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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 →

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 →

The Firm successfully defended a physician against allegations that the physician practiced below the standard of care, inadequately supervised his staff, improperly delegated duties, provided medically unnecessary services, and failed to keep adequate records in connection with allergy testing and treatment services, among other things. The Firm investigated the allegations at issue and prepared a Read more →

The Firm successfully defended the Firm’s physician client against allegations that the physician had practiced below the standard of care and had failed to keep adequate records in connection with a medical marijuana patient.  The case against the physician was closed with no action being taken against the physician. The Firm investigated the allegations at Read more →

The Firm successfully defended the Firm’s nurse practitioner client against allegations that the nurse practitioner had submitted false claims to the Medicaid Program in connection with medical and diagnostic services provided at the client’s medical clinic.  After a lengthy investigation, the Medicaid Fraud Control Unit closed the investigation with no action being taken against the Read more →