Blog - Archive for Health Care Law News

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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On Wednesday, April 20, 2022, the U.S. Department of Justice (DOJ) announced, a nationwide coordinated law enforcement action to combat health-care-related COVID-19 fraud. Specifically, the DOJ revealed criminal charges – including health care fraud, illegal kickbacks, money laundering, wire fraud, theft of government property, making false statements, and aggravated identity theft – against 21 defendants Read more →

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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 HRSA COVID-19 Uninsured Program (UIP) has recently announced it will stop accepting claims for reimbursement due to the program’s lack of sufficient funds. This unexpected announcement has caused significant concern and confusion for businesses operating in this space, as it has historically been one of the primary and most reliable payors. As background, the Read more →

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The No Surprise Act (“NSA”) went into effect January 1, 2022, and impacts billing, and in particular balance billing, for emergency services as well as certain non-emergency services.  Generally speaking, a patient cannot be balance billed for emergency services.  Instead, the patient is only responsible for in-network cost share.  The NSA specifies how the insurers Read more →

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