:
Updated:
New York State Dept. of Health Issues Guidance on Recently Amended Consumer Protection Laws and Postpones New Requirements for Patient Consent Forms
:
Updated:
OIG Releases New Industry-Specific Compliance Program Guidance for Nursing Facilities
:
Updated:
Court Strikes Down HHS “Guidance” Regarding Online Tracking Technologies and HIPAA: Implications for Healthcare Providers
:
Updated:
Newly Released FTC Health Breach Notification Rule: A Guide for Non-HIPAA Health Apps and Technologies
:
Updated:
Monique Selby Selected as Unsung Legal Hero in 2023 by Michigan Lawyers Weekly
:
Updated:
Jessica L. Gustafson, Robert S. Iwrey, and Clinton Mikel Named as 2023 Michigan Super Lawyers
:
Updated:
Adrienne Dresevic Promoted to Chair of the ABA Health Law Section
:
Updated:
Jessica Gustafson Selected as an Influential Woman of Law in 2023
:
Updated:
Adrienne Dresevic Appointed to Chair ABA Health Law Section Dobbs Task Force
:
Updated:
Jessica Gustafson to Chair 2022 ABA Health Law Section Physicians Legal Issues Conference; Adrienne Dresevic and Jessica Gustafson to Present
:
Updated:
Robert S. Iwrey Selected as a 2022 DBusiness Top Lawyer in Health Care Law
:
Updated:
No Surprises Act Final Rule Published
:
Updated:
Robert S. Iwrey Selected as Super Lawyer for 13th Consecutive Year
:
Updated:
New York becomes 25th State to grant Nurse Practitioners Full Practice Authority
:
Updated:
Rise in HIPAA Class Action Suits: Partnership HealthPlan of California
:
Updated:
Evolving HIPAA Regulations Will Shape the Future of OCR’s Enforcement Regime
:
Updated:
Alarming Rate of Ransomware Data Breaches Calls for Increased Protection in Healthcare Industry
:
Updated:
HHS Files Notice of Appeal to Oppose Texas District Court Ruling Striking Down Portions of the No Surprises Act Independent Dispute Resolution Process
:
Updated:
HRSA Ends COVID-19 Uninsured Program
:
Updated:
Federal Court Strikes Down Portions of the No Surprises Act Implementing Regulations
:
Updated:
Coverage by Insurance Companies and Group Health Plans of Over-the-Counter COVID-19 Tests – New Requirement Issued by Biden-Harris Administration as of January 15, 2022
:
Updated:
The Supreme Court Blocks a COVID-19 Vaccine Mandate for 84-Million Workers, but Upholds a COVID-19 Vaccine Mandate for Healthcare Workers
:
Updated:
OIG Updates the Self-Disclosure Protocol: Key Changes
:
Updated:
HHS Issues Interim Final Rule Regarding Surprise Medical Billing
:
Updated:
Biden Administration Extends Suspension of Mandatory 2% Medicare FFS Payment Sequestration
:
Updated:
Adrienne Dresevic and Jessica L. Gustafson Nominated for ABA Health Law Section Leadership Positions
:
Updated:
Update on Provider Relief Fund Reporting Requirements
:
Updated:
New CMS Final Rule Provides Medicare Beneficiaries with Greater Surgical Options and Expands Coverage for Certain Surgical Procedures
:
Updated:
CMS Issues Final Rule to Permanently Expand Medicare Telehealth Services
:
Updated:
CMS and OIG Issue Updates to Stark Law, the Anti-Kickback Statute, and the Beneficiary Inducement Law
:
Updated:
New Michigan Law Prohibits Surprise Medical Billing
:
Updated:
How to Obtain Medicaid Enrollment Anniversary Date for New York OMIG and DRA Certification Requirements
:
Updated:
New York Law Requires Physicians to Immediately Post OPMC Signage
:
Updated:
Update to New York OMIG and DRA Certification Requirements
:
Updated:
5th Circuit Ruling Affirms Denial of Injunctive Relief Against Medicare Recoupment during the Administrative Appeals Process
:
Updated:
HHS and DOJ Issue Health Care Fraud and Abuse Annual Report for FY 2019
:
Updated:
Robert S. Iwrey Selected as a Super Lawyer and Jessica L. Gustafson Selected as a Rising Star
:
Updated:
Department of Labor Revises FFCRA Regulations and Redefines “Health Care Provider”
:
Updated:
An OIG Report Finds Inconsistency by MACs in Reviewing Medicare Extrapolated Overpayments
:
Updated:
Hospitals Brace for Renewed Focus on Total Joint Procedures
:
Updated:
The OMHA Expands the Settlement Conference Facilitation ADR Process to Appellants
:
Updated:
CMS Issues Proposed Rules for 2021 Medicare Physician Fee Schedule and the Outpatient Prospective Payment System
:
Updated:
SBA Releases Guidance for PPP Loan Forgiveness Applications
:
Updated:
HHS Provider Guidance Regarding Use of Provider Relief Fund Payments and Reporting Requirement
:
Updated:
Senate Passes Paycheck Protection Program Reform Bill to Provide Greater Flexibility to Small Businesses
:
Updated:
SBA Issues Rules for Paycheck Protection Program Loan Forgiveness – With Pending Legislation to Afford Borrowers Enhanced Flexibility for Forgiveness
:
Updated:
For Now, Medicare Beneficiaries Win Right to Challenge Certain Outpatient Observation Placement Orders
:
Updated:
MI Governor Whitmer Issues Executive Order to Re-Open Healthcare Facilities to Perform Non-Essential Medical and Dental Procedures
