Physicians, Healthcare | JD Supra Law News

Groundhog Day for Tuomey: Jury Finds Hospital Violated Stark Law and False Claims Act

by Darby C. Allen, Donna S. Clark | BakerHostetler on 5/22/2013

On May 8, 2013, a jury in the Columbia Division of the U.S. District Court for the District of South Carolina returned a verdict finding that Tuomey Healthcare Systems, Inc. (Tuomey) violated the Stark Law and the federal...more

CMS Proposes New Standard for Hospital Inpatient Admissions

by Leslie Demaree Goldsmith | Ober|Kaler on 5/17/2013

As part of its proposed inpatient prospective payment systems (IPPS) rule for FY 2014, CMS introduced a new standard for determining whether an inpatient admission to an acute care hospital is appropriate. Specifically, CMS...more

Jury Ruled in Tuomey Healthcare Retrial that the Hospital Violated the Stark Law and False Claims Act

by King & Spalding on 5/17/2013

On May 8, 2013, a jury concluded that Tuomey Healthcare System, Inc. (Tuomey), a community hospital in Sumter, S.C., violated the Stark law for allegedly improper compensation arrangements in 2005 between the hospital and 19...more

Members of Senate Finance Committee Call for Repeal of Physician SGR, Seek Input from Provider Community

by King & Spalding on 5/15/2013

On May 10, 2013, Senators Max Baucus (D-MT) and Orrin Hatch (R-UT)—the Chairman and Ranking Member of the Senate Finance Committee, respectively—issued a letter to the healthcare provider community declaring that “[t]he...more

What’s Next for Graduate Medical Education Accreditation? One System.

by Mintz Levin - Health Law on 5/13/2013

Graduate medical education programs and residents should be getting used to change by now. Last year, the ACGME introduced the Next Accreditation System, and then eight months later, it announced it was developing a unified...more

Trusts & Estates - Preventative Medicine for the Health of Your Estate

by Leora Ardizzone, David Schoenhaar | Ruskin Moscou Faltischek on 5/1/2013

Physicians and other licensed health care providers labor many years to build their practices. However, unlike many other businesses, a health care practice cannot be passed by will or otherwise to the provider's spouse or...more

Intermountain Healthcare Settlement – Dangers Of Hospital Agreements With Physicians

by Michael Volkov on 4/30/2013

Hospitals continue to be under the Department of Justice-HHS/Office of Inspector General microscope. DOJ-OIG is a potent combination and carry with them the threat of criminal prosecution, civil false claims enforcement and...more

CMS Clarifies Physician Delegation of Tasks in SNFs and NFs

by Simi Botic, Thomas Hess | Dinsmore & Shohl LLP on 4/26/2013

The Centers for Medicare and Medicaid Services (“CMS”) released an important instruction for physicians, non-physician practitioners (“NPPs”) and providers who bill for services provided in skilled nursing facilities (SNFs)...more

Hospital-Physician Mergers: Practical Issues and Steps to Minimize Antitrust Risk

by William Berlin | Ober|Kaler on 4/26/2013

Recently, hospitals have been actively acquiring primary care and specialty physician groups, resulting in the employment of those physicians. This trend has occurred largely in response to reimbursement changes and other...more

Sixth Circuit in MedQuest: No FCA Liability for Violation of Medicare Conditions of Participation Without Violation of Conditions...

by Calvin Marshall | Chambliss, Bahner & Stophel, P.C. on 4/26/2013

On April 1, 2013, the U.S. Court of Appeals for the Sixth Circuit overturned an $11.1 million False Claims Act (FCA) judgment by the U.S. District Court for the Middle District of Tennessee against MedQuest Associates, Inc.,...more

Hospital And Physician Compliance With Anti-Kickback And Stark Restrictions

by Michael Volkov on 4/24/2013

A bribe is a bribe. It is not as easy as it sounds. Not all payments of money or transfers of value are bribes. The FCPA tells us that. It is even more complicated when trying to navigate Anti-Kickback and Stark law...more

