May 2, 2016 | Health Care
On April 18, 2016, the Department of Health and Human Services Office of Inspector General (“OIG”) issued an updated version of its Criteria for Implementing Section 1128(b)(7) Exclusion Authority, thereby replacing its 1997 version. By way of background, the OIG...
Apr 25, 2016 | Health Care
In a recent False Claims Act (“FCA”) decision, the United States District Court for the District of Massachusetts granted summary judgment in favor of medical device manufacturer DJO, Inc., holding that statements to Medicare regarding the length of time a patient...
Apr 1, 2016 | Health Care
Cybersecurity and the protection of patient health information have been at the forefront of the minds of healthcare providers and executives for some time. However, a recent uptick in the number of “ransomware” attacks against healthcare entities – wherein hackers...
Mar 24, 2016 | Health Care
Yesterday, the Centers for Medicare and Medicaid Services (“CMS”) issued a lengthy proposed rule designed to identify and punish healthcare providers that attempt to evade Medicare rules and regulations by hiding or changing their Medicare identity. If finalized, the...
Feb 1, 2016 | Health Care
It is becoming increasingly common for healthcare providers that participate in Medicare Part B to become the target of post-payment audits conducted by the contractors working for the Centers for Medicare and Medicaid Services (“CMS”). In many cases, such an audit...
Jan 8, 2016 | Administrative Law, Health Care
Healthcare Regulatory Update: What to Watch for in 2016 Happy New Year, and welcome to another year sure to be chock-full of new healthcare regulations. Here’s what to watch for in 2016: The 60-Day Rule and False Claims Act Liability In 2010, the Affordable Care Act...