We have extensive experience with RAC audits and appeals, working directly with healthcare entities subject to RAC audits.
We have represented Independent Diagnostic Testing Facilities (“IDTFs”), mobile leasing entities, radiology group practices, and other imaging providers.
We provide assistance and guidance through the legal process focused on the goal of resolving your matter successfully and efficiently.
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Adrienne Dresevic, Esq. and Clinton Mikel, Esq. of the Health Law Partners, P.C. are on the Planning Committee of the Taos Health Law Roundtable, the inaugural year of which happened January 23-26, 2020 in Taos, New Mexico.

The Taos Health Law Roundtable is an event for health law industry thought leaders to come together for top-notch CLE and networking opportunities. The conference, held at the Taos Ski Valley, also boasts access to some of New Mexico’s best skiing slopes. Adrienne and Clinton began working with co-organizers Stefan Chacon and David Johnson of Sutin Thayer & Browne, and David Douglass, Esq. of Sheppard Mullin in late 2019 after learning of the cancellation of the 2020 LEI Health Law Program in Colorado.

The inaugural year was a resounding success! The conference is expected to continue for many years to come!

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Senate Bill 340, which would allow ‘remote pharmacies’ that are not staffed by an on-site pharmacist, cleared Michigan Legislature Wednesday, January, 8, 2020 on a 32-5 Senate vote. The bill is now waiting for Governor Gretchen Whitmer’s signature in order to be passed as law.

SB 340 would allow the use of telecommunication to permit a pharmacist at a ‘parent pharmacy’ to oversee up to two remote pharmacies. Pharmacists at the parent pharmacy would utilize real-time audio and visual connections in order to supervise the remote locations. However, the bill would only permit a remote pharmacy in a location if it is more than 10 miles from a regular pharmacy, unless the state waives the requirement due to evidence of other factors limiting local patient access to pharmacy services.

This bill, proposed by Michigan Senator Curt VanderWall and backed by the Michigan Pharmacists Association and major drug distributor Cardinal Health, aims to expand patient access to pharmacy services in rural and underserved areas. If passed, Michigan would become the 24th state to allow remote pharmacies staffed only by pharmacy technicians.

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Due to the high volume of tips and complaints the Department of Health and Human Services (HHS) Office of Inspector General (OIG) receives – approximately 115,000 each year – the need for an efficient means of capturing these complaints was vital for OIG. Released to the public November 14, 2019, the newly redesigned OIG Hotline website is now the preferred method for users to submit tips or complaints.

The site has been completely revamped to include user-friendly updates such as guided questions and options for users to provide supplementary documentation for their submission. Furthermore, the addition of mobile compatibility for the site increases the options for access individuals previously had.

“The Hotline is the public face of the Health and Human Services Inspector General,” said Nenette Day, Assistant Special Agent in Charge, Office of Investigations.

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The Health Law Partners congratulates Robert S. Iwrey for his selection as a DBusiness Top Lawyer for 2020!

This is Rob’s fifth consecutive year as a DBusiness Top Lawyer. DBusiness’ Top Lawyers list is based on an exclusive peer-review survey open to all area lawyers, honoring excellence in 53 practice areas. HLP is proud to announce that Rob has been selected to be included in the list for 2020.

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The Health Law Partners, P.C. is proud to be named an ABA Health Law Section Top 10 Law Firm for 2019-2020 in the Midwest Region!

HLP is a premier law firm serving health care entities and professionals nationwide. Our attorneys work hard to provide our clients with creative and effective solutions in order to produce favorable outcomes wherever possible. Facing an ever-changing industry and increasing regulatory scrutiny, we understand how important it is to strive for success in everything we do. HLP is honored to be included as a Top 10 Health Law Firm in the Midwest Region!

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New York Governor Andrew Cuomo signed legislation on October 17, 2019 further reinforcing New York’s Surprise Medical Bill Law, originally enacted in 2014. That bill, the first of its kind in the nation, is intended to comprehensively protect New York consumers from surprise medical bills for services rendered by out-of-network providers at in-network hospitals. With the October 17th legislation, the bill has now been extended to include emergency services, as well as inpatient services following an emergency room visit.

New York Assembly Member Kevin Cahill commented: “Relieving consumers of the aggravation associated with billing disputes between health care providers and insurance companies is one step closer to completion.” New York Senator Liz Krueger added, “This new law will protect New York families from outrageous surprise medical bills and help keep overall medical costs down.”

Under this legislation, health insurance companies are now required to ensure that patients will not incur greater out-of-pocket costs from services administered by a non-participating provider than they would have incurred from a participating provider. “In an emergency, every second counts and it’s ridiculous to expect someone facing a potential life or death situation to first check and see if a hospital is part of their health insurance network,” said Governor Cuomo.

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“We serve patients poorly when government regulations gather dust in the attic: they become even more stale and liable to wreak havoc throughout the health care system. Administrative costs are driving up the cost of health care in America – to the tune of hundreds of billions of dollars. The Stark proposed rule is an important next step in President Trump’s health care agenda for Americans. We are updating our antiquated regulations to decrease burden for providers and helping bring down these increasingly escalating costs.”

– Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma.

The Department of Health and Human Services (HHS) announced today the release of several proposed changes to the regulations that interpret the Physician Self-Referral Law (the Stark Law), the Civil Monetary Penalty Law (CMP), and the Federal Anti-Kickback Statute (AKS). The proposed revisions are intended to provide greater clarity to health care professionals.

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By Adrienne Dresevic, Esq. and Carey Kalmowitz, Esq. of The Health Law Partners, P.C.

The Centers for Medicare & Medicaid Services (CMS) issued a final rule that strengthens the agency’s ability to stop fraud by barring unscrupulous providers out of federal health insurance programs. This rule is unlike past rules in that it stops providers before they get paid. This is a momentous step on CMS’s part to end “pay and chase” in federal health care fraud efforts and replace it with proactive measures.

The final rule, Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-FC), becomes effective November 4, 2019 and establishes novel revocation and denial authorities to buttress CMS’ efforts to stop waste, fraud and abuse. This rule is applicable to the entire provider community, including radiologists.

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Please join The Health Law Partners, P.C. in congratulating Robert S. Iwrey, Esq. and Arturo Trafny, Esq. for their publication of Licensing Health Care Providers in Michigan: Requirements and Ramifications by The State Bar of Michigan Health Care Law Section (HCLS).

This white paper, an updated edition of a previous HCLS publication, discusses the various requirements for licensure, certification, and registration for Michigan health care professionals. It also provides an overview of the typical investigation process followed by Michigan’s Bureau Professional Licensing for alleged violations of Michigan’s Public Health Code.

Download the PDF of Licensing Health Care Providers in Michigan: Requirements and Ramifications here.

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Join panelist Jessica L. Gustafson, Esq. on September 25, 2019 at 1pm EDT for the Strafford Webinar ‘Agency Deference and the Impact of Kisor in Healthcare: Challenging CMS and Other Agency Actions’.

Jessica will be joined by co-panelists Mimi Hu Brouillette of Greenberg Traurig and Daniel Jarcho of Alston & Bird to discuss these important topics:

  • What are the practical implications of the Supreme Court’s decision in Kisor v. Wilkie for the healthcare industry
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