Blog

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

Posted on Health Care Law News, Medicare Reimbursement 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 →

License Investigation Against Allegedly Impaired APRN Closed with a Finding of No Probable Cause

Posted on Firm News, Professional Licensure Investigations by Parker Eastin

The Firm successfully defended an Advanced Practice Registered Nurse (APRN/CRNA) against allegations that the APRN was impaired on the job, was diverting anesthesia drugs for the APRN’s own use, and was altering drug counts to cover up the diversion. The Firm investigated the allegations at issue and prepared a rebuttal statement that highlighted evidence that Read more →

The Firm Secures AHCA Exemption for Convicted Felon

Posted on Firm News 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 →

Pharmacy Challenges Wrongful Enrollment Denial and Wins

Posted on Firm News by Erin Ferber

Successfully enrolling or recredentialing as a provider in an insurance network can be challenging regardless of whether you are seeking enrollment in a federal or state funded program, or with a commercial carrier.  In recent years, many insurance carriers have contracted with third-party’s to oversee the credentialing process although the insurers remain the determiner of Read more →

HRSA Abruptly Announces Discontinuation of COVID-19 Testing Reimbursement For Uninsured People

Posted on Health Care Law News by Erin Ferber

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 →