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
(Ride)Sharing is Caring
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
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CMS Provides Advice on Electronic Laboratory Alerts
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
Proposed New Jersey Regulation would Restrict Pharma Gifts to Prescribers
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
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New York man sentenced to 10 years in prison for involvement in $26 million “billing mill”
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”
Healthcare Apps: Physicians Should Proceed with Caution
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
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Office of Inspector General Work Plan Identifies Compliance Areas of Focus for Physicians
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
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OIG Okays Free Vaccine Dispensing System for Physician Office Use
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,
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King of Nursing Homes Sentenced to 2 Years in Prison and $786,000 in Repayments and Fines
In March 2016, we covered the conviction of Dr. Venkateswara Kuchipudi for violating the federal anti-kickback statute by referring nursing home patients to Sacred Heart Hospital (in Chicago) in exchange
Continue Reading King of Nursing Homes Sentenced to 2 Years in Prison and $786,000 in Repayments and Fines
Food for Thought: Is a Free Meal the Way to a Physician’s Heart (and Prescription Pad)?
Long gone are the days when drug reps enticed physicians with extravagant meals at five-star restaurants and box seats to the Phillies’ playoffs (and sadly, gone are the days when
Continue Reading Food for Thought: Is a Free Meal the Way to a Physician’s Heart (and Prescription Pad)?