum HIPAA Penalty Fines
:
Updated:
Former Hospital Chain CEO to Pay Nearly $3.5 Million to Settle False Billing and Kickback Allegations
:
Updated:
Pennsylvania Federal Judge: DOJ Must Provide Legitimate Reason for FCA Dismissals
:
Updated:
Michigan Supreme Court: No-Fault Insurance Payments Made Directly to Medical Providers Can Continue
:
Updated:
Electronic Case Adjudication and Processing Environment (ECAPE) Update
:
Updated:
Per CMS, Stark Law Modifications Around the Corner
:
Updated:
Robert S. Iwrey selected as a 2019 Leading Lawyer in Michigan for Health Law
:
Updated:
OCR Sets New Enforcement Activity Record with 2018 Settlements Totaling $28.7 Million
:
Updated:
March 1st Deadline for Reporting Small Health Care Data Breaches Approaches
:
Updated:
California Passes Pharmacy Benefit Management Bill
:
Updated:
SUPPORT Act Expands Reporting Responsibilities Required by the Sunshine Act
:
Updated:
Courts Recognize Irreparable Injury Caused by Medicare Appeals Backlog
:
Updated:
HHS Announces New Site-Neutral Payment Policy – And Is Met With Another Lawsuit
:
Updated:
CMS Finalizes Changes to the Medicare Shared Savings Program
:
Updated:
Pennsylvania Act 112 – Imaging Entities Now Required to Report to Patients on “Significant Abnormalities”
:
Updated:
The October 2018 Updates to the National Practitioner Data Bank Guidebook Expands on Physician Reporting Requirements
:
Updated:
Hospice Company SouthernCare Inc. to Pay $6 Million in Medicare Fraud Settlement
:
Updated:
Robert S. Iwrey selected as a 2019 Top Lawyer in Health Care Law
:
Updated:
Labs, Clinical Treatment Facilities and Recovery Homes Subject to New All Payor Anti-Kickback Law
:
Updated:
2018 OMIG Compliance Certification Update
:
Updated:
Asynchronous Telemedicine: Medicare’s Inevitable Acceptance
:
Updated:
A Look at How the 2018 Primary Election Results will Affect Healthcare Law
:
Updated:
Court Rules Medicare Appeals Backlog to be Eliminated by 2022
:
Updated:
ROBERT S. IWREY SELECTED AS SUPER LAWYER, AND JESSICA L. GUSTAFSON AND AARON J. BERESH SELECTED AS RISING STARS
:
Updated:
CMS Finalizes Rule Requiring Hospitals to Post Standard Charges Online
:
Updated:
HHS Investigating Pharmacies Making Pain Creams for Possible Fraud and Abuse
:
Updated:
CMS Revises Documentation Requirements for Inpatient Hospital Admission Orders
:
Updated:
GUIDELINE.GOV NO LONGER AVAILABLE AFTER JULY 16, 2018 – Budget Cuts Result in Deletion of Over 20 Years of Medical Guidelines
:
Updated:
CMS Proposes to Amend or Delete §411.353(g) Special Rule for Certain Arrangements Involving Temporary Noncompliance with Signature Requirements
:
Updated:
CMS Proposes New Rule Change to The Medicare Physician Fee Schedule and Quality Payment Program
:
Updated:
CMS Seeks Additional Public Input on the Impact and Burden of the Stark Law
:
Updated:
Please Join The HLP at the 2018 Physicians Legal Issues Conference
:
Updated:
Recent Changes to the Medicare Shared Savings (ACO) Program Aimed to Encourage Beneficiaries to be Proactive with Their Health Care
:
Updated:
New Standard of Materiality in FCA Litigation Gives Wake to New Vigor for Defense
:
Updated:
OIG Gives Green Light to Pharmacy Discount Program Under CMP and AKS
:
Updated:
CMS Delays Implementation of New Rule Addressing Home Health Agency Improvements
:
Updated:
Please Join The HLP at The 2017 Physicians Legal Issues Conference in Chicago, Illinois
:
Updated:
Important New Compliance Resources for Imaging Providers/Suppliers
:
Updated:
Health Reform
:
Updated:
New York’s Medicaid Program Re-issues Warning for Health Care Providers to Avoid “Percentage of Collection” Fee Agreements with Billing Companies, or Face Recoupment Proceedings
:
Updated:
OIG Finalizes New Transportation Safe Harbor
:
Updated:
ALJ Appeals Adjudication Backlog Update: AHA’s Lawsuit Decided in Favor of Appellants
:
Updated:
OIG Issues Policy Statement Regarding Gifts of Nominal Value to Medicare and Medicaid Beneficiaries
:
Updated:
OMIG Issues Guidance on Medicaid Compliance Requirements
:
Updated:
Recovery Auditor (RAC) Contracts Awarded
:
Updated:
Concierge Medicine Model Expands In An Effort To Enable Private Practitioners To Remain Independent
:
Updated:
CMS Provides Physicians With Flexible New Options For “MACRA” Participation In 2017
:
Updated:
California Passes Bill as a Safeguard against Out-of-Network Medical Bills
:
Updated:
U.S. Senate Committee Considering Reform of Stark Law
:
Updated:
Delay in Lift of Ban Preventing Use of Messaging and Text Tools by Joint Commission
:
Updated:
South Carolina Medical Center Owes $17 Million for Violations of Stark Law and False Claims Act
:
Updated:
Mount Sinai Health System Agrees to $2.95 Million Fraud Settlement Owing to Medicaid
:
Updated:
CMS Advances Trend toward Bundled Payments
:
Updated:
Revisiting DOJ’s Reliance on the Principles of the Yates Memo
:
Updated:
CMS Proposes Reductions for Medicare Reimbursements for Home Health Agencies in 2017
:
Updated:
The Transition to EHR Systems does not Pose Significant Negative Effects on Patient Care
:
Updated:
Moratoria on Enrollment of Home Health Agencies Expanded Statewide and Extended
:
Updated:
Health & Human Services (HHS) Release New Actions to Address Opioid Crisis
:
Updated:
Spikes in Fraud Penalties under the False Claims Act and the Anti-Kickback Act
:
Updated:
The U.S. Supreme Court issues decision that could expand False Claims Act Liability
:
Updated:
Phase 2 HIPAA audit notices are being issued
:
Updated:
Partnerships Audits and the Death of the Tax Matters Partner
:
Updated:
Join Clinton Mikel of The Health Law Partners for Politico’s “Outside, In: Unhealthy Hacking: Medical Privacy in the Age of Cyber Attacks”
:
Updated:
American Bar Association’s Physicians Legal Issues Conference on June 9-10, 2016, in Chicago, IL.
:
Updated:
Adrienne Dresevic and Clinton Mikel Earn the “Pulitzer Prize” of Legal Writing
:
Updated:
OCR Launches Phase 2 of HIPAA Audit Program
:
Updated:
“Physician Contracting Workshop,” presented by Robert S. Iwrey, Esq.
:
Updated:
6th Circuit Court Ruling May Significantly Reduce Recoverable FCA Damages by Feds
:
Updated:
Medicare Appeals Delay Case Moves Forward
:
Updated:
2016 Top Health Care Lawyers
:
Updated:
Broad Cross-Section of Medical Professionals Prescribing Prescription Opioids
:
Updated:
AFIRM Act Seeks to Improve the Medicare Audit and Appeals Process
:
Updated:
Physician Groups Settle with Anthem Blue Cross and Blue Shield Over “Out-of Network Shenanigans”
:
Updated:
Michigan Physicians Beware of Self-Prescribing & Prescribing for Family Members
:
Updated:
Providers Likely To Face Higher Penalties For Fraud and Regulatory Violations
:
Updated:
Per Alabama Court The Government Must Show More Than Difference of Opinion to Prove Falsity in False Claims Act (FCA) Action
:
Updated:
NPDB Revamps its FAQs
:
Updated:
Investigations Mounting Against Widespread Pharmacy Fraud Claims to Military Health Program
:
Updated:
Congress Considering Additional Legislation to Help Curb Medicare Prescription Drug Abuse
:
Updated:
The U.S. Department of Health and Human Services Office of Inspector General has released their Work Plan for Fiscal Year 2016
:
Updated:
Significant Changes to Stark Regulations Finalized in 2016 Medicare Physician Fee Schedule
:
Updated:
U.S. Government’s Plan to Hold Individuals Accountable for Corporate Wrongdoing
:
Updated:
President Obama Announces New Steps to Fight Opioid Abuse Epidemic
:
Updated:
Recent Increase in NCI ZPIC Audit Activity
:
Updated:
Florida Compounding Pharmacy Settles False Claims Act Allegations Involving Telemedicine Prescriptions for $8 Million
:
Updated:
Moratoria on Enrollment of Ambulance Suppliers and Home Health Agencies Extended
:
Updated:
OIG Scrutinizes Overlap Between Physician-Owned Hospitals and Physician-Owned Distributors
:
Updated:
OIG Issues Two Reports on Fraud and Abuse in Medicare Part D
:
Updated:
OIG Issues New Advisory Opinion on Free Introductory Visits Offered to Patients by Home Health Providers
:
Updated:
Major Stark Provisions in 2016 Proposed Medicare Physician Fee Schedule
:
Updated:
OCR Announces Consolidation of Kansas City and Chicago Branches
:
Updated:
United States Supreme Court Rules to Uphold Federal Subsidies Created by the Affordable Care Act
:
Updated:
U.S. Government Arrests 243 Individuals for Healthcare Fraud Allegations
:
Updated:
OIG and DOJ Commentary on Physician-Vendor Relationships at the ABA Physician Legal Issues Conference
:
Updated:
Department of Health and Human Services
:
Updated:
OIG Issues New Fraud Alert Warning Physicians of Increased Scrutiny
:
Updated:
Physicians Beware–the OIG Issued a New Fraud Alert Regarding Medical Directorships
:
Updated:
BILL TO AMEND MICHIGAN NO-FAULT LAW TO CREATE “D-INSURANCE” FOR THE CITY OF DETROIT WILL HAVE SIGNIFICANT ADVERSE IMPACT ON HEALTH CARE PROVIDERS
:
Updated:
PHARMACIES ARE RECEIVING LETTERS FROM THE DOJ REGARDING BILLING FRAUD AND FALSE CLAIMS ACT INVESTIGATIONS.
