On February 16, we wrote about a $200 million healthcare fraud scheme in southern Florida in connection with improper billing for Medicare mental health services. In an April 14 Department of Justice press release, the two orchestrators of the fraud scheme–Lawrence Duran and Marianella Valera–pleaded guilty at an arraignment hearing to all counts charged in […]
Join Carey Kalmowitz, Esq. of The Health Law Partners, P.C. in Las Vegas, Nevada for a conference that will answer all of your questions regarding the growing movement towards greater physician-hospital alignment. Declining reimbursement, uncertainty over health care reform, increased competition, the need to access capital and the overall economy are all combining to drive […]
Dr. Joel Kahn has been named Detroit Medical Center’s (DMC) Medical Director of Wellness and Medical Director of Preventive Cardiology and Cardiac Rehabilitation. Dr. Kahn plans to develop a clinic for preventive cardiology as well as reopening a cardiac rehabilitation program for DMC. Continue Reading →
The National Conference of Insurance Legislators (NCOIL) adopted model legislation to restrict out-of-network balance billing by physicians. The stated purpose of the model-legislation is “to provide transparency, accountability, and disclosure by healthcare facilities, facility-based providers, and health benefit plans regarding billing practices, notice of network benefits, and financial responsibilities in the delivery of non-emergency medical […]
Effective April 1, 2011, hospice and home health providers will be required to comply with the face-to-face rule for purposes of verification of a patient’s eligibility for Medicare home health services and of recertification for Medicare hospice services. Enforcement of this requirement was delayed from January 1, 2011, in order to allow home health and […]
The Health Law Partners, P.C. (“The HLP”) is pleased to announce that Alan G. Gilchrist, Esq., has joined the firm as a partner. The HLP is excited to welcome Gilchrist to our growing team of lawyers specializing in health care law. Gilchrist will chair the firm’s Civil False Claims and White Collar Criminal defense practice […]
On Thursday, March 31, 2011, the Centers for Medicare & Medicaid Services (“CMS”) provided the health care community with some much needed guidance by publishing its Proposed Rule regarding the Medicare Shared Savings Program (the “Shared Savings Program”) and its Accountable Care Organizations (“ACOs”). There is a sixty (60) day public comment period with respect […]
Today, CMS issued the long-awaited proposed regulations for accountable care organizations (ACOs). The regulations may be found here. Continue Reading →
In the Office of Inspector General’s (OIG) Advisory Opinion 11-02, the OIG examined a proposed arrangement in which the Requestor–a non-profit, tax-exempt corporation that operates an outpatient acute care hospital–would provide complimentary transportation services to patients and their families at physicians’ offices located on, or contiguous to, the Requestor’s campus (Physicians) to the Requestor’s acute […]
Following a December challenge in the Northern District of Texas, the ninth circuit (Los Angeles Haven Hospice, Inc. v. Sebelius, No. 09-56391 (9th Cir. Mar. 15, 2011)) and the fifth circuit (Lion Health Servs. V. Sebelius, No. 10-10414 (5th Cir. Mar. 11, 2011)) have both ruled that the hospice cap regulation (42 CFR 418.309(b)) is […]
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