Archive
Wade Emmert
Texas, Pennsylvania hospitals lose lawsuit challenging Medicare payments
The hospitals said HHS wrongly calculated their Medicare disproportionate share hospital payments for fiscal year 2015, using the wrong data. As a result, the hospitals appealed…
Improper CBD Product Marketing Lands in FDA’s Crosshairs
The FDA issued warning letters to five companies for violations of the Federal Food, Drug, and Cosmetic Act (FD&C Act) related to the sale of cannabidiol…
The United States and Tennessee Resolve False Claims Act Claims Relating to “P-Stim” Devices
A physician and two chiropractors agreed to pay the United States and Tennessee a total of $1.72 million to resolve liability under the False Claims Act…
Revisions to Stark Law Rules Covering Physician Profit Sharing and Bonuses
CMS also clarified that if a group has five or fewer physicians, overall profits means the profits from DHS from the entire group; but if a…
OIG Issues New Guidance Regarding Big-Box Store Gift Cards as Patient Incentives
OIG has taken the position that gift cards to “big-box” retailers are identified as impermissible “cash or cash equivalent” incentives under the Civil Monetary Penalties Law.
What Stark law, anti-kickback changes mean for value-based care at ASCs
The changes to the Anti-Kickback Statute make it easier to enter into value-based care arrangements, especially if providers take full risk. The exceptions create flexibility in…
The OCR Settles another Investigation under the HIPAA Right of Access Initiative
OCR has settled its thirteenth enforcement action under the HIPAA Right of Access Initiative, which involved a primary care physician practicing in the State of Georgia.…
Patient Recruiter Convicted in $2.8 Million Telemedicine Scheme Against Medicare
The owner of an Orlando-area telemarketing call center was convicted for his role in a kickback scheme involving expensive genetic tests and fraudulent telemedicine services that…
Hospital Price Transparency Rule in Effect
The Hospital Price Transparency Rule went into effect on January 1, 2021. The Rule requires all hospitals operating within the United States to make public a…
Proposed Changes to HIPAA Privacy Rule
HHS has proposed several important changes to the HIPAA Privacy Rule to bring it in line with HHS’s Sprint Toward Coordinated Care initiative. These proposed changes…