:
Updated:
PHYSICIANS AND HEALTHCARE ATTORNEYS: Join HLP at the ABA’s Physicians Legal Issues Conference on June 10-12th in Chicago.
:
Updated:
Proposed Legislation Would change Michigan CRNA Supervision Requirements and Increase Access to Anesthesia Care
:
Updated:
ABA HEALTH LAW SECTION ANNOUNCES SLATE OF 2015-2016 OFFICERS AND COUNCIL
:
Updated:
MEDICARE APPEALS BACKLOG: THE AHA CONTINUES TO FIGHT FOR JUDICIAL RELIEF
:
Updated:
Electronic Case Adjudication and Processing Environment (ECAPE) Update
:
Updated:
Bill To Amend Michigan No-Fault Law Could Substantially Decrease Revenue To Healthcare Industry
:
Updated:
CMS Delays Finalizing Overpayment Regulations; But, Providers Still Must Return Medicare Overpayments Despite The Lack of Regulations
:
Updated:
Proposed Bill to Permanently Fix Annual Medicare Physician Reimbursement Crisis
:
Updated:
A Healthcare Provider’s Guide to Bullying
:
Updated:
Outpatient “Observation” Battle Continues
:
Updated:
MEDICARE CONTINUING TO DISCLOSE PROVIDERS’ DATA
:
Updated:
The Government Clarifies that the Provision of Free POCT Cups to Physicians Violates the Stark Law and Anti-Kickback Statute: Ameritox, Ltd. v. Millennium Laboratories, Inc.
:
Updated:
FDA Issues Draft Guidance on General Wellness and Medical Device Accessories
:
Updated:
OIG Recommends Changes to Hospice Benefit Payments
:
Updated:
New Home Health Requirements Effective Jan. 1, 2015
:
Updated:
RAC Lawsuit Dismissed by Federal Judge
:
Updated:
CMS Implements Final Rule Changes for the Open Payments Program
:
Updated:
OIG Releases 2015 Work Plan
:
Updated:
AHA Submits Comments to OMHA on ALJ Backlog
:
Updated:
AMA Urges CMS to Make Changes to the RAC Program
:
Updated:
Documents needed for a BCBSM pharmacy audit
:
Updated:
House Ways & Means Health Chair Introduces Draft Legislation Impacting RAC Audits and Short-Term Hospital Admissions
:
Updated:
PSC Challenges Ruling Implicating RAC Contract Awards
:
Updated:
Legal Manual for New York Physicians
:
Updated:
Wall Street Journal Article Highlights Increased Scrutiny on In-Office Ancillary Services But Incorrectly Calls This a Loophole
:
Updated:
The Sunshine Act: Providers Should Correct Disputed 2013 Open Payments Data By October 31st
:
Updated:
Cardiologists Settle False Claims Act Allegations Stemming From Sham Management Agreements with a Hospital
:
Updated:
New Compounding Pharmacy Law In Michigan
:
Updated:
Pharmacy Technicians Must Be Licensed In Michigan
:
Updated:
The OIG Proposes Revisions to the Safe Harbors Under the Anti-Kickback Statute, and to the Civil Monetary Penalties Rules on Beneficiary Inducements and Gainsharing.
:
Updated:
DOJ to Scrutinize False Claims Act Investigations and Lawsuits for Criminal Conduct
:
Updated:
ICD-10 Compliance Date Officially Set for October 1, 2015
:
Updated:
DEA ELEVATES HYDROCODONE-COMBINATION PRODUCTS TO THE MORE RESTRICTIVE CATEGORY OF SCHEDULE II DRUGS
:
Updated:
Modifications to the Electronic Health Record Meaningful Use Incentive Program
:
Updated:
BCBSM Places Limits on Quantity of Highly Abused Narcotics
:
Updated:
OIG Posts New Guidance for Submitting a Contractor Self-Disclosure
:
Updated:
Halifax Health to Pay $1M Settlement in False Claims Case
:
Updated:
D.C. Circuit Restores Attorney-Client Privilege Protection for Internal Investigations
:
Updated:
Office of Medicare Hearings & Appeals Announces Settlement Conference Facilitation Pilot Program
:
Updated:
ALJ Backlog May Soon Be Alleviated by Statistical Sampling Pilot
:
Updated:
Settlment Conference Facilitation Pilot Announced
:
Updated:
HHS Proposed Rules Would Expand Authority to Exclude Providers and Impose Monetary Penalties
:
Updated:
CMS Considering Potential Alternatives to “Two-Midnight Rule”
:
Updated:
2014 PEPPER Guidelines add Target Areas to Identify Improper Billing for Short Stays May 19, 2014
:
Updated:
90 Individuals Charged with $260 Million False Medicare Billings in National Takedown by Medicare Fraud Strike Force
:
Updated:
GCI Federal, Inc. Issues Suit against HHS Regarding New RAC Contracts
:
Updated:
New York Presbyterian Hospital & Columbia University Pay $4.8 Million to Settle Alleged HIPAA Violations
:
Updated:
NYS Final Budget Out of Network Reform
:
Updated:
CMS Establishing a Hospice Quality Reporting Program
:
Updated:
Medicare to Release Physician Payment Information
:
Updated:
The HLP’s Clinton Mikel, Esq. to Present CLE Webinar
:
Updated:
Florida MRI Clinic Sues Insurer for Improper Denial of PIP Benefits
:
Updated:
Recovery Audit (RAC) Program Changes Announced
:
Updated:
Feds Crack Down on HITECH Act EHR Program Fraud
:
Updated:
CMS to Release a Comparative Billing Report on PAP Devices and Accessories
:
Updated:
Medicare Enforcement Increased Significantly in 2013
:
Updated:
Article on Medicare Audit Program’s Burden on Hospitals Features HLP Attorneys Abby Pendleton and Jessica Gustafson
:
Updated:
Meaningful Use Attestation Deadline Quickly Approaching
:
Updated:
In Contravention of Federal Law, CMS Delays Assignment of New Requests for Administrative Law Judge Hearings
:
Updated:
Dermatology Practice Pays $150,000 to Settle Allegations of HIPAA Violations
:
Updated:
CMS to Begin Unveiling Individual Physician Payment Information
:
Updated:
CMS Issues Enrollment Updates to Chapter 15 of the Program Integrity Manual
:
Updated:
123 New Medicare Accountable Care Organizations
:
Updated:
Minnesota Representative Introduces Legislation Offering Electronic Guidance and Recommendations for Physicians Ordering Advanced Imaging Services
:
Updated:
CMS Releases final Medicare Physician Fee Schedule for Calendar Year 2014
:
Updated:
OIG Publishes Favorable Advisory Opinion on Charitable Organization’s Patient Assistance Program for Patients Suffering from a Rare Genetic Disorder
:
Updated:
OIG Releases Its Strategic Plan for 2014 – 2018
:
Updated:
OIG Issues Unfavorable Advisory Opinion On Proposed Relationship Between a Psychiatry Group and an Anesthesia Group
:
Updated:
OIG Released Report on the Prevalence and Use of Spinal Fusion Devices Supplied by Physician-Owned Distributors
:
Updated:
Michigan Attorney General Announces Proposal to Strengthen State Oversight of Compounding Pharmacies
:
Updated:
The Latest Development in Medicare Audits: Supplemental Medical Review Contractor (“SMRC”) Audits
:
Updated:
Healthy Growth: The Health Law Partners Has Rapidly Become One Of The Industry’s Premier Health Care Law Firms
:
Updated:
Answers to the Questionable PSG Billing Report Released by the OIG
:
Updated:
OIG Issues Advisory Opinion Allowing Non-Profit to Bill Medicaid While Providing the Same Services for Free to Uninsured or Underinsured Children
:
Updated:
The Individual State Health Insurance Exchanges Are Opening for Business
:
Updated:
“CBS Copy Machine” Investigation from 2010
:
Updated:
HLP Publishes Client Alert on 2014 IPPS Final Rule
:
Updated:
NPDB Clarifies Why State Record Expungement is Not a Valid Reason to Void Data Bank Reports
:
Updated:
OIG Issues June 2013 Recovery Oversight Monthly Report
:
Updated:
Congressional Bill Introduced to Close the In-Office Ancillary Services Exception under the Stark Law
:
Updated:
OIG Reports Cancelled Elective Surgeries Cost Medicare $38.2 Million in 2009 and 2010
:
Updated:
New Inpatient Admission Requirements, Part B Inpatient Rebilling Policy Finalized
:
Updated:
OIG Considers Inpatient Short Stay and Observation Claims in Latest Report
:
Updated:
Beth Israel Deaconess Agrees to $5.3 Million Settlement for Medicare Fraud Allegations
:
Updated:
OIG Issues Advisory Opinion 13-07
:
Updated:
WellPoint Security Breach Leads to $1.7 Million HIPAA Penalty
:
Updated:
Proposed CY 2014 Physician Fee Schedule Impacts Telehealth Services
:
Updated:
CMS Announces Appeals Manual Update
:
Updated:
OIG Issues Advisory Opinion 13-03
:
Updated:
BCBSM Announces a Prescriber Prescription Block Policy
:
Updated:
May 23, 2013 – CMS Announces a Revised Recovery Audit Program Map
:
Updated:
Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs
:
Updated:
American Orthotic and Prosthetic Association Files Lawsuit Alleging Unlawful Changes in Medicare Standards Resulting in Unfair RAC/Prepayment Audits
:
Updated:
OCR Releases HIPAA Privacy and Security Education Tools
:
Updated:
New Michigan Law Permits Reporting of Unsafe Drivers by Physicians and Optometrists
:
Updated:
UPDATE TO OIG’s PROVIDER SELF-DISCLOSURE PROTOCOL
:
Updated:
CMS Announces Release of Additional FAQs Regarding the State Implementation of the ACA
:
Updated:
CMS Announces Delay to PECOS Phase 2 Ordering or Referring Provider Denial Edits
:
Updated:
Obama Administration Budget Request for Fiscal Year 2014 Proposal Would Exclude Certain Services from the In-Office Ancillary Services Exception to Stark and Require Prior Authorization for Advanced Imaging Services
:
Updated:
CMS Acquiesces to Hospital Pressure, Allows Part B Billing of Hospital Services Following Part A Denial of Inpatient Hospital Claims for Medical Necessity: Is It Enough?
