Posted on Health Care Law News October 19, 2015 by author
For what appears to be the first time, a False Claims Act whistleblower who received a reward in connection with the False Claims Act case also received a share of a subsequent CMP imposed by the HHS-OIG in a related enforcement action. As background, the False Claims Act case had been brought against Jack Baker, Read more →
Posted on Firm News, Health Care Law News September 26, 2015 by author
At Nicholson & Eastin, LLP, our attorneys successfully reversed the revocation of Medicare billing privileges for a physician client. After nearly a year-long investigation conducted by SafeGuard Services and the Centers for Medicare & Medicaid Services (CMS), the physician’s billing privileges had been revoked. However, after a strong reconsideration appeal prepared by our firm, First Read more →
Posted on Health Care Law News July 8, 2015 by author
During the annual meeting of the American Health Lawyers Association, representatives from the United States Department of Health and Human Services, Office of Inspector General (“OIG”), announced the creation of a designated litigation team exclusively focused on civil monetary penalties and exclusion cases, with a particular focus on physicians. The OIG team will provide an Read more →
Posted on Health Care Law News February 3, 2014 by author
The Centers for Medicare & Medicaid Services (CMS) announced effective January 31, 2014, a six-month moratorium continues for new and pending applications for home health agency providers and suppliers in Miami-Dade and Monroe counties and begins in Broward County. The moratorium, invoked under the Affordable Care Act, also affects other large metropolitan cities such as Read more →
Posted on Health Care Law News February 1, 2014 by author
According to a recent HHS-CMS directive that went into effect on January 15, 2014, “CMS has learned from contractors that providers are abusing the program and not changing inappropriate behavior even after extensive education to address these behaviors.” Such providers have now been deemed “recalcitrant,” and the “recalcitrant” category is one into which Medicare providers Read more →