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The Ins and Outs of the No Surprise Act

Posted on Health Care Law News by Erin Ferber

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 →

License Investigation Against Physician Concerning Allergy Testing Closed with a Finding of No Probable Cause

Posted on Professional Licensure Investigations by Parker Eastin

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 →

License Investigation Against Physician Closed with a Finding of No Probable Cause

Posted on Firm News by Parker Eastin

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 →

Medicaid Fraud Investigation Against Nurse Practitioner Closed with No Charges

Posted on Firm News, Fraud Investigation by Robert Nicholson

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 →

Nicholson & Eastin, LLP Obtains Preliminary Injunction Prohibiting CMS From Recouping Alleged Medicare Overpayments from DME Supplier

Posted on Firm News by Parker Eastin

The Firm and its Tennessee co-counsel secured a preliminary injunction in federal district court in Tennessee that precludes CMS (and its contractors) from initiating recoupment with respect to approximately $7 million in alleged Medicare overpayments against the Firm’s DME supplier client.  In 2017, the firm’s client – a national DME supplier based in Memphis – Read more →