:
Updated:
HHS Office of Inspector General Issues Special Fraud Alert Regarding Physician Owned Distributorships
:
Updated:
CMS Speaks: The Future for Payment of Part B Services Post-RAC Denial – CMS’ Long-Term Solution Too Limiting!
:
Updated:
CMS Updates Manual Regarding Payment for Medical or Surgical Services Furnished by CRNAs
:
Updated:
HHS Slightly Increases Interest Rate on Overpayment Debts/Underpayments Owed Providers
:
Updated:
Abby Pendleton, Esq to Speak at The American Academy of Orthopaedic Surgeons Annual Meeting
:
Updated:
Highlights From Leon Rodriguez, Executive Director of OCR’s, Speech at ABA’s EMI Conference in Miami
:
Updated:
OIG Report Discusses Inadequacy of CMS’ Collection of Medicaid Overpayments
:
Updated:
Michigan Pharmacist Sentenced to 17 years for Medicare Fraud
:
Updated:
New Jersey Hospital Settles Anti-Kickback Qui Tam Case for $12.5 Million; Case Alleged Cardiologists Were Compensated $18,000 Per Year to Serve on Advisory Board That Was Actually Tied to Patient Referrals
:
Updated:
Michigan Podiatrist Sentenced to over 4.5 years for Medicare Fraud
:
Updated:
The Office for Civil Rights has just released the long awaited HIPAA “Omnibus Rules”
:
Updated:
CMS Transmittals: Medicare Claims Processing Manual, 100-04, Trans. No. 2634, January 11, 2013–Internet Only Manual (IOM) Update to Payment for Medical or Surgical Services Furnished by CRNAs. This CR rescinds and fully replaces CR 8027, (Jan. 15, 2013)
:
Updated:
American Sleep Medicine Agrees to Pay $15.3 Million for Improperly Billing Sleep Tests to the Government
:
Updated:
HHS Announces First Settlement for Breach of HIPAA Privacy Rule Involving Fewer Than 500 Individuals
:
Updated:
Medicare Doc-Fix Offsets Include Reduced Payments for Advanced Imaging
:
Updated:
Congress enacts “Doc Fix” as part of a Last Minute Bill to avoid the Fiscal Cliff
:
Updated:
New York ACO Law Amended
:
Updated:
OIG Advisory Opinion Provides Guidance on Electronic Health Record Connectivity Arrangements
:
Updated:
Hospital Employment of Surgeons on the Rise
:
Updated:
CMS Releases Contractor Guidance on Applying the MPPR to Advanced Imaging Services Provided by Group Practices
:
Updated:
PTA in Detroit Sentenced to 30 Months for Her Role in Multi-Million Dollar Home Health Care Fraud
:
Updated:
Abby Pendleton, Esq. and Adrienne Dresevic, Esq. Interviewed and Featured in Motion Magazine’s article, “In Good Health”
:
Updated:
CMS Releases Report on Recovery Audit Statistics
:
Updated:
2 Brooklyn Physicians Pay the Price for Medicare Fraud
:
Updated:
ELECTRONIC MEDICAL RECORD USAGE RISES TO 40%
:
Updated:
Feds Collect Record Amount Under False Claims Act
:
Updated:
AMA Issues Physician Employment Guidelines
:
Updated:
OFFICE OF INSPECTOR GENERAL OF THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES REJECTS A REQUEST FOR WAIVER OF THE STARK LAW TO PERMIT SLEEP SPECIALISTS TO DISPENSE MEDICARE CPAP TO THEIR PATIENTS
:
Updated:
OIG Releases Semi-Annual Report on Recovery Audits and Investigations
:
Updated:
Government Announces Changes to Medicare Premiums and Deductibles for 2013
:
Updated:
Converting to Concierge Medicine: Considerations to Ponder Before Making the Transition
:
Updated:
Abby Pendleton, Esq. and Jessica Gustafson, Esq. Featured in “Putting Practices on the RAC”
:
Updated:
CMS Revises DME Face-to-Face Requirements
:
Updated:
“Fast-Track Certification” for Medicare-only ACOs in New York State
:
Updated:
Detroit-Area Nurse gets 30-month Prison Sentence for Signing False Medical Documentation for HHA
:
Updated:
OIG Cites Shortcomings in Medicare Appeal ALJ Hearings
:
Updated:
ORGANIZATIONS ADVOCATE CHANGE IN MEDICARE PHYSICIAN PAYMENT FORMULA
:
Updated:
OIG Approves Hospital’s Per Diem Payment for Emergency Room On-Call Coverage By Physician Specialists
:
Updated:
Compounding Pharmacies Likely to Face Heightened Scrutiny and Increased Regulation
:
Updated:
Hospitals Brace for Audits of Short-Stay Admissions
:
Updated:
Imaging Self-Referrals Could Raise Costs, Hurt Patients, GAO Report Says
:
Updated:
AHA, Hospitals Sue HHS Over RAC Payment Denials
:
Updated:
OIG Distributes Questionnaire to Hospitals that have Received Medicare EHR Incentive Payments for Demonstrating Meaningful Use of its Certified EHR Technology
:
Updated:
Michigan LARA Creates New Health Care Services Bureau
:
Updated:
New York Governor Approves ACO Legislation; Vetoes Patient Referral Bill
:
Updated:
OIG Approves Free Hearing Exams by Hearing Aid Supplier/Audiometric Testing Provider
:
Updated:
CMS Clarifies the Point of Service Coding Instructions
:
Updated:
OIG Work Plan 2013
:
Updated:
Michigan Legislature Considering Expanded Role for Nurse Anesthetists
:
Updated:
CMS Set to Rule on Expansion of Nurse Anesthetist Role in Pain Management
:
Updated:
“Compliance Update: RAC, HIPAA/HITECH, Hospital and Physician Compliance”
:
Updated:
THE HEALTH LAW PARTNERS’ ADRIENNE DRESEVIC AND JESSICA GUSTAFSON RECOGNIZED AS MICHIGAN RISING STARS
:
Updated:
THE HEALTH LAW PARTNERS’ ADRIENNE DRESEVIC AND JESSICA GUSTAFSON PRESENT AT THE ASSOCIATION FOR MEDICAL IMAGING MANAGEMENT NATIONAL MEETING
:
Updated:
THE HEALTH LAW PARTNERS’ CLAUDIA HINRICHSEN TO PRESENT WEBINAR ON MANAGED CARE CONTRACTS Hinrichsen will serve as panelist and will provide roadmap to successful contract negotiations
:
Updated:
THE HEALTH LAW PARTNERS’ ADRIENNE DRESEVIC APPOINTED TO AMERICAN BAR ASSOCIATION EDITORIAL BOARDS AND PUBLICATIONS COMMITTEE
:
Updated:
Drafting Managed Care Contracts: Considerations for Providers
:
Updated:
CMS Issues Final Stage 2 Rule
:
Updated:
Innovation Awards
:
Updated:
Drafting Managed Care Contracts: Considerations for Providers
:
Updated:
Public-Private Partnership New Tool in Fight Against Health Care Fraud
:
Updated:
Most Favored Nation Clauses Banned by Michigan Insurance Commissioner
:
Updated:
Accountable Care Delivery Systems Proliferate
:
Updated:
CY 2013 Medicare Physician Fee Schedule Proposed Rule
:
Updated:
California Courts Uphold Governor Schwarzenegger’s Interpretation That California State Law Allows CNRAs to Administer Anesthesia Without Physician Supervision
:
Updated:
OIG Solicits Provider Self-Disclosure Protocol Input
:
Updated:
Changes to the Hospice Aggregate Cap Calculation Method
:
Updated:
Medicaid Anti-Fraud Program Spent $102 Million to Find $20 Million in Overpayments
:
Updated:
Viewing the Recent OIG Company Model Advisory Opinion for What It Truly Is: Meaningful Guidance That Must Be Incorporated Into These Arrangements (But Certainly Not the Death Knell to All Company Models Across the Country)
:
Updated:
In Office DME Arrangements Should be Carefully Reviewed by Legal Counsel
:
Updated:
Medicare RAC Recovery Efforts Summarized in Quarterly Newsletter
:
Updated:
Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals
:
Updated:
State Attorney General-Initiated HIPAA Settlement Nets $750,000
:
Updated:
Government Criticizes Healthcare Providers and Insurers for Out-of-Network Payment
:
Updated:
CMS Delays Sunshine Act Data Collection Requirements
:
Updated:
New CMS Guidance Allows SRDP Analysis to be Limited to Four Years
:
Updated:
Important Deadlines Looming for Healthcare Providers Who Treat Medicare Patients
:
Updated:
Antitrust Lawsuit Against Blue Cross Blue Shield Dismissed
:
Updated:
New Hampshire House Passes Sweeping Rules Regarding Physician Relationships with Medical Device Companies
:
Updated:
Significant Stark Law Case Overturned by the Fourth Circuit Court of Appeals
:
Updated:
OIG Views Favorably a Proposal to Operate Website Containing Coupons and Advertising from Health Care Entities
:
Updated:
The HLP Women in Healthcare Networking Events to be Held 3/28 and 5/3
:
Updated:
Attorneys Recognized By Martindale-Hubbell as Leaders in the Healthcare Field
:
Updated:
Michigan Man Charged with Health Care Fraud in NY
:
Updated:
OIG Report Questions IDTF Billings
:
Updated:
RAC Program (Medicare Fee-for-Service) Record Request Limits Increased
:
Updated:
Medicare Redesigns Claims and Benefits Statement to Empower Seniors with Clearer Information on Health Services Used
:
Updated:
Highmark Medicare Services Now Novitas Solutions
:
Updated:
CMS Releases Email Alert Regarding Advanced Diagnostic Imaging Accreditation
:
Updated:
CMS Revises Interpretative Guidelines for Rehabilitation in Outpatient Hospitals
:
Updated:
Congress Passes Legislation to Avoid SGR Cuts for Ten Months
:
Updated:
CMS Issues Proposed Rule on Reporting and Refunding Medicare Overpayments
:
Updated:
CMS Releases Details of Fee-for-Service Recovery Audit Prepayment Review Demonstration and Prior Authorization Demonstration
:
Updated:
Did CVS Go Too Far?
:
Updated:
OIG Alerts Physicians to Exercise Caution When Reassigning Their Medicare Payments
:
Updated:
RAC Audits: OIG Releases Recovery Act Oversight Monthly Reports
:
Updated:
BREAKING NEWS: The HLP Welcomes New Attorneys and Opens Office in Lake Success, NY
:
Updated:
OIG Issues “Compliance Program Basics” HEAT Provider Compliance Training Video
:
Updated:
Inpatient Admission v. Outpatient Observation
:
Updated:
CMS Halts Anti-Fraud Projects Among Heavy Provider Opposition
:
Updated:
DME RAC Contingency Fee Up 5% to 17.5%
:
Updated:
AseraCare Hospice Sued by U.S. Over Alleged False Claims Act Violations
:
Updated:
OIG Issues Report: Program Integrity Problems with Newly Enrolled Medicare Equipment Suppliers
:
Updated:
CMS Issues Physician Payments Sunshine Act Proposed Rule
:
Updated:
OIG Soliciting Recommendations for AKS Safe Harbors
:
Updated:
DC Appeals Court Permits Physicians to Challenge Stark Law Regulations
:
Updated:
OIG Releases Report: Questionable Billing Patterns of Portable X-Ray Suppliers
:
Updated:
Professional Component MPPR Will NOT Apply to Group Practices at This Time
:
Updated:
Moving Forward: HHS to Shift its Focus to Prescription Drug Fraud
:
Updated:
OIG Posts HEAT Healthcare Provider Compliance Videos and Audio Podcasts
:
Updated:
Over $2.9 Billion Recovered in Healthcare Fraud in 2011
:
Updated:
OIG Views Favorably Online Service Facilitating the Exchange of Information Between Healthcare Practitioners, Providers and Suppliers
:
Updated:
CMS’ Beginner’s Guide to the Medicare EHR Incentive Program for Eligible Professionals Released
:
Updated:
CMS Reinstates Previous Rule Regarding Signatures on Requisitions: No Signature Required
:
Updated:
RAC Part A/B Rebilling Demonstration Call Held
:
Updated:
OIG Does Not View Favorably Proposed Arrangement of a Laboratory Management Company Providing Services in PCP Offices
:
Updated:
Marilyn Tavenner to Replace Donald Berwick as CMS Administrator
:
Updated:
Providers and Suppliers Beware: Medicare Patients Now Looking for Fraud, Too
:
Updated:
CMS Announced 90-Day Discretionary Enforcement Period for Compliance with New HIPAA Standards
:
Updated:
Cost of Administering Sipuleucel-T (PROVENGE®) is Now Reimbursable by Medicare
:
Updated:
Supreme Court to Review Healthcare Reform Challenge
:
Updated:
CMS Changes Medicare Overpayment Notification Process
:
Updated:
HIPAA Audit Pilot Program Underway
:
Updated:
RAC Program Further Expanding
:
Updated:
CMS Expands MPPR to Professional Component of Advanced Diagnostic Imaging
:
Updated:
CMS Issues 2012 Final Physician Fee Schedule
:
Updated:
Yet Again, the SGR Comes Knocking and, This Time, with a 27.4% Cut to Physician Services
:
Updated:
Robert S. Iwrey, Esq., Again, Named a d’Business Magazine Top Lawyer in Healthcare in 2012
:
Updated:
The Health Law Partners, PC Recognized as a “Best Law Firm”
:
Updated:
DAB Upholds CMS’ Revocation of Provider’s Enrollment for Failure to Timely Report Change in Practice Location
:
Updated:
CPAP Supplier Agrees to Pay $578,820 for Failure to Use Licensed Respiratory Therapists for PAP Set-Up’s
:
Updated:
BREAKING NEWS: Final Accountable Care Organization (“ACO”) Regulations Released
:
Updated:
OIG Takes an Unfavorable View of Proposed Pathology Laboratory/Physician Owned LLC Management Services Contract
:
Updated:
Hospice Provider Charged with Defrauding Medicare for More Than $14 Million
:
Updated:
OIG Views Favorably Ophthalmologist-Optometrist Co-Management Arrangement Relative to Cataract Surgery
:
Updated:
Hospice Face-to-Face Encounter Requirements Clarified
:
Updated:
CMS’ FY 2010 Report to Congress On the RAC Program
:
Updated:
Hospitalists Compensation Rose Slightly in 2010
:
Updated:
Medicare Fraud Indictment Results in More Guilty Pleas in $25 Million Health Care Fraud Scheme
:
Updated:
2012 Amount in Controversy for Medicare Appeals Issued
:
Updated:
Medicare Electronic Submission of Medical Documentation Pilot Program Begins September 2011
:
Updated:
Clinical Labs to Provide Patients Access to Completed Test Reports Under Proposed Rule
:
Updated:
CMS Reminds Providers and Suppliers to Revalidate Provider Enrollment Information
:
Updated:
CMS and OIG Respond to Finance Committee’s Letters Regarding PODs
:
Updated:
Medicaid RACs: Final Rule Issued
:
Updated:
The HLP Congratulates Top 14% of Joint Commission’s Accredited Hospitals
:
Updated:
Revised RAC Statement of Work Published
:
Updated:
OIG Views Favorably Arrangement to Provide Services Via Telemedicine Technology
:
Updated:
July 2011 OIG Recovery Act Oversight Monthly Report
:
Updated:
WPS’ Service Specific Prepayment Probe Results for Established Patient Office Visits (99213) for Illinois
:
Updated:
Relying on PPACA Provision, 6th Circuit Court of Appeals Rules that Pure Research Performed in 1990s by Residents and Interns is Not Reimbursable
:
Updated:
Metro Detroit Continues to be a Focus of Health Care Fraud Prosecutions
:
Updated:
Independent Diagnostic Testing Facilities Facing OIG Scrutiny
:
Updated:
Health Care Fraud Prosecutions Continue to Rise
:
Updated:
CMS Invites Providers to Apply for Bundled Payment Models
:
Updated:
A Renewed Focus on Medicare’s Signature Requirements
:
Updated:
