Healthcarelawinsights.com

DOJ Continues Enforcement Efforts Against Provider …

WEBLarge managed care plans have been squarely in DOJ’s crosshairs for years, but a late July 2023 Justice Department settlement agreement with one regional …

Actived: 2 days ago

URL: https://www.healthcarelawinsights.com/2023/08/doj-continues-enforcement-efforts-against-provider-owned-managed-care-plans/

Cybersecurity in Healthcare: Pending Bill Calls for Tougher …

WEBU.S. Senators Angus King (I-ME) and Marco Rubio (R-FL) recently introduced a bill addressing cybersecurity protections and oversight in the healthcare …

Category: Health Go Health

Gift Card Giveaway Does Not Violate Anti-Kickback …

WEBThe plan of a healthcare consulting firm (the “Firm”) to give gift cards to physicians in exchange for referrals to new customers does not violate the Federal Anti …

Category: Health Go Health

Information Blocking: Ready or Not, Here it Comes!

WEBOn May 1, 2020, the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology (ONC) released its final rule …

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Revised California Regulations for Reporting Health Care …

WEBIn July of this year, the California Office of Health Care Affordability (“OHCA”) released draft regulations requiring the advance reporting of certain …

Category: Health Go Health

Hospital Turns Tables on Whistleblower: Federal Judge …

WEBIn the world of qui tams, it is usually the whistleblower pushing cases to trial.But on February 23, 2023, a federal judge in West Virginia set down for trial a …

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Significant Change in Medicare Enrollment Risk …

WEBSection 10.2.1.14 states that “effective January 1, 2023, SNF’s that are initially enrolling or undergoing a change in ownership…fall within the “high” screening …

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Mental Health Parity and Addiction Equity Act: …

WEBIn the United States, mental health (“MH”) and substance use disorder (“SUD”) (collectively “MH/SUD”) have continued to represent areas of intense concern. …

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New Local Transportation Safe Harbor to the Anti …

WEBThe Department of Health and Human Services Office of Inspector General (OIG) recently implemented a new safe harbor to the federal Anti-Kickback Statute and …

Category: Health Go Health

Ketamine Clinics: Five Legal Considerations for …

WEBNatasha is well-versed in historical and current psychedelic research including recent FDA-approved studies on MDMA and psilocybin use for mental health …

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New Rules Promotes Patient Access to Personal Healthcare …

WEBInteroperability Rule Timeline. By January 1, 2021, CMS-regulated payers must implement the patient access API. Due to the COVID-19 pandemic, a CMS …

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Federal Judge Acquits Physician Following Criminal E/M Fraud …

WEBThe Justice Department took that rare step in Maryland in connection with a practice in which Dr. Ron Elfenbein, a physician, billed Medicare and private payors a …

Category: Health Go Health

Federal Guidance on Balance Billing: The No Surprises Act and its

WEBOn July 1, 2021, the Office of Personnel Management (“OPM”), the Internal Revenue Service (“IRS”), the Department of Treasury (“Treasury”), the Employee Benefits …

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Judgment Entered in Equal Pay Case for Female Physician

WEBPosted in Labor & Employment. The U.S. Equal Employment Opportunity Commission (EEOC) and the Denton County Public Health Department resolved a …

Category: Health Go Health

Healthcare Branding 101 – Selection of a Strong Trademark

WEBSelecting a strong trademark is the key to being able to protect the trademark. As we discussed last week, the first and central step in branding is selecting your …

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Federal Court Reduces FCA Penalties by 82 Percent Because of …

WEBHusch Blackwell’s False Claims Act team previously covered the results of a rare False Claims Act (FCA) trial in which a federal jury found that a surgical product …

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The Price Transparency Rule Goes Into Effect January 1, 2021 – Is …

WEBEffective on January 1, 2021, the Price Transparency Rule (the “Rule”) requires all hospitals operating within the United States to make public a list of their …

Category: Health Go Health

Developing a Regulatory Compliance Checklist for Ketamine …

WEBOn October 10, 2023, the FDA issued another warning to both patients and healthcare providers that “compounded ketamine products” (including oral formulations) …

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New Regulatory Exceptions to the Beneficiary Inducement Statute

WEBOn January 6, 2017, several new regulatory exceptions to the beneficiary inducement statute went into effect. These regulations, published by the Department of Health and …

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