Sep 15, 2015 | Administrative Law
When you hire a lawyer, there are certain services that you can expect. The list can be long and varied depending on the lawyer but some of the common services provided are things such as: consultation for legal information and advice; consultation to review...
Aug 24, 2015 | Health Care
On August 13, the Office of Inspector General for the Department of Health and Human Services (“OIG”) issued a “Memorandum Report” examining the overlap between physician-owned hospitals and physician-owned distributors (“POD”) of spinal devices. OEI-01-14-00270. The...
Aug 17, 2015 | Health Care
Most nurses think about the Board of Nursing when they are trying to pass their initial test, or need to renew their license. For most nurses, this will be their only contact with the Board of Nursing; however, the Board is involved with more than just licensing...
Aug 7, 2015 | Health Care
In April, the President signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which repealed and replaced the controversial Sustainable Growth Rate (SGR) formula. A lesser known, but nevertheless important, provision of MACRA requires...
Jul 8, 2015 | Uncategorized
In recent weeks, the federal government has made clear that it will be devoting more time and resources going after individual physicians for potential fraud, waste, and abuse. On June 9, for example, the HHS Office of Inspector General (“OIG”) issued a Fraud...
Jun 22, 2015 | Health Care
In December, Chilivis Grubman attorney Scott Grubman issued a healthcare compliance alert regarding the electronic health records (EHR) meaningful use incentive payment program. That program, which began in 2009, provides financial incentives to providers who convert...
Jun 8, 2015 | Health Care
The U.S. Supreme Court on Monday declined to clarify the level of detail required to satisfy Rule 9 (b) in alleging claims under the False Claims Act when it declined to review the Eleventh Circuit decision in U.S. ex rel. Mastej v. Health Management Associates, Inc.,...
May 18, 2015 | Health Care
Several years ago, the federal government required states receiving Medicaid money (i.e., all of them) to institute the Recovery Audit Contractor, or “RAC,” program. A RAC is a private entity that contracts with a state to detect, and pursue recovery of, Medicaid...
May 6, 2015 | Health Care
Yesterday, as part of its continuing “data transparency initiative,” CMS released detailed data on over a billion prescriptions dispensed to Medicare beneficiaries in 2013 under the Medicare Part D Prescription Drug Program. That information is now publicly available...
Apr 29, 2015 | Health Care
As we all know, most medical care today is paid for by third-party insurance, and the physician usually sends the bill directly to the insurance company. However, it is very easy for there to be errors in these bills, either in individual bills or in series of bills....