:
Updated:
OIG Develops Two Toolkits to Calculate Opioid Levels and Identify At-Risk Patients
:
Updated:
HHS to Distribute Additional $20 Billion Tranche of Provider Relief Funds – Applications Now Required
:
Updated:
HHS Finalizes Two Rules to Promote Patient Control and Access to Health Data
:
Updated:
CMS Issues Recommendations to Re-open Certain Non-Emergent Healthcare Facilities
:
Updated:
FDA Issues EUA for Sterilization Systems to Decontaminate 4 Million N95 Respirators Per Day
:
Updated:
AMA Releases Ethics Guidance for the COVID-19 Pandemic
:
Updated:
The EEOC Confirms Employers May Test Employees For COVID-19
:
Updated:
CMS Suspends Advance Payment Program to Part B Suppliers and Reevaluates Accelerated Payment Program
:
Updated:
HHS Issues Notification of Enforcement Discretion for Provision of Telehealth Services During COVID-19 Pandemic
:
Updated:
HHS to Distribute Additional $20 Billion Tranche of Provider Relief Funds – Applications Now Required
:
Updated:
Guidance for Resumption of Elective Surgery
:
Updated:
$100 Billion to be Distributed by HHS to Healthcare Providers Combating the COVID-19 Pandemic
:
Updated:
Department of Justice Announces Two Settlements Under the False Claims Act
:
Updated:
New COVID-19 Regulatory Requirements Announced for Nursing Homes
:
Updated:
HHS Announcement: $10 Billion Available for Hospitals in COVID-19 High Impact Areas But Hospitals Have Mere Hours to Apply
:
Updated:
HHS Issues Terms and Conditions for Federal Awards Issued Under the PHSSEF
:
Updated:
CMS Increasing Medicare Payments for High-Throughput COVID-19 Tests
:
Updated:
CMS Distributing $30 Billion Under the CARES Act, Medicare Providers/Suppliers to Automatically Receive ACH Deposits . . . but Conditions Apply
:
Updated:
CMS Issues Guidance to Mitigate the Spread of COVID-19 in Long-Term Care Facilities
:
Updated:
Department of Labor Extends FFCRA Employee Leave to Combat Effects of COVID-19 in the Workplace
:
Updated:
CMS to Distribute $30 Billion in Grants Under the CARES Act to Providers to Alleviate the Burden Imposed by COVID-19
:
Updated:
CMS Issues Blanket Waivers Under Stark Law
:
Updated:
Temporary Extension to Michigan FOIA Responses Can Impact Licensing Matters
:
Updated:
SBA Issues Subsequent Interim Final Rule Regarding Affiliation Rules Under the PPP to Supplement Initial Rule
:
Updated:
Paycheck Protection Program is Live – What Businesses Need to Know about Forgivable Loan Program
:
Updated:
CMS Expands the Accelerated and Advance Payments Program during COVID-19 Emergency
:
Updated:
CARES Act Loans for Middle Market Businesses Over 500 Employees but Less Than 10,000
:
Updated:
SBA Issues New Paycheck Protection Program Interim Final Rule
:
Updated:
CMS Responds to FAQs Regarding COVID-19 Provider Burden Relief
:
Updated:
MI Governor Whitmer Announces Expansion of Unemployment Benefits for Workers Affected by COVID-19
:
Updated:
MI Governor Whitmer Signs Executive Order Relieving Supervision Requirements for PAs, NPs, & Other Certain Restrictions and Requirements Governing the Provision of Medical Services
:
Updated:
Michigan Executive Order Issued to Temporarily Ease Restrictions on Pharmacists and Increase Access to Prescriptions During COVID-19 Pandemic
:
Updated:
OIG Seeks to Minimize Burdens on Providers
:
Updated:
N.Y. Department of Health Expands Telehealth Policy for Medicaid During COVID-19 Pandemic
:
Updated:
Due to Multiple Allegations, the Michigan Bureau of Professional Licensing Sends Reminder of Appropriate Prescribing and Dispensing
:
Updated:
MI Gov. Whitmer Signs Order Allowing Pharmacists to Dispense Emergency Refills of Prescriptions
:
Updated:
MDHHS Expands Telemedicine and Permits Flexibility with Telemedicine Requirements to Combat COVID-19
:
Updated:
New York Executive Order Grants Immunity to Healthcare Providers Responding to COVID-19 Outbreak
:
Updated:
A Message to Our Clients
:
Updated:
OCR Issues Notification of Enforcement Discretion for Telehealth Remote Communications During COVID-19 Nationwide Public Health Emergency
:
Updated:
CMS Releases Recommendations Urging the Delay of Non-Essential Procedures, Elective Surgeries
:
Updated:
MI Governor Issues Executive Order to Waive Certain CON Requirements and LARA Licensing Requirements
:
Updated:
OIG Issues Policy Statement to Reduce/Waive Cost-Sharing Amounts for Telehealth Services during the COVID-19 Outbreak
:
Updated:
February 29, 2020, Deadline for Reporting Small Health Care Data Breaches Approaches
:
Updated:
HLP’s Adrienne Dresevic and Clinton Mikel on the Planning Committee of the First Annual Taos Health Law Roundtable
:
Updated:
Bill Allowing ‘Remote Pharmacies’ Passes MI Legislature
:
Updated:
OIG Launches Redesigned Hotline Website
:
Updated:
Robert S. Iwrey Selected as a 2020 DBusiness Top Lawyer!
