Julie Simer

Julie Simer

Buchalter Nemer

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Texas Hospital Settles Stark Statute and False Claims Act Allegations for $21.75 Million

According to a press release from the Department of Justice, Citizens Medical Center (“CMC”), a county-owned hospital in Victoria, Texas, will pay $21,750,000 to the federal government to settle allegations that it entered...more

5/12/2015 - Enforcement Actions False Claims Act Healthcare Hospitals Settlement Stark Law

Letter of Intent to Participate in Next Generation ACO Model is Due May 1, 2015

In a press release dated March 10, 2015, the CMS Innovation Center announced what it called the Next Generation ACO Model. For health care providers, this opens a new opportunity for developing an integrated model of care. ...more

3/16/2015 - ACOs CMS Letters of Intent Next Generation

Hospitals and Emergency Physicians in California Will Ring in the New Year with Revised Charity Care and Discount Payment Policies

You changed the batteries in your flashlights and smoke detectors, but did you revise your charity care and discount payment policies prior to the stroke of midnight on December 31, 2014? A new law, SB1276, took effect in...more

1/13/2015 - Affordable Care Act Charity Care Policies Healthcare Hospitals Physicians

HHS Proposes New Anti-Kickback Safe Harbors

On October 3, 2013 the U.S. Department of Health and Human Services Office of the Inspector General (“OIG”) published a proposed rule (“PR”) entitled: Medicare and State Health Care Programs: Fraud and Abuse; Revisions...more

10/22/2014 - Anti-Kickback Statute Civil Monetary Penalty Fraud and Abuse HHS OIG Safe Harbors

Loose Lips Sink Ships and Careless E-mails Torpedo a Transaction

Federal antitrust laws prohibit hospital systems, like other businesses, from using a dominant market position to exclude competitors and restrain trade. Recently, e-mail communications exchanged between a...more

6/13/2014 - Acquisitions Antitrust Provisions Email Hospitals Physicians

Points & Authorities - Spring 2014

In this Issue: - AB 1000 and Corporate Practice in California: More than Meets the Eye—or Less? - Loose Lips Sink Ships and Careless E-mails Torpedo a Transaction - New Faces - Points from the...more

6/12/2014 - Antitrust Provisions Benefit Plan Sponsors Billing Confidential Information Data Protection Email Employee Benefits Healthcare Medicare MICRA Patient Self-Referral

New Law Changes Permissible Referrals for Physical Therapy

On January 1, 2014, AB 1000 went into effect. It is a combination of two bills: (1) AB 1000 for direct consumer access to physical therapy, and (2) AB 1003, sponsored by the California Medical Association, to permit...more

1/17/2014 - Healthcare Patient Referrals Physical Therapists

Pay or Play? What Employers Need to Know About the Affordable Care Act

- What does the Affordable Care Act (aka “Obamacare”) require of employers in 2014? Beginning January 1, 2014, every “large employer” will be subject to Affordable Care Act penalties if at least 95 percent ...more

6/7/2013 - Affordable Care Act Employer Group Health Plans Healthcare Pay or Play Penalties

New HIPAA Rules Mean New Burdens and Opportunities for Lenders

As an increasing number of health care providers move to electronic health record systems, patient privacy is becoming a serious concern. On January 25, 2013, new regulations under the Health Insurance Portability and...more

3/14/2013 - Business Associates Data Protection HIPAA Lenders PHI

Now Is The Time To Revise Your Business Associate Agreements and Notice of Privacy Practices

There is a lot of confusion among providers caused by therecent publication of new rules under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). On January 25, 2013, the HIPAA final omnibus rule...more

2/7/2013 - Business Associates Compliance Enforcement HHS HIPAA Notice Requirements PHI Privacy Policy Subcontractors

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