Rachel E Lusk Klebanoff

May 27, 2022 | The Legal Intelligencer

On April 28, the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services issued an advisory opinion (No. 22-09) declining to approve a laboratory company's proposal to pay hospitals a fair market value, per-patient-encounter fee to collect, process and handle specimens.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

April 25, 2022 | The Legal Intelligencer

Earlier this month, the Health Resources and Services Administration (HRSA) announced that it planned to reopen the Provider Relief Fund (PRF) reporting period after thousands of recipients were asked to return the money for missing the deadline back in September.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

5 minute read

March 31, 2022 | The Legal Intelligencer

Physician groups should be aware of the broad applicability of the New Jersey Codey Law as it applies to referrals to entities that a practitioner has an interest in, and structure (or reevaluate) their practices and businesses accordingly.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

5 minute read

February 24, 2022 | The Legal Intelligencer

By entering into the CIA, a provider or entity agrees to various obligations in exchange for the OIG's agreement that it will not seek to exclude the provider or entity from participation in Medicare, Medicaid or other federal health care programs.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

January 24, 2022 | The Legal Intelligencer

The OIG determined the arrangement poses a low risk of fraud and abuse under the federal Anti-Kickback Statute and does not trigger sanctions under the beneficiary Inducements CMP.

By Vasilios J. (Bill) Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

November 29, 2021 | The Legal Intelligencer

When a patient gets care from an OON provider, their health plan or issuer usually does not cover the entire OON cost, leaving the patient with higher out-of-pocket costs than if they have been seen by an in-network provider.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

8 minute read

November 01, 2021 | The Legal Intelligencer

These changes revise the rule related to "overall profits" to prohibit pooling and distributing profits or productivity bonuses from designated health services (DHS), such as in-office laboratory or imaging services, on a service-by-service basis. This practice is sometimes referred to as "split pooling."

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

October 04, 2021 | The Legal Intelligencer

The order, which is wide-ranging in scope, represents a multipronged approach to encouraging greater competition and economic growth by making it easier for workers to change jobs, among other objectives.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

5 minute read

May 28, 2021 | The Legal Intelligencer

One of the most prevalent provisions in a physician's employment contract is a restrictive covenant (otherwise known as a covenant not to compete or noncompete agreement).They often set forth proscriptions while employed and post-employment.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

April 26, 2021 | The Legal Intelligencer

Two Detroit-area cardiologists have been awarded more than $10 million after a federal judge upheld an arbitrator's decision that Detroit Medical Center (DMC) and its parent company, Dallas-based Tenet Healthcare Corp. (Tenet), acted with malice in firing them as retaliation for reporting violations at the facility.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read