:
Updated:
HLP Named to ABA Health Law Section Top 10 Law Firms for 2019-2020
:
Updated:
Governor Cuomo: Additional Protections for New York Consumers from Surprise Medical Bills
:
Updated:
Stark, AKS, and CMP Reforms on the Horizon with New HHS Proposed Rules
:
Updated:
CMS Issues New Rule to Strengthen the Ability to Stop Fraud
:
Updated:
Robert S. Iwrey and Arturo Trafny Publish White Paper Discussing Licensure Requirements & Ramifications in Michigan
:
Updated:
Jessica L. Gustafson to Co-Host Strafford Webinar September 25, 2019
:
Updated:
Robert S. Iwrey Selected as a 2020 Top Lawyer by DBusiness Magazine
:
Updated:
Please join the HLP at the 2019 Physician Legal Issues in Chicago, IL
:
Updated:
Robert S. Iwrey Selected as a Super Lawyer and Jessica L. Gustafson Selected as a Rising Star
:
Updated:
Ashland Physician and Substance Abuse Treatment Center Agree to Pay $1.4 Million to Resolve Civil Claims
:
Updated:
Robert S. Iwrey selected as a Best Lawyer in Health Care Law for the 26th Edition of The Best Lawyers in America
:
Updated:
American College of Physicians Issues New Guidelines for Breast Cancer Screening
:
Updated:
2020 OPPS Proposed Rule: Further Price Transparency Requirements for Hospitals
:
Updated:
Patient Recruiter Found Guilty in $1.3 Million Medicare Kickback Scheme
:
Updated:
New Information Regarding Appropriate Use Criteria is Released
:
Updated:
Bay City Vascular Surgeon Charged in Connection with $60 Million Health Care Fraud
:
Updated:
Midwife Profession to Require Licensure on August 1, 2019
:
Updated:
LARA Launches New Licensing System
:
Updated:
CMS Proposes Elimination of RAPs and Implementation of PDGM for CY 2020
:
Updated:
Healthcare Innovation: Compliance
:
Updated:
CMS Announces Inpatient Rehabilitation Facility (IRF) Appeals Settlement Initiative
:
Updated:
Additional SCF Opportunities Become Available
:
Updated:
Proposed Rule to Revise ACA Section 1557 Enforces Civil Rights in Healthcare and Eliminates Billions in Unnecessary Costs
:
Updated:
SCOTUS Clarifies Statute of Limitations for Qui Tam Actions
:
Updated:
CMS Temporarily Pauses BFCC-QIO Short Stay and HWDRG Reviews
:
Updated:
HHS Caps Maximum HIPAA Penalty Fines
:
Updated:
Former Hospital Chain CEO to Pay Nearly $3.5 Million to Settle False Billing and Kickback Allegations
:
Updated:
Pennsylvania Federal Judge: DOJ Must Provide Legitimate Reason for FCA Dismissals
:
Updated:
Michigan Supreme Court: No-Fault Insurance Payments Made Directly to Medical Providers Can Continue
:
Updated:
Electronic Case Adjudication and Processing Environment (ECAPE) Update
:
Updated:
Per CMS, Stark Law Modifications Around the Corner
:
Updated:
Robert S. Iwrey selected as a 2019 Leading Lawyer in Michigan for Health Law
:
Updated:
OCR Sets New Enforcement Activity Record with 2018 Settlements Totaling $28.7 Million
:
Updated:
March 1st Deadline for Reporting Small Health Care Data Breaches Approaches
:
Updated:
California Passes Pharmacy Benefit Management Bill
:
Updated:
SUPPORT Act Expands Reporting Responsibilities Required by the Sunshine Act
:
Updated:
Courts Recognize Irreparable Injury Caused by Medicare Appeals Backlog
:
Updated:
HHS Announces New Site-Neutral Payment Policy – And Is Met With Another Lawsuit
:
Updated:
CMS Finalizes Changes to the Medicare Shared Savings Program
:
Updated:
Pennsylvania Act 112 – Imaging Entities Now Required to Report to Patients on “Significant Abnormalities”
:
Updated:
The October 2018 Updates to the National Practitioner Data Bank Guidebook Expands on Physician Reporting Requirements
:
Updated:
Hospice Company SouthernCare Inc. to Pay $6 Million in Medicare Fraud Settlement
:
Updated:
Robert S. Iwrey selected as a 2019 Top Lawyer in Health Care Law
:
Updated:
Labs, Clinical Treatment Facilities and Recovery Homes Subject to New All Payor Anti-Kickback Law
:
Updated:
2018 OMIG Compliance Certification Update
:
Updated:
Asynchronous Telemedicine: Medicare’s Inevitable Acceptance
:
Updated:
A Look at How the 2018 Primary Election Results will Affect Healthcare Law
:
Updated:
Court Rules Medicare Appeals Backlog to be Eliminated by 2022
:
Updated:
ROBERT S. IWREY SELECTED AS SUPER LAWYER, AND JESSICA L. GUSTAFSON AND AARON J. BERESH SELECTED AS RISING STARS
:
Updated:
CMS Finalizes Rule Requiring Hospitals to Post Standard Charges Online
:
Updated:
HHS Investigating Pharmacies Making Pain Creams for Possible Fraud and Abuse
:
Updated:
CMS Revises Documentation Requirements for Inpatient Hospital Admission Orders
:
Updated:
GUIDELINE.GOV NO LONGER AVAILABLE AFTER JULY 16, 2018 – Budget Cuts Result in Deletion of Over 20 Years of Medical Guidelines
:
Updated:
CMS Proposes to Amend or Delete §411.353(g) Special Rule for Certain Arrangements Involving Temporary Noncompliance with Signature Requirements
:
Updated:
CMS Proposes New Rule Change to The Medicare Physician Fee Schedule and Quality Payment Program
:
Updated:
CMS Seeks Additional Public Input on the Impact and Burden of the Stark Law
:
Updated:
Please Join The HLP at the 2018 Physicians Legal Issues Conference
:
Updated:
Recent Changes to the Medicare Shared Savings (ACO) Program Aimed to Encourage Beneficiaries to be Proactive with Their Health Care
:
Updated:
New Standard of Materiality in FCA Litigation Gives Wake to New Vigor for Defense
:
Updated:
OIG Gives Green Light to Pharmacy Discount Program Under CMP and AKS
:
Updated:
CMS Delays Implementation of New Rule Addressing Home Health Agency Improvements
:
Updated:
Please Join The HLP at The 2017 Physicians Legal Issues Conference in Chicago, Illinois
:
Updated:
Important New Compliance Resources for Imaging Providers/Suppliers
:
Updated:
Health Reform
:
Updated:
New York’s Medicaid Program Re-issues Warning for Health Care Providers to Avoid “Percentage of Collection” Fee Agreements with Billing Companies, or Face Recoupment Proceedings
:
Updated:
OIG Finalizes New Transportation Safe Harbor
:
Updated:
ALJ Appeals Adjudication Backlog Update: AHA’s Lawsuit Decided in Favor of Appellants
:
Updated:
OIG Issues Policy Statement Regarding Gifts of Nominal Value to Medicare and Medicaid Beneficiaries
:
Updated:
OMIG Issues Guidance on Medicaid Compliance Requirements
:
Updated:
Recovery Auditor (RAC) Contracts Awarded
:
Updated:
Concierge Medicine Model Expands In An Effort To Enable Private Practitioners To Remain Independent
:
Updated:
CMS Provides Physicians With Flexible New Options For “MACRA” Participation In 2017
:
Updated:
California Passes Bill as a Safeguard against Out-of-Network Medical Bills
:
Updated:
U.S. Senate Committee Considering Reform of Stark Law
:
Updated:
Delay in Lift of Ban Preventing Use of Messaging and Text Tools by Joint Commission
:
Updated:
South Carolina Medical Center Owes $17 Million for Violations of Stark Law and False Claims Act
:
Updated:
Mount Sinai Health System Agrees to $2.95 Million Fraud Settlement Owing to Medicaid
:
Updated:
CMS Advances Trend toward Bundled Payments
:
Updated:
Revisiting DOJ’s Reliance on the Principles of the Yates Memo
:
Updated:
CMS Proposes Reductions for Medicare Reimbursements for Home Health Agencies in 2017
:
Updated:
The Transition to EHR Systems does not Pose Significant Negative Effects on Patient Care
:
Updated:
Moratoria on Enrollment of Home Health Agencies Expanded Statewide and Extended
:
Updated:
Health & Human Services (HHS) Release New Actions to Address Opioid Crisis
:
Updated:
Spikes in Fraud Penalties under the False Claims Act and the Anti-Kickback Act
:
Updated:
The U.S. Supreme Court issues decision that could expand False Claims Act Liability
:
Updated:
Phase 2 HIPAA audit notices are being issued
:
Updated:
Partnerships Audits and the Death of the Tax Matters Partner
:
Updated:
Join Clinton Mikel of The Health Law Partners for Politico’s “Outside, In: Unhealthy Hacking: Medical Privacy in the Age of Cyber Attacks”
:
Updated:
American Bar Association’s Physicians Legal Issues Conference on June 9-10, 2016, in Chicago, IL.
