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Florida Legislative Session 2025: Health Care Highlights

The Florida Regular Legislative Session began on March 4, 2025, and ended on June 6, 2025. Below is a summary of health care legislation scheduled to take effect upon becoming law, contingent on constitutional procedure. The...more

The OIG’s Concerns with Potentially Fraudulent Medicare Advantage Marketing

The HHS Office of Inspector General (“OIG”) released a Special Fraud Alert to inform health care professionals (“providers”) and Medicare Advantage Organizations (“MAOs”) about the OIG’s view of potentially abusive marketing...more

Medicare Changes to Make Drug Coverage More Manageable in 2025

Within the last few months, the Centers for Medicare and Medicaid Services (CMS) has issued guidance that will reduce the financial burdens of paying for prescription drug coverage for Medicare patients. The guidance outlines...more

Florida Legislative Session 2024: Health Care Highlights

The Florida Regular Legislative Session began on January 9, 2024, and ended on March 8, 2024. Below is a summary of relevant health care laws that will be effective July 1, 2024, if they are approved by Governor DeSantis....more

New Federal Surprise Billing Prohibition and Its Implication on State Laws

On July 1, 2021, the Biden-Harris Administration issued “Requirements Related to Surprise Billing; Part 1,” an interim final rule (IRM) that will restrict health care providers and facilities from sticking patients with...more

Reimbursement and Payor Dispute Update

Strategies for Complying with Price Transparency and Surprise Billing Laws - State legislatures and the federal government have been busy the past 12 months churning out laws that impose new disclosure and billing obligations...more

No Steak, No Wine? OIG Cautions Against Physician Speaker Programs

In a Special Fraud Alert issued on November 16, 2020, the Department of Health and Human Services Office of Inspector General (HHS-OIG) raised significant fraud and abuse concerns with companies offering or providing...more

OIG Issues Guidance on Speaker Programs By Drug and Device Companies

This week, the HHS Office of Inspector General (OIG) issued a Special Fraud Alert providing insight into speaker programs put on by drug and medical device companies that the OIG considers signs of potential fraud. Generally,...more

Bankruptcy Court Stops Medicare from Recouping Monies Owed by Provider

A Delaware Bankruptcy Court Judge has entered an order prohibiting Medicare from withholding payments to a diagnostic testing provider, True Health Diagnostics, LLC, while the bankruptcy case is pending. Prior to filing the...more

New Settlement Program for Medicare Overpayments

Medicare providers who have overpayments with pending requests for Administrative Law Judge (ALJ) hearings filed on or before March 31, 2019 may now take advantage of the renewed Settlement Conference Facilitation (SCF)...more

New Florida Laws Impacting Health Care Providers

The most recent Florida legislative session resulted in an array of new laws impacting health care providers. The following is a summary of some of those laws which affect a large number of providers....more

Florida Now Requires Physicians to Inform Patients About Non-Opioid Alternatives

As the country continues to enact new laws to address the opioid crisis, the Florida legislature has followed suit. House Bill 451 now requires that, before prescribing, ordering, dispensing or administering an opioid to...more

Florida’s Medical Marijuana Laws Revised to Permit Smoking

Effective March 18, 2019, Florida’s medical marijuana laws were revised in a number of ways primarily to allow patients to smoke the drug, a method of administration that previously was explicitly prohibited under the law....more

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