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|CMS Removes Continuing Medical Education Exemption from Physician Payment Sunshine Act Rules|
Robert M. Portman, Steve Postal; Powers Pyles Sutter & Verville, PC;
February 6, 2015, previously published on November 10, 2014The Centers for Medicare and Medicaid Services (CMS) recently issued a final rule (the Rule) removing the Physician Payments Sunshine Act (“Act”) exemption for payments to speakers at certain accredited continuing medical education (CME) events funded by companies covered by the Act....
|Delay of HPID Regulations Announced by CMS|
Christine B. Zoccola; Bose McKinney & Evans LLP;
February 6, 2015, previously published on November 3, 2014With the November 5th deadline looming, the Centers for Medicare & Medicaid Services (“CMS”) announced that effective October 31, 2014, the enforcement of the regulations pertaining to the use of the Health Plan Identifier (“HPID”) is delayed until further notice. This...
|Negative Patient Reviews|
Martha Lessman Katz; Gordon Feinblatt LLC;
February 5, 2015, previously published on Winter 2014Doctors may often find themselves on the wrong end of a patient review. In fact, one Kentucky physician took the unusual step of suing a patient who posted a series of comments critical of the care she received.
|Arrangements with Diagnostic Service Providers|
Justin David Levine; Gordon Feinblatt LLC;
February 5, 2015, previously published on Winter 2014In June 2014, the Office of Inspector General of the Department of Health and Human Services (OIG) issued a special fraud alert (Alert) addressing two trends related to payment arrangements between laboratories and referring physicians--Specimen Processing Arrangements and Registry Arrangements.
|Population Health and the Re-emergence of IPAs|
Barry F. Rosen; Gordon Feinblatt LLC;
February 5, 2015, previously published on Winter 2014Population Health is sweeping the country, meaning people are trying to keep people healthier to lower health care costs. In fact, some health care payors are paying health care providers to keep people healthy, or sharing the resulting savings with providers.
|The How, Who and When of Exclusion Screening|
Justin David Levine; Gordon Feinblatt LLC;
February 5, 2015, previously published on Winter 2014Federal law makes it illegal for health care providers who participate in federal health care programs, such as Medicare, to employ or contract with individuals they know or should know are excluded from participating in such programs.
|Top Ten Current Employer Obamacare Questions|
John R. Paliga; Gordon Feinblatt LLC;
February 5, 2015, previously published on Winter 2014Q1 Our company offers health care coverage to employees. Are our employees eligible for health care coverage under the so-called "Obamacare" Health Care Exchanges, such as MarylandHealthConnection.gov or the federal exchange, HealthCare.gov? Yes. Generally speaking, everyone is eligible...
|HHS Announces $840 Million Initiative to Improve Patient Care and Lower Healthcare Costs|
Carrie A. Roll, Andrew J. Shin; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
February 5, 2015, previously published on October 30, 2014Last week, the Department Health and Human Services (HHS) announced that it will invest $840 million over the next four years to support 150,000 clinicians through a combination of incentives, tools, and information to encourage clinicians and other health care providers “to move from...
|Vascular Solutions Inc. and its CEO Face Criminal Charges for Selling Unapproved Medical Devices|
Laurence J. Freedman, Samantha P. Kingsbury; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
February 5, 2015, previously published on November 20, 2014Last week, the Civil Division of the U.S. Department of Justice (DOJ) filed an indictment charging Vascular Solutions Inc. (VSI) and its CEO Howard Root with (1) selling medical devices without the approval of the U.S. Food and Drug Administration (FDA); and (2) conspiring to defraud the U.S....
|The Seventh Circuit Rejects Medicaid False Claims Act Suit|
Brian P. Dunphy; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
February 4, 2015, previously published on November 19, 2014The United States Court of Appeals for the Seventh Circuit affirmed the dismissal of a False Claims Act (“FCA”) case against Shopko Operating Stores, LLC, in which a former Shopko pharmacist asserted Medicaid billing violations. The Seventh Circuit agreed “with the district court...