:
Updated:
Adrienne Dresevic and Clinton Mikel Earn the “Pulitzer Prize” of Legal Writing
:
Updated:
OCR Launches Phase 2 of HIPAA Audit Program
:
Updated:
“Physician Contracting Workshop,” presented by Robert S. Iwrey, Esq.
:
Updated:
6th Circuit Court Ruling May Significantly Reduce Recoverable FCA Damages by Feds
:
Updated:
Medicare Appeals Delay Case Moves Forward
:
Updated:
2016 Top Health Care Lawyers
:
Updated:
Broad Cross-Section of Medical Professionals Prescribing Prescription Opioids
:
Updated:
AFIRM Act Seeks to Improve the Medicare Audit and Appeals Process
:
Updated:
Physician Groups Settle with Anthem Blue Cross and Blue Shield Over “Out-of Network Shenanigans”
:
Updated:
Michigan Physicians Beware of Self-Prescribing & Prescribing for Family Members
:
Updated:
Providers Likely To Face Higher Penalties For Fraud and Regulatory Violations
:
Updated:
Per Alabama Court The Government Must Show More Than Difference of Opinion to Prove Falsity in False Claims Act (FCA) Action
:
Updated:
NPDB Revamps its FAQs
:
Updated:
Investigations Mounting Against Widespread Pharmacy Fraud Claims to Military Health Program
:
Updated:
Congress Considering Additional Legislation to Help Curb Medicare Prescription Drug Abuse
:
Updated:
The U.S. Department of Health and Human Services Office of Inspector General has released their Work Plan for Fiscal Year 2016
:
Updated:
Significant Changes to Stark Regulations Finalized in 2016 Medicare Physician Fee Schedule
:
Updated:
U.S. Government’s Plan to Hold Individuals Accountable for Corporate Wrongdoing
:
Updated:
President Obama Announces New Steps to Fight Opioid Abuse Epidemic
:
Updated:
Recent Increase in NCI ZPIC Audit Activity
:
Updated:
Florida Compounding Pharmacy Settles False Claims Act Allegations Involving Telemedicine Prescriptions for $8 Million
:
Updated:
Moratoria on Enrollment of Ambulance Suppliers and Home Health Agencies Extended
:
Updated:
OIG Scrutinizes Overlap Between Physician-Owned Hospitals and Physician-Owned Distributors
:
Updated:
OIG Issues Two Reports on Fraud and Abuse in Medicare Part D
:
Updated:
OIG Issues New Advisory Opinion on Free Introductory Visits Offered to Patients by Home Health Providers
:
Updated:
Major Stark Provisions in 2016 Proposed Medicare Physician Fee Schedule
:
Updated:
OCR Announces Consolidation of Kansas City and Chicago Branches
:
Updated:
United States Supreme Court Rules to Uphold Federal Subsidies Created by the Affordable Care Act
:
Updated:
U.S. Government Arrests 243 Individuals for Healthcare Fraud Allegations
:
Updated:
OIG and DOJ Commentary on Physician-Vendor Relationships at the ABA Physician Legal Issues Conference
:
Updated:
Department of Health and Human Services
:
Updated:
OIG Issues New Fraud Alert Warning Physicians of Increased Scrutiny
:
Updated:
Physicians Beware–the OIG Issued a New Fraud Alert Regarding Medical Directorships
:
Updated:
BILL TO AMEND MICHIGAN NO-FAULT LAW TO CREATE “D-INSURANCE” FOR THE CITY OF DETROIT WILL HAVE SIGNIFICANT ADVERSE IMPACT ON HEALTH CARE PROVIDERS
:
Updated:
PHARMACIES ARE RECEIVING LETTERS FROM THE DOJ REGARDING BILLING FRAUD AND FALSE CLAIMS ACT INVESTIGATIONS.
:
Updated:
PHYSICIANS AND HEALTHCARE ATTORNEYS: Join HLP at the ABA’s Physicians Legal Issues Conference on June 10-12th in Chicago.
