Chilivis Grubman LLP
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MEDICARE’S “WITHOUT FAULT” PROVISION: A PROVIDER’S SECRET WEAPON?

Mar 24, 2025 | Administrative Law, Health Care, Medicare and Medicaid, Overpayment Appeals

Because Medicare processes over one billion fee-for-service claims annually, it is impossible for CMS and its contractors to review every claim – or even a substantial percentage of claims – on a pre-payment basis.  Accordingly, Medicare has set up various...

Annual Defense Appropriations Legislation Brings Major Changes to Administrative False Claim Act

Jan 14, 2025 | Administrative Law, False Claims Act, Fraud Investigations, Health Care, Health Care Fraud

Late last year, President Biden signed the annual National Defense Authorization Act (NDAA) for fiscal year 2025.  This alone is not newsworthy, as this has happened every year since the NDAA was introduced in 1961.  Generally speaking, the NDAA governs Department of...

Georgians Overwhelmingly Approve Constitutional Amendment Waiving Sovereign Immunity

Nov 11, 2020 | Administrative Law

Leading up to the recent elections, we explained the three constitutional amendments that Georgia voters would be asked to decide.  All three amendments passed.  In particular, nearly 80% of Georgia’s voters approved amending Georgia’s constitution to waive sovereign...

Georgia Access to Medical Cannabis Commission Expected to Issue Procurement Soon for Production of Low THC Oil for Medicinal Purposes

Sep 28, 2020 | Administrative Law, General

The State of Georgia is taking steps that allow licensees to grow cannabis and produce low THC oil(1) that can be used for defined medicinal purposes.  In 2015, the Georgia General Assembly enacted “Haleigh’s Hope Act,” which is a law that allows patients to possess...

Justice Delayed is Justice Denied: FINRA Arbitration Hearing May Proceed Via Zoom

Aug 31, 2020 | Administrative Law, Business Litigation, COVID-19 Related Law, FINRA

In light of the COVID-19 pandemic, courts and arbitration tribunals have been forced to grapple with how to safely conduct hearings while ensuring that the results of such hearings stand up to legal challenges. Back in May, we told you about a challenge to a FINRA...

HHS Permits Pharmacists to Administer Vaccines in All States but Levies Additional Requirements

Aug 21, 2020 | Administrative Law, COVID-19 Related Law, Government Investigations, Health Care

On August 19, 2020, Secretary of the U.S. Department of Health and Human Services (HHS) Alex Azar issued a third amendment to HHS’ Declaration Under the Public Readiness and Emergency Preparedness Act for Medical Countermeasures Against COVID-19 (Directive).  The...
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  • Pharmaceutical Manufacturer Agrees to Pay $3.6M to Resolve False Claims Act Investigation
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  • Popular Restaurant Chain Pays $7.8 Million to Resolve Pandemic-Related False Claims Act Case
  • Robotics/AI Company Agrees to Seven-Figure False Claims Act Settlement
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