Blog - Monthly archives: November 2015

CMS Issues Important Stark Clarifications

Posted on Health Care Law News November 11, 2015 by author

On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) issued important changes to the Stark regulations. CMS also added two new Stark exceptions – one for hospital incentive payments for recruitment of non-physician practitioners, and the other changed certain rules for physician owned hospitals, including how the percentage of physician ownership will Read more →

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Budget Bill “Catch-Up” Provision To Increase FCA Fraud Penalties

Posted on Health Care Law News November 3, 2015 by author

In 1986 the Civil False Claims Act (“FCA”) was amended to increase penalties from $2,000 to between $5,000 and $10,000 per false claim. In 1999, the penalties were raised to their present level of between $5,500 and $11,000 per false claims.  As a result of budget legislation just passed, the FCA penalties as well as Read more →

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Medicare Provider’s Wrongful Revocation Reversed

Posted on Firm News November 1, 2015 by author

In a case involving a large physician practice represented by the Florida health law firm of Nicholson & Eastin, LLP, CMS reversed its decision to revoke the physician practice’s Medicare billing privileges, and immediately reinstated the billing privileges retroactive to the date of revocation. After deciding to cease operating its on-site lab operations, our Florida Read more →

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Department of Justice Follows Through on Threat of Individual Prosecution

Posted on Health Care Law News, White Collar News November 1, 2015 by author

Only weeks after Deputy Attorney General Sally Yates announced that the government was going to take a harder line against individuals in corporate fraud cases, the government has charged the former CEO of Warner Chilcott. Carl Reichel was arrested in connection with a health care fraud, false claims and kickback investigation that has also lead Read more →

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