The Department of Health and Human Services, Office of Inspector General (OIG) published a final rule on January 12, 2017, expanding the OIG’s authority to exclude providers from participation in federal healthcare programs....more
1/31/2017
/ Administrative Authority ,
Affordable Care Act ,
Aggravating Factors ,
Anti-Kickback Statute ,
Audits ,
Controlled Substances ,
Department of Health and Human Services (HHS) ,
Exclusionary Authority ,
False Claims Act (FCA) ,
False Statements ,
Health Care Providers ,
Misrepresentation ,
OIG ,
Secretary of HHS ,
Statute of Limitations
We are pleased to present our annual review of developments in the field of health law. The year was marked by key changes in False Claims Act jurisprudence and Medicare payment policy. 2016 also brought with it focused...more
1/25/2017
/ 60-Day Rule ,
ACOs ,
Centers for Medicare & Medicaid Services (CMS) ,
Corporate Executives ,
Corporate Misconduct ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
ESRD ,
False Claims Act (FCA) ,
False Implied Certification Theory ,
Federal Trade Commission (FTC) ,
Final Rules ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare Reform ,
Hospital Mergers ,
Long Term Care Facilities ,
Materiality ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Medicare Shared Savings Program ,
MIPS ,
OCR ,
Off-Campus Departments ,
OPPS ,
Personal Liability ,
Physician Payments ,
Presidential Elections ,
SCOTUS ,
Stark Law ,
Trump Administration ,
Universal Health Services Inc v United States ex rel Escobar ,
Yates Memorandum
With 2015 in the books, we are pleased to reflect on some of the major developments over the past year in the field of health law. The year was marked by changes in Medicare payment models—from government pronouncements...more
1/7/2016
/ Affordable Care Act ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Individual Accountability ,
King v Burwell ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
NC Board of Dental Examiners v FTC ,
Overpayment ,
PHI ,
SCOTUS ,
Stark Law ,
Tuomey ,
Value-Based Payments ,
Yates Memorandum
The Department of Justice and Florida’s Halifax Hospital Medical Center have reached a tentative $85 million settlement in a case alleging violations of the federal physician self-referral law (commonly known as the “Stark...more