Wilson Hayman

Wilson Hayman

Poyner Spruill LLP

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Latest Publications


Final Curtain Call for Tuomey: Long-Running FCA/Stark Case Settled

After 10 years of litigation, including two trials and appeals to the 4th Circuit Court of Appeals, the U.S. Department of Justice (DOJ) and Tuomey Healthcare System (Tuomey) have entered into a settlement of DOJ's action...more

11/5/2015 - Advice-of-Counsel Defense Corporate Integrity Agreement Damages DOJ Employment Contract Enforcement Actions Fair Market Value False Claims Act (FCA) Health Care Providers Hospitals Medicare Penalties Physician Compensation Arrangements Physicians Qui Tam Reimbursements Settlement Stark Law Tuomey

Proposed Changes to Stark Rule Would Create New Hospital Exceptions and Lessen Burden of Self-Disclosures

In a development that is limited in scope but still welcomed by hospitals, the proposed 2016 Physician Fee Schedule proposes a number of new exceptions to the physician self-referral or Stark law and other refinements that...more

8/28/2015 - CMS Comment Period Contract Term DHS Exceptions Healthcare Hospitals Inpatient Prospective Payment System (IPPS) Medicaid Medicare Patient Self-Referral Physician Compensation Arrangements Physician Fee Schedule Physicians Recruitment Policies Remuneration Stark Law

Corridors September 2015 - News for North Carolina Hospitals

This article will provide an outline of some of the most significant points for hospitals to use when confronted with a formal government investigation under the Criminal or Civil False Claims Act. As noted below, you should...more

8/26/2015 - CMS Compliance Data Protection DOJ Employee Privacy Rights End-of-Life-Care Government Investigations Healthcare HHS HIPAA Hospitals Internal Investigations IRS OIG Physicians Recruitment Policies Rural Health Care Program Rural Health Care Providers Section 501r Stark Law

The Health Law Guide to Hospital Operations

This operations guide provides a brief look at health law issues hospitals deal with on a daily basis. While a detailed coverage of the elements, drafting, implementation and continued governance of a hospital compliance...more

8/26/2015 - Anti-Kickback Statute Certificate of Need Chief Compliance Officers Compliance Confidential Information Corporate Governance Document Retention Policies End-of-Life-Care Healthcare Hospitals Internal Audit Functions Non-Profit Hospitals Patient Self-Referral Peer Review Physicians

Corridors Spring 2015 - News for North Carolina Hospitals

In This Issue: - Nonprofit Hospitals Face Additional Regulatory Burdens in Financial Assistance and Debt Collection - Placing Medicare Beneficiaries Into "Observation Status" - Recent Second Circuit Decision...more

4/1/2015 - Charitable Organizations CHNA Debt Collection Document Retention Policies Financial Assistance Policies Hospitals Inpatient Billing IRS Medicare Medicare RAC Non-Profit Hospitals Section 501r

Placing Medicare Beneficiaries Into "Observation Status" - Recent Second Circuit Decision Casts Doubt on Lawfulness of CMS...

The trend toward placing more Medicare beneficiaries into observation status in the hospital has come under increasing attack by patient advocates. Such patients are considered outpatients reimbursed by Medicare Part B rather...more

3/27/2015 - CMS Co-payments Hospitals Medicare Medicare Part A Medicare Part B

A Primer on Medicare Requirements for Physician Supervision of "Incident to" Services

Services provided by a physician’s auxiliary staff that are “incident to” the physician’s services are paid under the physician fee schedule at a higher rate, as though the physician had personally furnished the services....more

9/11/2014 - CMS Health Care Providers Hospitals Medicare Physicians

Corridors Fall 2014 - News for NC Hospitals

In this issue: - North Carolina’s Medicaid RAC Program – Don’t Let Your Guard Down - A Primer on Medicare Requirements for Physician Supervision of “Incident to” Services - Hospital Options for Unused...more

9/10/2014 - Hospitals Long-Term Care Medicaid Medicaid Expansion Medicare Physicians

Proposed Rules Implementing Affordable Care Act Rules Prohibit Discrimination by Health Insurers and Set Standards for Essential...

On November 20, 2012, the Department of Health and Human Services (HHS) issued proposed rules under the Patient Protection and Affordable Care Act of 2010, as amended (the Affordable Care Act or the Act), which beginning in...more

12/24/2012 - Affordable Care Act Discrimination Essential Health Benefits HHS Preexisting Conditions

Corridors: News for North Carolina Hospitals - Winter 2012

In this issue: - Proposed Affordable Care Act Regulations are Designed to Encourage Participation in Wellness Programs - Proposed Rules Implementing Affordable Care Act Rules Prohibit Discrimination by Health...more

12/24/2012 - Affordable Care Act Certificate of Need E-Verify Essential Health Benefits Wellness Programs

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