:
Updated:
Proposed Legislation Would change Michigan CRNA Supervision Requirements and Increase Access to Anesthesia Care
:
Updated:
ABA HEALTH LAW SECTION ANNOUNCES SLATE OF 2015-2016 OFFICERS AND COUNCIL
:
Updated:
MEDICARE APPEALS BACKLOG: THE AHA CONTINUES TO FIGHT FOR JUDICIAL RELIEF
:
Updated:
Electronic Case Adjudication and Processing Environment (ECAPE) Update
:
Updated:
Bill To Amend Michigan No-Fault Law Could Substantially Decrease Revenue To Healthcare Industry
:
Updated:
CMS Delays Finalizing Overpayment Regulations; But, Providers Still Must Return Medicare Overpayments Despite The Lack of Regulations
:
Updated:
Proposed Bill to Permanently Fix Annual Medicare Physician Reimbursement Crisis
:
Updated:
A Healthcare Provider’s Guide to Bullying
:
Updated:
Outpatient “Observation” Battle Continues
:
Updated:
MEDICARE CONTINUING TO DISCLOSE PROVIDERS’ DATA
:
Updated:
The Government Clarifies that the Provision of Free POCT Cups to Physicians Violates the Stark Law and Anti-Kickback Statute: Ameritox, Ltd. v. Millennium Laboratories, Inc.
:
Updated:
FDA Issues Draft Guidance on General Wellness and Medical Device Accessories
:
Updated:
OIG Recommends Changes to Hospice Benefit Payments
:
Updated:
New Home Health Requirements Effective Jan. 1, 2015
:
Updated:
RAC Lawsuit Dismissed by Federal Judge
:
Updated:
CMS Implements Final Rule Changes for the Open Payments Program
:
Updated:
OIG Releases 2015 Work Plan
:
Updated:
AHA Submits Comments to OMHA on ALJ Backlog
:
Updated:
AMA Urges CMS to Make Changes to the RAC Program
:
Updated:
Documents needed for a BCBSM pharmacy audit
:
Updated:
House Ways & Means Health Chair Introduces Draft Legislation Impacting RAC Audits and Short-Term Hospital Admissions
:
Updated:
PSC Challenges Ruling Implicating RAC Contract Awards
:
Updated:
Legal Manual for New York Physicians
:
Updated:
Wall Street Journal Article Highlights Increased Scrutiny on In-Office Ancillary Services But Incorrectly Calls This a Loophole
:
Updated:
The Sunshine Act: Providers Should Correct Disputed 2013 Open Payments Data By October 31st
:
Updated:
Cardiologists Settle False Claims Act Allegations Stemming From Sham Management Agreements with a Hospital
:
Updated:
New Compounding Pharmacy Law In Michigan
:
Updated:
Pharmacy Technicians Must Be Licensed In Michigan
:
Updated:
The OIG Proposes Revisions to the Safe Harbors Under the Anti-Kickback Statute, and to the Civil Monetary Penalties Rules on Beneficiary Inducements and Gainsharing.
:
Updated:
DOJ to Scrutinize False Claims Act Investigations and Lawsuits for Criminal Conduct
:
Updated:
ICD-10 Compliance Date Officially Set for October 1, 2015
:
Updated:
DEA ELEVATES HYDROCODONE-COMBINATION PRODUCTS TO THE MORE RESTRICTIVE CATEGORY OF SCHEDULE II DRUGS
:
Updated:
Modifications to the Electronic Health Record Meaningful Use Incentive Program
:
Updated:
BCBSM Places Limits on Quantity of Highly Abused Narcotics
:
Updated:
OIG Posts New Guidance for Submitting a Contractor Self-Disclosure
:
Updated:
Halifax Health to Pay $1M Settlement in False Claims Case
:
Updated:
D.C. Circuit Restores Attorney-Client Privilege Protection for Internal Investigations
:
Updated:
Office of Medicare Hearings & Appeals Announces Settlement Conference Facilitation Pilot Program
:
Updated:
ALJ Backlog May Soon Be Alleviated by Statistical Sampling Pilot
:
Updated:
Settlment Conference Facilitation Pilot Announced
:
Updated:
HHS Proposed Rules Would Expand Authority to Exclude Providers and Impose Monetary Penalties
:
Updated:
CMS Considering Potential Alternatives to “Two-Midnight Rule”
:
Updated:
2014 PEPPER Guidelines add Target Areas to Identify Improper Billing for Short Stays May 19, 2014
:
Updated:
90 Individuals Charged with $260 Million False Medicare Billings in National Takedown by Medicare Fraud Strike Force
:
Updated:
GCI Federal, Inc. Issues Suit against HHS Regarding New RAC Contracts
:
Updated:
New York Presbyterian Hospital & Columbia University Pay $4.8 Million to Settle Alleged HIPAA Violations
:
Updated:
NYS Final Budget Out of Network Reform
:
Updated:
CMS Establishing a Hospice Quality Reporting Program
:
Updated:
Medicare to Release Physician Payment Information
:
Updated:
The HLP’s Clinton Mikel, Esq. to Present CLE Webinar
:
Updated:
Florida MRI Clinic Sues Insurer for Improper Denial of PIP Benefits
:
Updated:
Recovery Audit (RAC) Program Changes Announced
:
Updated:
Feds Crack Down on HITECH Act EHR Program Fraud
:
Updated:
CMS to Release a Comparative Billing Report on PAP Devices and Accessories
:
Updated:
Medicare Enforcement Increased Significantly in 2013
:
Updated:
Article on Medicare Audit Program’s Burden on Hospitals Features HLP Attorneys Abby Pendleton and Jessica Gustafson
:
Updated:
Meaningful Use Attestation Deadline Quickly Approaching
:
Updated:
In Contravention of Federal Law, CMS Delays Assignment of New Requests for Administrative Law Judge Hearings
:
Updated:
Dermatology Practice Pays $150,000 to Settle Allegations of HIPAA Violations
:
Updated:
CMS to Begin Unveiling Individual Physician Payment Information
:
Updated:
CMS Issues Enrollment Updates to Chapter 15 of the Program Integrity Manual
:
Updated:
123 New Medicare Accountable Care Organizations
:
Updated:
Minnesota Representative Introduces Legislation Offering Electronic Guidance and Recommendations for Physicians Ordering Advanced Imaging Services
:
Updated:
CMS Releases final Medicare Physician Fee Schedule for Calendar Year 2014
:
Updated:
OIG Publishes Favorable Advisory Opinion on Charitable Organization’s Patient Assistance Program for Patients Suffering from a Rare Genetic Disorder
:
Updated:
OIG Releases Its Strategic Plan for 2014 – 2018
:
Updated:
OIG Issues Unfavorable Advisory Opinion On Proposed Relationship Between a Psychiatry Group and an Anesthesia Group
:
Updated:
OIG Released Report on the Prevalence and Use of Spinal Fusion Devices Supplied by Physician-Owned Distributors
:
Updated:
Michigan Attorney General Announces Proposal to Strengthen State Oversight of Compounding Pharmacies
:
Updated:
The Latest Development in Medicare Audits: Supplemental Medical Review Contractor (“SMRC”) Audits
:
Updated:
Healthy Growth: The Health Law Partners Has Rapidly Become One Of The Industry’s Premier Health Care Law Firms
:
Updated:
Answers to the Questionable PSG Billing Report Released by the OIG
:
Updated:
OIG Issues Advisory Opinion Allowing Non-Profit to Bill Medicaid While Providing the Same Services for Free to Uninsured or Underinsured Children
:
Updated:
The Individual State Health Insurance Exchanges Are Opening for Business
:
Updated:
“CBS Copy Machine” Investigation from 2010
:
Updated:
HLP Publishes Client Alert on 2014 IPPS Final Rule
:
Updated:
NPDB Clarifies Why State Record Expungement is Not a Valid Reason to Void Data Bank Reports
:
Updated:
OIG Issues June 2013 Recovery Oversight Monthly Report
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Congressional Bill Introduced to Close the In-Office Ancillary Services Exception under the Stark Law
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OIG Reports Cancelled Elective Surgeries Cost Medicare $38.2 Million in 2009 and 2010
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New Inpatient Admission Requirements, Part B Inpatient Rebilling Policy Finalized
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OIG Considers Inpatient Short Stay and Observation Claims in Latest Report
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Beth Israel Deaconess Agrees to $5.3 Million Settlement for Medicare Fraud Allegations
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OIG Issues Advisory Opinion 13-07
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WellPoint Security Breach Leads to $1.7 Million HIPAA Penalty
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Proposed CY 2014 Physician Fee Schedule Impacts Telehealth Services
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CMS Announces Appeals Manual Update
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OIG Issues Advisory Opinion 13-03
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BCBSM Announces a Prescriber Prescription Block Policy
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May 23, 2013 – CMS Announces a Revised Recovery Audit Program Map
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Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs
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American Orthotic and Prosthetic Association Files Lawsuit Alleging Unlawful Changes in Medicare Standards Resulting in Unfair RAC/Prepayment Audits
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OCR Releases HIPAA Privacy and Security Education Tools
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New Michigan Law Permits Reporting of Unsafe Drivers by Physicians and Optometrists
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UPDATE TO OIG’s PROVIDER SELF-DISCLOSURE PROTOCOL
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CMS Announces Release of Additional FAQs Regarding the State Implementation of the ACA
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CMS Announces Delay to PECOS Phase 2 Ordering or Referring Provider Denial Edits
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Obama Administration Budget Request for Fiscal Year 2014 Proposal Would Exclude Certain Services from the In-Office Ancillary Services Exception to Stark and Require Prior Authorization for Advanced Imaging Services
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CMS Acquiesces to Hospital Pressure, Allows Part B Billing of Hospital Services Following Part A Denial of Inpatient Hospital Claims for Medical Necessity: Is It Enough?