GEICO Alleges $12.1 Million in Insurance Fraud, Seeks $36 Million in Damages
:
Updated:
New York Audit Uncovers Millions of Dollars in Medicaid Overpayments
:
Updated:
HIPAA Audit Procedures to Include Site Visits
:
Updated:
Philadelphia Takedown: 498-Count Indictment; 240 Counts of Healthcare Fraud; 53 Defendants
:
Updated:
AHA Urges CMS to Reevaluate the HIPAA Privacy Rule Accounting of Disclosures Proposed Rulemaking
:
Updated:
OIG Report Addresses Concerns Regarding Hospice Care Provided to Nursing Facility Residents
:
Updated:
Hospice Final Rule Issued
:
Updated:
RAC Audits the Focus of Recent Congressional Hearing
:
Updated:
Law Judge Upholds HHS OIG’s Exclusion of Owner of Orlando, Florida Diagnostic Imaging Services Company
:
Updated:
Associations Hail Deficit Plan’s ‘Doc Fix’
:
Updated:
State of Georgia Investigating Its HIV Unit
:
Updated:
RAC Recoveries Continue To Climb in FY 2011 Q3
:
Updated:
Governor Cuomo Names New Medicaid Inspector General as the New York Legislature Passes New Legislation Governing Health Care Audits
:
Updated:
OIG Finds Majority of Wheelchairs Provided to Medicare Beneficiaries Did Not Fulfill Medical Necessity Guidelines
:
Updated:
CMS Proposes Changes to the EHR Incentive Program for EPs
:
Updated:
Brooklyn Neurologist Pleads Guilty in Health Care Fraud Scheme
:
Updated:
CMS’ Proposed Physician Fee Schedule for CY 2012 Revises Bone Density Service Codes
:
Updated:
CMS Proposes Telehealth Changes for CY 2012
:
Updated:
CMS Issues Stark Advisory Opinion, Allows Non-Competition Clause in Proposed Agreement to Meet Requirements of Stark Physician Recruitment Exception
:
Updated:
CMS’ Proposed Provision Ends Payment to Independent Laboratories for TC of Certain Physician Pathology Services Beginning CY 2012
:
Updated:
What Happens in Vegas May Not Stay in Vegas
:
Updated:
CMS Examines Impact of 3-Day Payment Window Policy on Wholly Owned or Wholly Operated Physician Practices
:
Updated:
CMS Retracts Requisition Signature Requirement for Clinical Diagnostic Laboratory Tests
:
Updated:
Home Health Care Operator Indicted in Alleged Medicare Fraud Scheme Totaling $20 Million
:
Updated:
CMS Releases Proposed Rule Regarding 2012 Medicare Physician Fee Schedule
:
Updated:
Senate Finance Committee Abandons Proposed Equipment Utilization Rate Increase
:
Updated:
Three Brooklyn Physical Therapy Clinic Employees Plead Guilty in a $3.4 Million Health Care Fraud Scheme
:
Updated:
RAC DRG Coding Vulnerabilities Identified, Guidance for Inpatient Hospitals Addressed by New CMS Article
:
Updated:
6th Circuit Court of Appeals Panel Upholds the Health Reform Law’s Individual Mandate
:
Updated:
Administration Places Health “Mystery Shopper” Initiative on Hold
:
Updated:
Michigan Health Claims Tax Proposed, Relied On in State Budget
:
Updated:
Another Medicare Defrauder Sentenced in Metro Detroit
:
Updated:
Predictive Modeling Technology to Assist CMS in Detecting Medicare Fraud
:
Updated:
Regulators Toughen Up on Doctors
:
Updated:
OIG Addresses CPAP Set-Up Service Arrangements between a DME Supplier and a Sleep Test Provider under the Federal Anti-Kickback Law
:
Updated:
MedPAC Proposes Prior-Authorization Program
:
Updated:
Responding to RAC ADRs
:
Updated:
MGMA Physician Compensation Survey Highlights Released
:
Updated:
Medicare Probe Review Guidance
:
Updated:
MedPAC Recommendation for Reduction in Imaging Services is Being Met with Strong Opposition
:
Updated:
AMA Submits Comments to CMS Regarding ACO Proposed Rule
:
Updated:
Ohio Bill Impacting Pain Clinics Signed into Law
:
Updated:
Health Insurers Diversify in Wake of Industry Reform
:
Updated:
False Claims Act Allegations Resulted in Florida Radiology Clinic and Others to Pay $3 Million Settlement
:
Updated:
Senators Request Investigation into the Legality of PODs
:
Updated:
Patient Recruiter Sentenced for Involvement in Detroit Medicare Fraud Scam
:
Updated:
The HLP Congratulates Founding Partner Adrienne Dresevic on ABA Health Law Section Administrative Committee Appointment
:
Updated:
New CMS Self-Disclosure Protocol Used to Resolve First Stark Matter
:
Updated:
PCMHs Gain Momentum in New York
:
Updated:
HIPAA Privacy Rule Modifications Proposed by HHS
:
Updated:
AMA Submits Comments to CMS Regarding ACOs, Calls for Interim Final Rule
:
Updated:
CMS Proposes New Rule Allowing Access to Medicare Data for Reports on Providers
:
Updated:
Part D RAC Program Vendor Selected
:
Updated:
Joint Commission PCMH Option Available in July
:
Updated:
AMA Submitted Comments on FTC/DOJ ACO Antitrust Enforcement Policy
:
Updated:
Gentiva Health Services, Inc. Settles with Government for $12.5 Million
:
Updated:
OIG Audit and Legal Action Recoveries Expected to Net $3.4 Billion
:
Updated:
Sleep Center False Claims Case Settles for $650,000
:
Updated:
HHS Hospice Cap Regulation Held Invalid by New Mexico District Court
:
Updated:
The HLP Welcomes New Health Care Attorney
:
Updated:
New Pre-Op Guidance for ASCs
:
Updated:
MGMA’s Physician Starting Salary Survey Released
:
Updated:
ACO Proposed Rule’s Program Integrity Includes Mandatory Compliance Plans
:
Updated:
Pain Clinic Zoning Ordinance Passed in South Florida Town
:
Updated:
HEAT Provider Compliance Training Materials Now Available
:
Updated:
Potential ACOs Reluctant to Participate Under Proposed Rule
:
Updated:
New Medicare Compliance Newsletter Released
:
Updated:
A Route to Quality Medicare Reform – Insight by CMS’ Donald Berwick
:
Updated:
Social Media for Healthcare Providers
:
Updated:
Erroneous Medicare Payments for Radiology Services in Hospital Emergency Departments Exceed the $30 Million Mark in 2008
:
Updated:
CMS’ RAC Recoveries Accelerate
:
Updated:
Hospice Wage Index to Rise in FY 2012 under CMS’ Proposed Rule
:
Updated:
CMS Issues Final Rule for Credentialing for Telemedicine Services
:
Updated:
OIG Report: Review of Medicaid High-Dollar Payments for Inpatient Services in Michigan from January 1, 2007 Through March 31, 2009
:
Updated:
ASA Posts FAQs on Accountable Care Organizations (ACOs)
:
Updated:
Signature Requirements Fact Sheet Now Available
:
Updated:
HLP’s Founding Partner, Adrienne Dresevic, Co-Authored Featured Article in ABA’s Health Lawyer
:
Updated:
CVS Pharmacy, Inc. Settles with Government for $17.5 Million
:
Updated:
CMS’ RACs Implementing a “Semi-Automated” Claims Review
:
Updated:
OIG Focuses on Mental Health Centers
:
Updated:
The HLP and Decision Health Announce Upcoming June Conference in Las Vegas, Nevada: “Physician-Hospital Alignment Strategies 2011”
:
Updated:
Joel Kahn, M.D. is Named to Two New Medical Director Positions at DMC
:
Updated:
Model Legislation for Balance Billing Adopted by NCOIL
:
Updated:
Face-to-Face Encounter Requirement for Hospice and Home Health Providers Effective NOW
:
Updated:
Alan G. Gilchrist, Esq. Joins The HLP to Lead Civil False Claims and Criminal Defense Practice Group
:
Updated:
The Highly Anticipated ACO Guidance Has Been Issued!
