Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order. Yet,
Continue Reading THE ABC’S OF THE S.I.U.: What Providers Need to Know
In the event of a national disaster or emergency under the Stafford Act or the National Emergencies Act and a Public Health Emergency Declaration by government officials, the Department of
Continue Reading Medicare Appeals and Audit Waivers Amid the COVID-19 Pandemic
On October 24, 2018, Congress enacted a new anti-kickback law that applies to many commercial health insurance plans, as well as Medicare and Medicaid. The law, known as the “Eliminating
Continue Reading New Anti-Kickback Law Targets Opioid Crisis
The transportation landscape in America has evolved and these developments are now impacting health care. With about 75 percent of the U.S. population living in a county with access to
Continue Reading (Ride)Sharing is Caring
CMS recently issued an Advisory Opinion suggesting that physicians who refer diagnostic tests reimbursable under Medicare to a laboratory may, under certain circumstances, receive electronic pop-up notifications in the laboratory’s
Continue Reading CMS Provides Advice on Electronic Laboratory Alerts
Gov. Christie’s Administration recently proposed a regulation to curtail the prescription of unnecessary opioid painkillers. Christie, who serves as the Chairman of President Trump’s Commission on Combating Drug Addiction and
Continue Reading Proposed New Jersey Regulation would Restrict Pharma Gifts to Prescribers
Earlier this month, a New York man was sentenced to 10 years in prison for allegedly operating a $26 million scheme to defraud Medicare and Medicaid. The defendant allegedly established
Continue Reading New York man sentenced to 10 years in prison for involvement in $26 million “billing mill”
Advancements in healthcare technology continue at an explosive pace and nowhere is this more evident than in the field of mobile healthcare applications. Technology giants such as Apple and Garmin
Continue Reading Healthcare Apps: Physicians Should Proceed with Caution
Earlier this month, the Office of Inspector General of the Department of Health and Human Services (“OIG”), the agency charged with enforcement of key federal fraud and abuse laws, published
Continue Reading Office of Inspector General Work Plan Identifies Compliance Areas of Focus for Physicians
The Office of Inspector General (“OIG”) of the Department of Health and Human Services, generally, would have concerns about a potential or existing referral source receiving free goods or services,
Continue Reading OIG Okays Free Vaccine Dispensing System for Physician Office Use