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HHS Office of Inspector General Issues Special Fraud Alert Regarding Physician Owned Distributorships
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CMS Speaks: The Future for Payment of Part B Services Post-RAC Denial – CMS’ Long-Term Solution Too Limiting!
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CMS Updates Manual Regarding Payment for Medical or Surgical Services Furnished by CRNAs
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HHS Slightly Increases Interest Rate on Overpayment Debts/Underpayments Owed Providers
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Abby Pendleton, Esq to Speak at The American Academy of Orthopaedic Surgeons Annual Meeting
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Highlights From Leon Rodriguez, Executive Director of OCR’s, Speech at ABA’s EMI Conference in Miami
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OIG Report Discusses Inadequacy of CMS’ Collection of Medicaid Overpayments
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Michigan Pharmacist Sentenced to 17 years for Medicare Fraud
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New Jersey Hospital Settles Anti-Kickback Qui Tam Case for $12.5 Million; Case Alleged Cardiologists Were Compensated $18,000 Per Year to Serve on Advisory Board That Was Actually Tied to Patient Referrals
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Michigan Podiatrist Sentenced to over 4.5 years for Medicare Fraud
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The Office for Civil Rights has just released the long awaited HIPAA “Omnibus Rules”
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CMS Transmittals: Medicare Claims Processing Manual, 100-04, Trans. No. 2634, January 11, 2013–Internet Only Manual (IOM) Update to Payment for Medical or Surgical Services Furnished by CRNAs. This CR rescinds and fully replaces CR 8027, (Jan. 15, 2013)
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American Sleep Medicine Agrees to Pay $15.3 Million for Improperly Billing Sleep Tests to the Government
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HHS Announces First Settlement for Breach of HIPAA Privacy Rule Involving Fewer Than 500 Individuals
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Medicare Doc-Fix Offsets Include Reduced Payments for Advanced Imaging
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Congress enacts “Doc Fix” as part of a Last Minute Bill to avoid the Fiscal Cliff
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New York ACO Law Amended
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OIG Advisory Opinion Provides Guidance on Electronic Health Record Connectivity Arrangements
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Hospital Employment of Surgeons on the Rise
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CMS Releases Contractor Guidance on Applying the MPPR to Advanced Imaging Services Provided by Group Practices
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PTA in Detroit Sentenced to 30 Months for Her Role in Multi-Million Dollar Home Health Care Fraud
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Abby Pendleton, Esq. and Adrienne Dresevic, Esq. Interviewed and Featured in Motion Magazine’s article, “In Good Health”
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CMS Releases Report on Recovery Audit Statistics
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2 Brooklyn Physicians Pay the Price for Medicare Fraud
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ELECTRONIC MEDICAL RECORD USAGE RISES TO 40%
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Feds Collect Record Amount Under False Claims Act
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AMA Issues Physician Employment Guidelines
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OFFICE OF INSPECTOR GENERAL OF THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES REJECTS A REQUEST FOR WAIVER OF THE STARK LAW TO PERMIT SLEEP SPECIALISTS TO DISPENSE MEDICARE CPAP TO THEIR PATIENTS
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OIG Releases Semi-Annual Report on Recovery Audits and Investigations
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Government Announces Changes to Medicare Premiums and Deductibles for 2013
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Converting to Concierge Medicine: Considerations to Ponder Before Making the Transition
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Abby Pendleton, Esq. and Jessica Gustafson, Esq. Featured in “Putting Practices on the RAC”
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CMS Revises DME Face-to-Face Requirements
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“Fast-Track Certification” for Medicare-only ACOs in New York State
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Detroit-Area Nurse gets 30-month Prison Sentence for Signing False Medical Documentation for HHA
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OIG Cites Shortcomings in Medicare Appeal ALJ Hearings
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ORGANIZATIONS ADVOCATE CHANGE IN MEDICARE PHYSICIAN PAYMENT FORMULA
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OIG Approves Hospital’s Per Diem Payment for Emergency Room On-Call Coverage By Physician Specialists
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Compounding Pharmacies Likely to Face Heightened Scrutiny and Increased Regulation
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Hospitals Brace for Audits of Short-Stay Admissions
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Imaging Self-Referrals Could Raise Costs, Hurt Patients, GAO Report Says
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AHA, Hospitals Sue HHS Over RAC Payment Denials
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OIG Distributes Questionnaire to Hospitals that have Received Medicare EHR Incentive Payments for Demonstrating Meaningful Use of its Certified EHR Technology
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Michigan LARA Creates New Health Care Services Bureau
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New York Governor Approves ACO Legislation; Vetoes Patient Referral Bill
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OIG Approves Free Hearing Exams by Hearing Aid Supplier/Audiometric Testing Provider
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CMS Clarifies the Point of Service Coding Instructions
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OIG Work Plan 2013
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Michigan Legislature Considering Expanded Role for Nurse Anesthetists
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CMS Set to Rule on Expansion of Nurse Anesthetist Role in Pain Management
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