:
Updated:
ACO Proposed Regulations Issued
:
Updated:
OIG Views Favorably Complimentary Transportation Services in Adv. Op. 11-02
:
Updated:
5th and 9th Circuits Rule the HHS Hospice Cap Invalid
:
Updated:
Advocacy Groups Pushing to Delay Face-to-Face Rule
:
Updated:
Holder and Sebelius in Detroit, MI
:
Updated:
Faculty Physicians Experiencing Increased Salaries
:
Updated:
ACO Regulations May Finally Be Near
:
Updated:
Pharmacist Accused Of Largest Health Care Fraud In Southern District of Indiana
:
Updated:
Recent Guidance from Wisconsin Physicians Services (WPS)
:
Updated:
MI Governor Snyder Makes Changes to Department of Energy, Labor and Economic Growth (DELEG)
:
Updated:
South Florida: Another Pill Mill Target
:
Updated:
CMS: NGS Inappropriately Paid $56.2 Million in 2007
:
Updated:
Cignet Health’s Violation of HIPAA Privacy Rule Resulted in $4.3 Million Penalty
:
Updated:
Empire BCBS Now Rewards Physicians for Using Best Practices
:
Updated:
House Judiciary Committee Approves Medical Liability Bill
:
Updated:
Largest Federal Medicare Fraud Takedown. Ever.
:
Updated:
Southern District of Florida Unseals 38-Count Indictment for Healthcare Fraud
:
Updated:
NY Pharmacist Charged with Felony, Alleging She Defrauded Medicaid
:
Updated:
OIG Releases Supplemental Materials for Roadmap
:
Updated:
Medicare Part B Contractor Denies 96% of Neurology Claims in Recent Probe
:
Updated:
Facet Joint Injections Considered for RAC Review
:
Updated:
OIG Concerned about Part D Schedule II Drug Reporting
:
Updated:
OIG Launches First-Ever Most Wanted Healthcare Fugitives List
:
Updated:
Efforts to Quash Healthcare Reform: Some Successful, Some Not-So-Successful
:
Updated:
Report Compares For-Profit Hospice with Not-For Profit Hospice Patient Populations
:
Updated:
CMS Issues Revised Interpretive Guidelines for Hospital Conditions of Participation – Anesthesia Providers Affected
:
Updated:
Hospital Inpatient Admission Guidance Published
:
Updated:
New York Regulations Related to Medical Staff Credentialing Revised
:
Updated:
OIG Health Care Fraud and Abuse Control Program Report Issued
:
Updated:
RAC Program Concerns Raised by the American Hospital Association (AHA)
:
Updated:
CMS Launches Physician Compare Website
:
Updated:
WPS Releases Revised Overpayment Notification and Voluntary Refund Forms
:
Updated:
January 3: EHR Registration Begins!
:
Updated:
OIG Uneasy About Medicaid Ambulatory Transport Services
:
Updated:
Medicare Hospice Cap Challenged by Texas Lawsuit
:
Updated:
Compliance Risks Are Real – OIG Report Reflects That The Government Projects Almost $26 Billion In Recoveries And Savings In FY 2010
:
Updated:
December 31: New York’s Medicaid Compliance Certification Deadline
:
Updated:
Red Flags No Longer Applicable to Healthcare Practices
:
Updated:
President Obama to Sign One-Year Delay of Doctor Pay Cuts
:
Updated:
False Claims Act Brings in Record Amount for 2010
:
Updated:
Medicaid Prescriptions Hit the Street with Alarming Frequency
:
Updated:
Kansas Hospice Provider Accused of False Claims
:
Updated:
Congress Agrees to One Month Delay in Medicare Cuts
:
Updated:
CMS Seeks Comments On New Standards For ACOs; AMA and Other Health Organizations Respond
:
Updated:
Stark In-Office Ancillary Services Exception Disclosure Requirements Effective January 1, 2011
:
Updated:
Delay in Medicare’s 23% Doctor Pay Cuts Approved by Senate
:
Updated:
Legislation Introduced to Extend Medicare Reimbursement Rates
:
Updated:
Hospice Recertification Requirements Under CMS 2011 Home Health Prospective Payment System
:
Updated:
CMS Released 2011 Final Home Health Prospective Payment System
:
Updated:
RAC Frequently Asked Questions Updated
:
Updated:
Medicaid RAC Proposed Rule Issued
:
Updated:
Key Updates from the CMS 2011 Final Physician Fee Schedule
:
Updated:
OIG Issues Additional Advisory Opinions on Managing Hospital Sleep Lab
:
Updated:
CMS 2011 Final Physician Fee Schedule: Interim Final Values For Sleep Codes
:
Updated:
2011 CMS Final Physician Fee Schedule Released
:
Updated:
OIG 2011 Work Plan: The Medicare Audits and the Appeals Process
:
Updated:
OIG 2011 Work Plan: Medical Equipment and Supplies
:
Updated:
OIG 2011 Work Plan: Sleep Testing
:
Updated:
OIG 2011 Work Plan: Diagnostic Testing
:
Updated:
OIG 2011 Work Plan: Imaging Services
:
Updated:
OIG 2011 Work Plan: Evaluation and Management Services
:
Updated:
OIG 2011 Work Plan: Hospices
:
Updated:
OIG 2011 Work Plan: Home Health Agencies
:
Updated:
OIG 2011 Work Plan: Hospitals
:
Updated:
OIG Releases Report: “Review of Michigan’s Reporting Fund Recoveries for State Medicaid Programs on the Form CMS-64 for the First Quarter”
:
Updated:
OIG 2011 Work Plan
:
Updated:
Arkansas Supreme Court Upholds Lower Court’s Decision Rejecting Economic Credentialing for Staff Privileges
:
Updated:
Novartis Pharmaceuticals Settles with DOJ for $420 Million
:
Updated:
OIG Continues to Permit Free Pre-Authorization Services
:
Updated:
Update: FTC, CMS, and OIG October 5th Workshop on ACOs
:
Updated:
Medicare Claims for Hospice Beneficiaries
:
Updated:
HealthCare.gov on Facebook
:
Updated:
OIG Finds Billing Vulnerabilities with Medicare Hospice Benefits
:
Updated:
House Passes Bill to Strengthen OIG Enforcement Under Fraud and Abuse Violations
:
Updated:
CMS Releases Stark Self-Referral Disclosure Protocol
:
Updated:
Physicians Working Collectively to Address Patient Payment Reform
:
Updated:
CMS Posts Preview of Proposed Rules
:
Updated:
Daniel Levinson Testifies on Medicare’s Coverage of DMEPOS Suppliers
:
Updated:
The Joint Commission Extending the Accreditation Process to Primary Care Home Option in 2011
:
Updated:
“Per-Click” HospitalSleep Lab Service Arrangement Permissible According to OIG Opinion
:
Updated:
Home Sleep Test Provider Settles False Claims Act Allegations
:
Updated:
FTC, CMS and OIG To Hold October 5th Workshop On ACOs
:
Updated:
CMS Provides Guidance on Hospice Benefits for Children Pursuant to Healthcare Reform
:
Updated:
OIG Permits Hospital to Seek Pre-Authorization for Diagnostic Imaging Services
:
Updated:
HLP’s Adrienne Dresevic, Esq. Quoted in Kaiser Health News
:
Updated:
Fifth Circuit Ruling Affirms that Psychologists are Not immune from Fraud and Abuse Scrutiny
:
Updated:
CARE Act Would Create Credentialing Standards for Medical Imaging Personnel
:
Updated:
CMS Clarifies Timely Filing Requirements for Claims Including a Span of Time
:
Updated:
RAC for Region D Posts New Anesthesia Care Package
:
Updated:
Insurers Stepping in to Provide Technology to Doctors
:
Updated:
NY AG investigating health care credit cards
:
Updated:
OIG Advisory Opinion No. 10-11: The OIG Favorably Reviews a Company’s Proposal to Encourage Health Care Providers to Use its Online Program to Schedule Meetings by Providing Charitable Donations in the Health Care Providers’ Names
:
Updated:
Medicare Strike Force Rounds Up 94 People in $251 Million False Billing Scheme
:
Updated:
CMS Solicits Proposals For Participation In Medicare Imaging Demo
:
Updated:
Radiology Clinic Pays $647,000 to Resolve Lawsuit Alleging it Billed Medicare for Unneeded Tests
:
Updated:
Rite Aid Agrees to Pay $1 Million to Settle HIPAA Privacy Case
:
Updated:
Hospice Proposed Rule Includes Important changes to Hospice Certification Requirements
:
Updated:
Gov. Paterson Orders Lawmakers Back To Discuss Budget, Medicaid
:
Updated:
Hospice Providers Face Claims Scrutiny
:
Updated:
$251M Medicare Bust Includes Detroit
:
Updated:
OIG Plans to Scrutinize Medicare Part D Drug Claims
:
Updated:
Physicians’ Perceptions, Preparedness for Reporting, and Experiences Related to Impaired and Incompetent Colleagues
:
Updated:
RAC Vulnerabilities Highlighted in CMS Release
:
Updated:
Secretary Sebelius Announces Final Rules to Support Meaningful Use of Electronic Health Records
:
Updated:
AMA: 20% of Medical Claims Processed Incorrectly by Health Insurers
:
Updated:
New HIPAA Rules Will Require Covered Entities To Issue New Notice of Privacy Practices
:
Updated:
OIG Enters Into $7.3 Million Civil Monetary Penalty Settlement With Physician-Owned Enterprise
:
Updated:
Health Information Privacy and Security Strengthened through New Proposed Rule
:
Updated:
Michigan Health Care Reform Opt-Out Falls Short
:
Updated:
FTC delays enforcement of Red Flag Rules against Physicians
:
Updated:
Proposed Medicare Physician Fee Schedule Contemplates A 6.1% Cut In Physician Reimbursement Rates
:
Updated:
California Physicians Challenge Opt-Out of Physician Supervision Requirement
:
Updated:
OIG Identifies Inpatient Rehabilitation Facility (IRF) Overpayments
:
Updated:
A Renewed Focus on Compliance: Health Care Reform Measures, Increase Audit Scrutiny and More Reasons Why Compliance Matters!
