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1
Remuneration? Not If It's Fair Market Value, Says Eleventh Circuit
Bingham v. HCA, Inc., a recent Eleventh Circuit case, highlights the centrality of fair market value to Anti-Kickback Statute (AKS) analyses.
United States
7 Oct 2019
2
Health Care Enforcement Quarterly Roundup | Q3 | September 2018
In the latest installment of Health Care Enforcement Quarterly Roundup, we examine key enforcement trends in the health care industry that we have observed over the past few months. In this issue,
United States
9 Oct 2018
3
Health Care Enforcement Quarterly Roundup Q3 | September 2018
In the latest installment of Health Care Enforcement Quarterly Roundup, we examine key enforcement trends in the health care industry that we have observed over the past few months.
United States
9 Oct 2018
4
Health Care Enforcement Quarterly Roundup (October 2018)
In the latest installment of Health Care Enforcement Quarterly Roundup, we examine key enforcement trends in the health care industry ...
United States
9 Oct 2018
5
OIG Seeks Comments On Anti-Kickback Statute And Beneficiary Inducements As Part Of Its Regulatory Sprint To Coordinated Care
On August 24, 2018, the OIG, Department of HHS published a request for information, seeking input from the public on potential new safe harbors to the Anti-Kickback Statute and exceptions to the beneficiary inducement...
United States
31 Aug 2018
6
CMS Seeks Comments On Stark Law Reforms Needed To Reduce Obstacles To Innovation
On June 25, 2018, the Centers for Medicare and Medicaid Services (CMS) published a request for information, seeking input from the public on how to address any undue regulatory impact...
United States
10 Jul 2018
7
Update: Judge Denies Relator's Attempt To Freeze Nursing Home's Assets Pending Appeal
On January 23, 2018, the same judge who two weeks ago set aside a $350 million jury verdict against a nursing home operator denied a new emergency motion ...
United States
31 Jan 2018
8
DOJ Settlement With Home Health Providers Underscores Strategic Considerations For Self-Disclosure
Home Health Providers did not admit any liability under the terms of the settlement agreement.
United States
26 Oct 2017
9
Physician Compensation Scrutiny Continues In Recent FCA Settlement
A hospital system in Missouri recently agreed to settle with the US Department of Justice (DOJ) for $34 million to resolve claims related to alleged violations of the Stark Law.
United States
27 Jun 2017
10
CMS Finalizes Stark Law Amendments
On November 16, 2015, the Centers for Medicare and Medicaid Services (CMS) published the 2016 Medicare Physician Fee Schedule final rule with comment period in the Federal Register at 80 Fed. Reg. 70,886
United States
25 Nov 2015
11
CMS Proposes Stark Law Amendments, Requests Comments On Whether Stark Law Is Barrier To Health Care Reform
The Centers for Medicare & Medicaid Services (CMS) recently published a notice of proposed rulemaking to amend its regulations implementing and interpreting the Stark Law.
United States
22 Jul 2015
12
OIG Proposes Expanding Anti-Kickback Statute Safe Harbors And Revising Civil Monetary Penalty Regulations
The OIG of the U.S. Department of Health and Human Services published a proposed rule containing revisions to the Anti-Kickback Statute safe harbors.
United States
8 Oct 2014
13
OCR Issues Final Modifications To The HIPAA Privacy, Security, Breach Notification And Enforcement Rules To Implement The HITECH Act
On January 25, 2013, the Office for Civil Rights (OCR) of the U.S. Department of Health and Human Services (HHS) published a final rule.
United States
27 Feb 2013
14
Privacy And Data Protection: 2012 Year In Review
In March 2012, the Federal Trade Commission (FTC) issued its final report "Protecting Consumer Privacy in an Era of Rapid Change".
United States
29 Jan 2013
15
HIPAA De-Identification Guidance
Office of Civil Rights has released additional guidance addressing the de-identification of protected health information in accordance with the HIPAA Privacy Rule.
United States
18 Dec 2012
16
Essential Health Benefits Proposed Rule: Additional Detail With Few Surprises
The essential health benefits proposed rule, issued on November 20, 2012, defines the so-called Essential Health Benefits Package, composed of essential health benefits, cost-sharing limitations and actuarial value requirements.
United States
7 Dec 2012
17
Key Hospital Pay-For-Performance Programs Are Now In Effect
The Hospital Value-based Purchasing Program and Hospital Readmission Reduction Program, two key pay-for-performance programs created by the Patient Protection and Affordable Care Act (PPACA), went into effect this month.
United States
22 Oct 2012
18
CMS Issues Final Rule On Incorrectly Classified SCHs
On August 1, 2012, the Centers for Medicare & Medicaid Services posted the Inpatient Prospective Payment System final rule for fiscal year 2013.
United States
22 Aug 2012
19
CMS Proposes Changes To Medicare Inpatient Prospective Payment System For Fiscal Year 2013
The Centers for Medicare & Medicaid Services (CMS) has posted a more than 1,300-page proposed rule that would update Medicare’s Inpatient Prospective Payment System for fiscal year 2013.
United States
22 May 2012
20
Fourth Circuit Vacates Stark Damages Award; Provides Interpretation Of Key Stark Law Provisions
On March 30, 2012, the U.S. Court of Appeals for the Fourth Circuit published its long-awaited decision in the case of United States ex rel. Drakeford v. Tuomey Healthcare Sys., No. 10-1819 (4th Cir. 2012).
United States
25 Apr 2012
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