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CMS Recently Proposed Important Change to 60-Day Overpayment Refund Rule

Posted on Fraud Investigation, Health Care Law News, Medicare Reimbursement February 27, 2023 by Erin Ferber

Recently, the Centers for Medicare & Medicaid Services (CMS) proposed a crucial revision to the 60-day overpayment rule, which could have a profound impact on Medicare participating providers and entities. Understanding these proposed changes is essential for healthcare providers to ensure compliance and avoid potential liability Current Overpayment Refund Rule Generally speaking, a provider must Read more →

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RN With Mental Health History Successfully Obtains Nursing License in Florida

Posted on Firm News, Health Care Law News June 14, 2022 by Erin Ferber

The process of attempting to obtain a nursing or other healthcare license in the State of Florida can be overwhelming, especially if you have health, discipline, or criminal history that must be disclosed.  Such information must be disclosed whether you are applying for your first nursing license directly out of nursing school or you are Read more →

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DOH Investigation Regarding Alleged Improper Balance Billing Closed With a Finding of No Probable Cause

Posted on Firm News, Health Care Law News May 13, 2022 by Erin Ferber

With the implementation of the No Surprise Act on January 1, 2022, patients, insurers, and regulatory authorities have begun taking a closer look at the billing practices of healthcare providers, especially for out-of-network providers. Due to decreasing reimbursement rates, increased oversight, and challenging hurtles to get credentialed, more providers are choosing to operate as out-of-network Read more →

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Establishing Medical Necessity as DOJ Ramps-Up COVID-19 Related Enforcement

Posted on Health Care Law News, Medicare Reimbursement April 20, 2022 by Erin Ferber

The Families First Coronavirus Response Act (“FFCRA”), which was enacted in March of 2020, requires insurers to provide benefits without imposing any cost-sharing in connection with certain items and services related to the testing and treatment for COVID-19.  Curiously, the legislation is silent as to the concept that is well-known in the healthcare industry today Read more →

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The Firm Secures AHCA Exemption for Convicted Felon

Posted on Firm News April 11, 2022 by Erin Ferber

After being told by other attorneys not to bother applying for an exemption to work at a healthcare facility regulated by the Agency for Health Care Administration, an Office Administrator came to Nicholson & Eastin for help.  Almost twenty years following a federal felony conviction, the Office Administrator was almost forced to resign her position Read more →

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