On January 19, 2021, new rules that modernize and clarify the Stark Law and Anti-Kickback Statute went into effect. In
As states begin to lift social distancing restrictions and stay at home orders, many employers and workplaces face the reality
KY Reverses Ruling in 24 Million Turf Battle; DBL Law Attorneys Mark Guilfoyle, Matt Klein and David Dirr Represent St. Elizabeth Healthcare
KY Reverses Ruling in 24 Million Turf Battle; DBL Law Attorneys Mark Guilfoyle, Matt Klein and David Dirr Represent St.
A Kentucky court has upheld Governor Steve Beshear’s decision to expand Kentucky’s Medicaid program and create a health care exchange under the federal Affordable Care Act.
Kentucky Spirit, one of the three Medicaid managed care companies serving Kentucky, has informed the Cabinet for Health and Family Services of its intention to prematurely terminate its three-year contract.
Successfully completing a major transaction such as a merger, acquisition, or divestiture is a tall order. Integrating information technology issues and involving the respective information technology departments is a vitally important aspect of any deal.
The Centers for Medicare & Medicaid Services (CMS) has delayed the data collection mandated by the Physician Payments Sunshine Act until January 1, 2013.
Forty-three Roman Catholic institutions – including the University of Notre Dame – and 13 dioceses sued the Department of Health and Human Services (HHS) this week in an effort to halt the implementation of a rule requiring religious employers to cover contraception in workers’ health plans.
A nationwide Department of Health and Human Services (HHS) operation has netted indictments against 107 individuals in a seven-city, $452 million Medicare false billing scheme.
The American Hospital Association (AHA) has expressed its disapproval of the Affordable Care Act’s obligation to report and return overpayments.
The Department of Health and Human Services (HHS) announced it has collected $783,060 through settlement of Stark Law violations that were brought to light via self-disclosure.
The Inspector General of the U.S. Department of Health and Human Services (HHS) issued a report earlier this month detailing a study of excluded providers in Medicaid’s managed care network. The report, entitled “Excluded Providers in Medicaid Managed Care Entities,” was conducted by the Office of Inspector General (OIG).
A Massachusetts Federal District Court has denied a Motion to Dismiss in a false claims action brought against the nation’s largest dialysis treatment provider by its former employee.
The False Claims Act (“FCA”) suit was brought against Fresenius by Christopher Drennen, an area manager of ten dialysis clinics from 2006 until 2008.
The Centers for Medicare and Medicaid Services (CMS) has released a proposed rule for Stage 2 of its Electronic Health Records (EHR) “meaningful use” program.
The rule lays out the standards and criteria for certification of electronic health record systems.
The U.S. Supreme Court has rebuffed a West Virginia court’s attempt to carve out an exception to the Federal Arbitration Act (FAA).
In a per curiam opinion, the Court held in Marmet Health Care Center v. Brown that the FAA trumps state law, including a state’s public policy against pre-dispute arbitration agreements.
The U.S. Supreme Court has kept alive a suit challenging state cuts to Medicaid reimbursement rates.
In a 5-4 decision, the Court remanded back to the Ninth Circuit the question of whether a state law that cuts Medicaid reimbursement rates is preempted by the Supremacy Clause.
Health insurers will soon be required to communicate policy information to consumers in a clear, straightforward way, this according to the final rule published today by the Department of Health and Human Services (HHS).
Cleveland Clinic employees who fail to meet certain health goals are facing a 21 percent increase in their insurance premiums. Hospital officials have told employees to join the “Healthy Choice” program or be prepared to pay the cost.
CMS is creating a database of information on Medicare beneficiaries who receive treatment from providers participating in an ACO.