Posted on Health Care Law News November 11, 2015 by author
On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) issued important changes to the Stark regulations. CMS also added two new Stark exceptions – one for hospital incentive payments for recruitment of non-physician practitioners, and the other changed certain rules for physician owned hospitals, including how the percentage of physician ownership will Read more →
Posted on Firm News December 30, 2013 by author
Through an aggressive appeal effort, attorney Erin Bengele secured a substantial reduction in a private insurance overpayment demand for a pharmacy client of the Firm. Ms. Bengele prepared a detailed claim-by-claim rebuttal of the purported basis for denial, ultimately reducing the overpayment by two-thirds. Among other things, Ms. Bengele pointed out factual errors by the Read more →
Posted on Firm News November 22, 2013 by author
The State Attorney’s Office has abandoned all charges against a physician client represented by Nicholson & Eastin, LLP. The physician had been charged with drug trafficking, operating a pain clinic without a license, and receiving drugs without the required pedigree documents. The family practice physician was facing a 25-year minimum mandatory sentence if convicted. Mr. Read more →
Posted on Health Care Law News July 8, 2013 by author
Earlier today, the OIG launched an online submission process for its voluntary Self-Disclosure Protocol. This online disclosure tool is designed to make it even easier for providers who wish to voluntarily disclose self-discovered evidence of potential fraud to OIG. According to the OIG’s associated press release, “Self-disclosure gives providers the opportunity to avoid the costs Read more →