Archive
Wade Emmert
Complex AKS/Stark Complaint Survives Rule 9(b) Particularity Challenge – A Guide for FCA Complaints
Francis C. Oroszlan, Brett Barnett and Timothy Fry, for McQuireWoods: Generally, a complaint will survive a motion to dismiss if it states a plausible claim and…
CMS Proposes Payment Cuts in CY24 Medicare Physician Fee Schedule
Victoria Baily, for Revcycle Intellegence: The agency has said that proposed payment increases for primary care and other direct patient care providers meant that payment cuts…
Texas Data Privacy and Security Act, Data Breaches Notification
From Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., posted on National Review: Texas has joined the growing list of states enacting comprehensive consumer data privacy…
The 2023 DOJ Health Care Fraud Enforcement: Big Dollars or Clever Packaging?
Zachary S. Taylor and Sarah M. Hall, for Epstein Becker Green: Of the numerous cases, three specific areas comprised the vast majority of the $2.5 billion…
FDA Approves the First Over-The-Counter Birth Control Pill
Beth Mole, for ArsTechnica: The OTC-approved pill is the Opill (norgestrel), a once-a-day progestrin-only pill manufactured by the Dublin-based company Perrigo. The company said it expects…
OIG Advisory Opinion 23-04 – Favorable Opinion Regarding the Use of an Online Health Care Directory by Federal Health Care Program Beneficiaries
A website offers users the ability to search for physicians and other health care providers who have paid a fee to be included in the database.…
Billing Medicare or Medicaid? Understanding Your Audit Risk
Jenna Godlewski and Alice Harrs, for MaynardNexsen: If you are a healthcare provider enrolled with Medicare and Medicaid, it is imperative that you know the governmental…
AI’s Increasing Role in the Health Care Delivery System: Key Legal Considerations
Douglas A. Grimm, for ArentFox Schiff: In a recent Yale CEO Summit survey, 48% of CEOs indicated that AI will have its greatest effect as applied…
Texas Lawmakers Enact New Laws Reforming Texas Medical Board Disciplinary Authority and Increasing Hospital Reporting Obligations
Jesse M. Coleman and Drew del Junco, writing for Seyfarth Shaw, LLP: On June 13, 2023, Texas Governor Greg Abbott signed a major new patient safety…
What to Know About HIPAA Compliance OCR Settlement
Employees of health care providers do not have carte blanche authority to access patient records. Any access of protected health information must be for an appropriate…