2024 Changes Expand CMS’s Authority to Revoke or Deny Medicare Enrollment

Posted on Health Care Law News, Medicare Reimbursement by Sydney Madow

The Centers for Medicare and Medicaid Services (CMS) has the authority to revoke the enrollment of a Medicare provider or supplier for various reasons, such as non-compliance with Medicare enrollment requirements, exclusion by the Office of Inspector General (OIG), and felony convictions, among other grounds. In the event of revocation, the provider or supplier is Read more →

CMS to Allow LMFTs and LMHCs to Enroll as Medicare Providers

Posted on Health Care Law News, Medicare Reimbursement by Erin Ferber

The Centers for Medicare & Medicaid Services (CMS) will allow Licensed Marriage and Family Therapists (LMFTs) and Licensed Mental Health Counselors (LMHCs) to enroll as Medicare providers effective January 1, 2024 under provisions established in the Consolidated Appropriations Act of 2023. In order to enroll, providers must meet certain criteria, including: possession of a master’s Read more →

Nicholson & Eastin Successfully Defends RN Associated With Nursing School Scam and Accused of Obtaining License by Fraud

Posted on Firm News, Fraud Investigation, Professional Licensure Investigations by Parker Eastin

The Firm successfully defended the license of a Florida registered nurse wrongfully accused of obtaining her nursing license by fraud. The RN was one of many victims of a scam carried out by a criminal syndicate currently being prosecuted by the U.S. Department of Justice that involved alleged fraudulent nursing school transcripts and diplomas. The Read more →

HHS OIG Releases New Compliance Program Guidance

Posted on Health Care Law News by Parker Eastin

On November 6, 2023, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) published a revised guide for health care compliance as part of its modernization initiative announced earlier this year. This General Compliance Program Guidance (GCPG) document is the first CPG issued since September 2008. OIG has also announced Read more →

Understanding the Implications of the Federal Anti-Kickback Statute and its Florida Counterpart, the Patient Brokering Act

Posted on Health Care Law News by Erin Ferber

As a healthcare professional, it is crucial to have a comprehensive understanding of the Federal Anti-Kickback Statute (AKS) and its Florida counterpart, the Patient Brokering Act (PBA). Violations of these statutes can result in severe consequences, including fines, imprisonment, exclusion from federal health care programs, and negative professional licensure implications. At Nicholson & Eastin, LLP, Read more →