Arrests Made and Investigation Underway at a Chicago Hospital

by King & Spalding on 4/23/2013

On April 16, 2013, the United States Department of Justice (DOJ) and U.S. Attorney’s Office in the Northern District of Illinois announced the arrest in Chicago of the owner and senior executive of Sacred Heart Hospital...more

OIG Special Fraud Alert Labels Physician-Owned Distributorships (PODs) as “Inherently Suspect”

by Dennis Diaz, Sarah S. Fallows | Davis Wright Tremaine LLP on 4/22/2013

The U.S. Department of Health & Human Services, Office of Inspector General (the “OIG”) issued a Special Fraud Alert (“Alert”) on March 26, underscoring its heightened focus on fraud and abuse risks posed by physician-owned...more

OIG and CMS Issue Proposals to Extend Safe Harbor and Exception for EHR Donations

by Darby C. Allen, Donna S. Clark | BakerHostetler on 4/22/2013

In the April 10 Federal Register, two agencies within the U.S. Department of Health and Human Services published proposed rules that many healthcare providers have been anxiously awaiting affecting donations of electronic...more

Should I Go To a Doctor After a Car Accident?

by Demas Law Group on 4/22/2013

Being involved in a car accident may be a minor irritation or a major life change, depending on the severity of your injuries. Many people wonder if they should be checked by a doctor after a car accident, especially if they...more

Health Reform + Related Health Policy News Update - April 2013

by Jane Arnold, Anika Clifton, Thomas Donohoe, Colleen M. Faddick, Matthew Murer, Alan K. Parver, Emily Wey | Polsinelli on 4/17/2013

In this Issue: - Top News ..Large Hospital Systems Settles for $25.5 Million for False Claims Act Allegations ..Catholics’ Challenge to Contraceptive Coverage Mandate Dismissed As Not Ripe - States...more

CMS and OIG Propose Extension of Federal Stark Exception and Anti-Kickback Safe Harbor for Electronic Health Record Donations

by Ropes & Gray LLP on 4/11/2013

On Wednesday, April 10, 2013, the Centers for Medicare & Medicaid Services (“CMS”) and the Office of the Inspector General (“OIG”) of the Department of Health and Human Services published complementary proposed rules in the...more

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Physicians › Healthcare

Groundhog Day for Tuomey: Jury Finds Hospital Violated Stark Law and False Claims Act

CMS Proposes New Standard for Hospital Inpatient Admissions

Jury Ruled in Tuomey Healthcare Retrial that the Hospital Violated the Stark Law and False Claims Act

Members of Senate Finance Committee Call for Repeal of Physician SGR, Seek Input from Provider Community

What’s Next for Graduate Medical Education Accreditation? One System.

Trusts & Estates - Preventative Medicine for the Health of Your Estate

Intermountain Healthcare Settlement – Dangers Of Hospital Agreements With Physicians

CMS Clarifies Physician Delegation of Tasks in SNFs and NFs

Hospital-Physician Mergers: Practical Issues and Steps to Minimize Antitrust Risk

Sixth Circuit in MedQuest: No FCA Liability for Violation of Medicare Conditions of Participation Without Violation of Conditions...

Hospital And Physician Compliance With Anti-Kickback And Stark Restrictions

Arrests Made and Investigation Underway at a Chicago Hospital

OIG Special Fraud Alert Labels Physician-Owned Distributorships (PODs) as “Inherently Suspect”

OIG and CMS Issue Proposals to Extend Safe Harbor and Exception for EHR Donations

Should I Go To a Doctor After a Car Accident?

Health Reform + Related Health Policy News Update - April 2013

CMS and OIG Propose Extension of Federal Stark Exception and Anti-Kickback Safe Harbor for Electronic Health Record Donations

Highlighting Transparency Through The Federal Sunshine Act Regulations

Is an Emergency Room Physician Protected From Liability By the Good Samaritan Act?

IOM Committee Releases Interim Findings on Geographic Value Index

Medical Problems Improbably Lead To Homicide

Increased Government Scrutiny of Physician-Owned Device Distributorships

Health Care Reform Update -- April 2, 2013

OIG Issues Special Fraud Alert on Physician-Owned Distributorships

Will Federal Protection for EHR Donations Be Extended Beyond December 31, 2013?

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