:
Updated:
Disclosure Requirements for In-Office Ancillary Services Exception to the Prohibition on Physician Self-Referral for Certain Imaging Services
:
Updated:
CMS has Released the Proposed Physician Fee Schedule
:
Updated:
MEDPAC Report on In-Office Ancillary Services
:
Updated:
CMS Issues The Medicare Recovery Audit Contractor (RAC) Program: Update to the Evaluation of the Three-Year Demonstration Program
:
Updated:
The FDA Plans to Alter its Rules to Help Facilitate Innovation in Medical Device Development
:
Updated:
System Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404- Maximum Period for Submission of Medicare Claims Reduced to Not More than 12 Months
:
Updated:
Texas Pain Management Physician Arrested Based on Federal Health Care Fraud Indictment
:
Updated:
Oklahoma Court Invalidates HHS Regulation for Calculating Hospice Provider Cap
:
Updated:
Detroit and Wayne County Leaders Seek $20 million for Health Centers
:
Updated:
Senate Unanimously Passes “Doc Fix”
:
Updated:
Temporary Certification Program for EHR Technology Announced
:
Updated:
OIG Advisory Opinion on Freestanding Radiation Oncology Center and Free Services to Cancer Patients
:
Updated:
ASA Asks OIG to Prohibit Anesthesia “Company Model”
:
Updated:
WPS Conducting a Widespread Service-Specific Prepayment Probe
:
Updated:
New York Hospital Associations Predict Healthcare Spending Cuts May Harm Providers
:
Updated:
Congress Exhorted To Avert Medicare Pay Cuts
:
Updated:
New IRS Tax Credit Benefits Small Employers
:
Updated:
CMS Identifies Inpatient Rehabilitation Facility (IRF) Overpayments
:
Updated:
CMS Clarifies Rules Governing Physician Supervision Of Services Provided To Hospital Outpatients
:
Updated:
CMS Publishes Proposed Rule on Privileging of Telemedicine Professionals
:
Updated:
Physician Organizations Challenge Constitutionality of the Health Reform Law
:
Updated:
CMS Issues Guidance On ACOs
:
Updated:
RED FLAGS RULE AND IDENTITY THEFT- ENFORCEMENT DELAYED YET AGAIN
:
Updated:
Anesthesia Guidelines Clarified: CMS Issues Transmittal on May 21, 2010
:
Updated:
AMA and Others File Suit to Block Red Flag Rules
:
Updated:
Ohio Hospital Settles False Claims Act Suit for $108 Million
:
Updated:
New CMS Transmittal Regarding the Use of RAs to Report Recoupments
:
Updated:
HLP Founding Partner Quoted in “Physicians Practice”
:
Updated:
Mandatory Compliance
:
Updated:
Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months
:
Updated:
Precipitous Increase in Fraud And Abuse Recoveries To Medicare Trust Fund
:
Updated:
OIG Opinion Approves Free Pre-Authorization Arrangement
:
Updated:
New Report Highlights Federal Efforts to Fight Health Care Fraud
:
Updated:
CMS Program Integrity Rulemaking Process Issued May 5
:
Updated:
PSCs Found to Have Little Effect on Recovery of Medicare Overpayments
:
Updated:
Compliance and Health Care Reform
:
Updated:
HIPAA Security: Risk Analysis Guidance Issued
:
Updated:
New Amendments to Standards for Effective Compliance and Ethics Plans
:
Updated:
Shortage of Primary-Care Physicians
:
Updated:
HITECH Act Expands Requirements for Accounting of Disclosures
:
Updated:
New Requirements for Noninvasive Vascular Testing
:
Updated:
Health Care Reform Bill Creates New Mandatory Compliance Programs
:
Updated:
NY Bill Clarifies Authority of Physician Assistants
:
Updated:
Patient Protection and Affordable Care Act: How its tax provisions impact individuals and businesses
:
Updated:
Smoking Banned in Health Facilities
:
Updated:
Surgeon receives prison sentence for a HIPAA privacy violation
:
Updated:
Updated Signature Guidelines for Medical Review Purposes
:
Updated:
Detroit-Area Man Pleads Guilty to Conspiracy to Commit Health Care Fraud in Kickback Scheme
:
Updated:
HHS-OIG Adds MCFUs Section to Website
:
Updated:
St. Vincent’s in Manhattan Begins Selling Real Estate
:
Updated:
Carriers Recouping Overpayments Identified by RACs Must Follow Precise Reporting Instructions
:
Updated:
April 2010 Monthly Review Reiterates HHA Accreditation and Change of Ownership Updates
:
Updated:
Meaningful Use of EHR Technology Expanded
:
Updated:
Congress Extends 0% Update to Medicare Physician Fee Schedule
:
Updated:
House Bill doubles Penalties for Medicare Fraud
:
Updated:
New York AG’s Office Recovers More Than $283 Million In Medicaid Fraud
:
Updated:
Physicians Providing MRI/CT/PET Services In-office Must Provide Written Disclosure to Medicare Patients
:
Updated:
CMS Announces Series of Nationwide RAC 101 Calls
:
Updated:
U.S. Justice Department joins lawsuit against Georgia hospital
:
Updated:
John Muir Health data breach
:
Updated:
IRS To Honor Medical Resident FICA Refund Claims
:
Updated:
RAC Vendor For Region D Removes Anesthesia Care Package Issue from Approved List
:
Updated:
CMS’s Deletion of “Purchased Interpretations” Causes Problems for Certain Out-of State teleradiology arrangements: Imaging Centers Billing for out-of-State interpretations can Expect Claim Denials
:
Updated:
Impact of the Health Care and Education Affordability Reconciliation Act of 2010 (H.R. 4872)
:
Updated:
Final Interim Rule: Electronic Prescriptions for Controlled Substances
:
Updated:
Florida Medical Center Settles Fraud Suit for $12 Million
:
Updated:
Get Ready: The RAC Program Soon May Be Expanding
:
Updated:
Report on Physician Tax Shows Mixed Results
:
Updated:
Purchase of Detroit Medical Center Announced
:
Updated:
UPDATE: OCR Makes Certain HITECH Enforcement Delay Official
:
Updated:
Joint Commission Approves Revised Medical Staff Bylaws Standard
:
Updated:
OIG Releases Compendium of Unimplemented Recommendations
:
Updated:
Office of Civil Rights Hints it May Delay Enforcement of Security Provisions in HITECH Act
:
Updated:
HHS Announces Additional $162 Million to Promote Meaningful Use of Health Information Technology
:
Updated:
Update on Reimbursement Freeze
:
Updated:
OIG Cracks Down First Months of 2010
:
Updated:
President Obama Emphasizes Support of RAC Program
:
Updated:
ONC Proposes Certification Program for Electronic Health Records Systems
:
Updated:
Concerns About Pete Stark Thwart His Assuming the Chairmanship of the House Ways and Means Committee
:
Updated:
CMS Issues Additional Guidance Regarding Elimination of Consultation Codes
:
Updated:
HLP Receives Direct Clarification Regarding HHA Ownership Changes
:
Updated:
Pete Stark Replaces Charlie Rangel on House Ways and Means Committee
:
Updated:
Congress Extends Freeze in Medicare Reimbursement for 30 Days
:
Updated:
HLP Attorney Dresevic Published on Stark and AKS in RBMA Bulletin
:
Updated:
Medicare Reimbursement Reduction Update
:
Updated:
Michigan Office of Health Services Inspector General Created
:
Updated:
CMS Releases Home Health Agency Transmittal Regarding Accreditation and Change of Ownership
:
Updated:
Michigan Updates in Medicare and Medicaid
:
Updated:
Recovery Audit Contractors (RAC), Fraud Referrals, Recommendations
:
Updated:
HITECH “Business Associate” Provisions Enforcement Delayed
:
Updated:
Medical Society of the State of New York Urges Calls to Congress To Again Prevent 21% Physician Medicare Cut
:
Updated:
Will Physicians Find Permanent Relief From the FTC’s “Red Flag Rules”?
