On December 11, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) published a Special Fraud Alert warning against suspect payment arrangements involving the Medicare Advantage
Continue Reading OIG Publishes Special Fraud Alert on Medicare Advantage Marketing ArrangementsCompliance with HIPAA’s New Protections for Reproductive Health Privacy: What Covered Entities and Business Associates Need to Know Now
On April 26, 2024, the U.S. Department of Health and Human Services (“HHS”) issued new reproductive healthcare rules, which will go into effect on December 23, 2024. The underlying
Continue Reading Compliance with HIPAA’s New Protections for Reproductive Health Privacy: What Covered Entities and Business Associates Need to Know NowCMS Proposed Rule Decreases Physician Payments, Expands Telehealth, and Much More
The comment period for the CMS CY 2025 Physician Fee Schedule (PFS) Proposed Rule recently closed on Monday, September 9th. Based on previous years, the Final Rule can be expected
Continue Reading CMS Proposed Rule Decreases Physician Payments, Expands Telehealth, and Much MoreIs it Really Fraud? The Supreme Court Will Decide
Two landmark cases fraught with False Claim Act (“FCA”) allegations of fraudulent billing for prescription drugs against food and pharmacy chains are making their way from the Seventh Circuit to
Continue Reading Is it Really Fraud? The Supreme Court Will DecideCMS Advises Healthcare Providers to Prepare for End of PHE Flexibilities
On August 18, 2022, the Centers for Medicare & Medicaid Services (“CMS”) issued guidance regarding the looming end of the COVID-19 public health emergency (“PHE”) and the associated emergency authority
Continue Reading CMS Advises Healthcare Providers to Prepare for End of PHE FlexibilitiesMore Small Physician Practices May Become Exempt from MACRA
On June 20, 2017, The Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule which would exempt a greater number of small practices from complying with the Medicare
Continue Reading More Small Physician Practices May Become Exempt from MACRA
Keeping an Eye on Non-Compete Law
USA Today, New York Times, BNA, and several other news outlets have been reporting over the last few weeks about non-competition agreements and non-compete laws especially related to low-wage workers.
Continue Reading Keeping an Eye on Non-Compete Law
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,
Continue Reading OIG Okays Free Vaccine Dispensing System for Physician Office Use
Physicians May Be Sued in Pennsylvania for Failing to Report Suspected Child Abuse
As a follow up to our most recent post on What You Need to Know About PA’s Child Protective Services Law, you should know that the Pennsylvania Superior Court (PA’s
Continue Reading Physicians May Be Sued in Pennsylvania for Failing to Report Suspected Child Abuse
Practice Planning in Uncertain Times
These are uncertain times for physicians. The future of healthcare is uncertain for everyone involved, from payors to providers to consumers. In fact, there may be only one universal certainty
Continue Reading Practice Planning in Uncertain Times