:
Updated:
Florida Appeals Court Finds That Non-Contracted Providers Cannot Balance Bill Patients When an HMO is Liable
:
Updated:
MIPAA Accreditation for Providers of Advanced Diagnostic Imaging Services
:
Updated:
HLP Welcomes New Health Care Corporate Attorney
:
Updated:
CMS Rescinds POS Reimbursement Rules for Diagnostic Tests
:
Updated:
Home Health Agencies and Ownership Changes
:
Updated:
Incentive Payments for Meaningful Use of EHR Technology Does NOT Apply to Anesthesiologists
:
Updated:
CMS Initiates New Demonstration Programs in Indiana and in North Carolina
:
Updated:
OIG Report Found 81% of Hospice Claims Failed to Meet Documentation Requirements
:
Updated:
UPDATE: Telemarketing by Durable Medical Equipment Suppliers is Still Prohibited
:
Updated:
Ramifications of Federal Estate Tax Appeal
:
Updated:
Health Law Partners To Publish Monthly “Regulatory Review” Column in Link, The Online Journal of the AHRA
:
Updated:
Health Care Law Call for Articles
:
Updated:
Sebelius to “Galvanize” Public Health System
:
Updated:
American Society of Nuclear Cardiology Takes Legal Action to Halt Implementation of the 2010 Medicare Physician Fee Schedule
:
Updated:
Kickback Settlement Includes Publishing Names of and Payments to Physicians
:
Updated:
CMS Amends Supervision Requirement for Outpatient Therapeutic Services and Outpatient Diagnostic Services in the 2010 OPPS
:
Updated:
Meaningful Use Regulations Issued by CMS: BREAKING NEWS
:
Updated:
False Claims Suit Settled in Michigan
:
Updated:
Medicare Eliminates Use of Consultation Codes
:
Updated:
Physician Disruptive Behavior Can Lead to Staff Privileging Actions
:
Updated:
Compliance Update: Teaching CRNAs and Two Concurrent Cases
:
Updated:
Sixth Circuit Affirms Conviction and Sentence of Anesthesiologist for Fraud and Endangering Patients
:
Updated:
Medicare Makes Major Changes to Coverage Requirements for Inpatient Rehabilitation Services
:
Updated:
HLP Expands
:
Updated:
Michigan Supreme Court Deciding HIPAA’s Impact in Liability Cases
:
Updated:
HIPAA Violation Results in Sixteen Firings in Houston
:
Updated:
2010 Medicare Fee Schedule Announced
:
Updated:
Health Care Data Breach
:
Updated:
CMS Delays PECOS
:
Updated:
2010 Home Health PPS Final Rule Addresses Program Integrity Issues
:
Updated:
Red Flags Rule Deadline Extended…Again
:
Updated:
New HIPAA Rules Posted Today
:
Updated:
Physician Tax? No, Thank You
:
Updated:
Part B Physicians Must Sign Dictated Medical Records
:
Updated:
HIPAA Violators Sentenced
:
Updated:
Red Flags Exceptions Passed in House
:
Updated:
Bill Introduced to Exempt Category of Small Businesses from Compliance with Red Flags Rule
:
Updated:
$8.3 Million Settlement between University of Medicine and Dentistry of New Jersey Alleging Stark and Anti-Kickback Violations
:
Updated:
OIG Work Plan for FY 2010 Has Been Released
:
Updated:
Billing Claims Involving Hospice Coverage
:
Updated:
America’s Healthy Future Act of 2009
:
Updated:
Arizona Heart Hospital Settles with the HHS and the OIG
:
Updated:
OIG Releases Reports Regarding Hospice Claims and Medicare Coverage Requirements
:
Updated:
HITECH Act Breach Notification Final Rule Published
:
Updated:
DME CONSIGNMENT CLOSETS LIMITED
:
Updated:
RAC FOR REGION D PUBLISHES APPROVED AUDIT ISSUES
:
Updated:
OIG Report Reveals Weakness in “Incident To” Rule
:
Updated:
Recovery Audit Contractor (“RAC”) Vendor for Region C Publishes Approved Audit Issues
:
Updated:
HIPAA Designated to Office for Civil Rights
:
Updated:
OIG Permits Hospitals to Discount Medicare Inpatient Deductibles
:
Updated:
OIG Allows Pharmaceutical Manufacturer to Create Free Physician Assistance Program
:
Updated:
OIG Allows Joint Venture of Ambulatory Surgery Center by a Hospital and LLC
:
Updated:
UPDATE: The Red Flags Rule Postponed!
:
Updated:
Recovery Audit Contractors And Medicare Audits: What Can Hospitals and Health Systems Expect as the RAC Program Expands Nationwide?
:
Updated:
Recent Developments and Key Legal Issues Impacting Diagnostic Imaging Services, Part 2
:
Updated:
Recent Developments and Key Legal Issues Impacting Diagnostic Imaging Services, Part 1
:
Updated:
The Continued Relevance of the Stark Law’s IOASE: In-Office Imaging Arrangements Remain Viable
:
Updated:
CBO Says Healthcare Bill is NOT Budget Neutral
:
Updated:
2010 Proposed Physician Fee Schedule – Advanced Imaging Updates
:
Updated:
The Blue Has Given Us the Green to See the Long-Awaited Healthcare Bill
:
Updated:
Following Other States, Michigan’s Attorney General Looks to Implement a Michigan Office of Medicaid Inspector General
:
Updated:
The Red Flags Era is Approaching, Are You Ready?
:
Updated:
Attention All Anesthesiologists – The 2010 CMS Proposed Physician Fee Schedule Has Been Posted!
:
Updated:
OIG Permits Giving Free Nutritional Supplements to End-Stage Renal Disease Patients
:
Updated:
OIG Says OK to Paying Groups for Imposing Cost-Saving Opportunities
:
Updated:
MA and VT Ban Gifts to Doctors
:
Updated:
Significant Medicare Payment Cuts Contemplated Under Obama Health Plan
:
Updated:
Defendants Sentenced for Medicare Fraud Scheme
:
Updated:
New York’s Mandatory Compliance Regulations are Hot Off the Press
:
Updated:
Medicare Fraud Sting Operation in Detroit
:
Updated:
President Obama Announced Deal with Pharmaceutical Companies and Signed Anti-Smoking Bill
:
Updated:
OIG Posts Four Audit Reports & Administrative & Civil/Criminal Enforcement Actions
:
Updated:
New Florida Law Requiring Doctors and Pharmacists Report Prescriptions to an Electronic Database
:
Updated:
CMS Updates Medicare Policy Regarding Outpatient Observation
:
Updated:
CMS Delays Recovery Audit Contractor (RAC) Medical Necessity Reviews
:
Updated:
Stark Law Article Published by Partners in AHRA
:
Updated:
Medical Identity Theft on the Rise
:
Updated:
Obama to Talk to AMA Regarding Future of Healthcare
:
Updated:
Florida Allows Insurance Companies to Pay Out-of-Network Physicians Directly
:
Updated:
Update of the Michigan Medical Marihuana Act
:
Updated:
The OIG Cracks Down On Fraud and Abuse Cases
:
Updated:
Medicaid Enrollment Up; Physician Acceptance of Medicaid Patients Down
:
Updated:
Health Law Partner to Present at World Research Group’s Healthcare Management Conference
:
Updated:
Civil False Claims Act Liability Expanded
:
Updated:
Out of Network Billing Under Increased Scrutiny
:
Updated:
PRG-Schultz CFO to Leave
:
Updated:
Health Care Fraud Prevention and Enforcement Action Team Announced
:
Updated:
New ASC Conditions for Coverage Have Taken Effect
:
Updated:
RAC Presentation Published by CMS
:
Updated:
New RAC FAQ Posted by CMS
:
Updated:
Medicare Trust Funds Expected to Deplete Sooner than Last Year’s Projection
:
Updated:
Health Law Partner Presents to Oakland County Medical Society and Oakland County Bar Association
:
Updated:
Reimbursement Rates Cut for Michigan Medicaid Providers
:
Updated:
HHS Issues HITECH Act Guidance for Securing PHI Relative to Breach Notification Regulations
:
Updated:
Michigan Medicaid False Claims Act Approved by OIG
:
Updated:
“Red Flag Rules” Enforcement Delayed
:
Updated:
New OIG Advisory Opinion Published
:
Updated:
HHS Secretary Confirmed
:
Updated:
Electronic Health Records Bill Introduced
:
Updated:
The In-Office Ancillary Services Exception’s Continued Relevance
:
Updated:
The Federal Stark Law and Anti-Kickback Statute Addressed in OIG’s Open Letter Refining Self-Disclosure Protocol
:
Updated:
Changes to COBRA Included in Stimulus Package
:
Updated:
Recovery Audit Contractors (“RACs”) Authorized to Engage in Statistical Sampling
:
Updated:
Federal Stark Law Frequently Asked Question Addresses Lithotripsy
:
Updated:
Michigan Medical Marijuana Process Begins April 6, 2009
:
Updated:
Non-Random Pre-Payment Medical Review Rule Finalized
:
Updated:
Health Law Partner Presents to Radiology Business Management Association
:
Updated:
Michigan Recovery Audit Contractor (“RAC”) Provider Outreach Scheduled for April 10, 2009
:
Updated:
Recovery Audit Contractor (“RAC”) Program Challenged by Hospital System
:
Updated:
Stark, Anesthesia and the Federal False Claims Act
:
Updated:
OIG, Medicare Payments and Pain Management Procedures
:
Updated:
The Red Flag Rules and Health Care Providers
:
Updated:
Medicare “Incident To” Services Under Continued Scrutiny
:
Updated:
HITECH Act – HIPAA Privacy and Security Expanded by the Stimulus Bill
:
Updated:
Are Mandated Compliance Programs A New Trend?
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