November 03, 2005 | The Legal Intelligencer
N.J. Case Deals With Emergency Medical Treatment ActThe Emergency Medical Treatment and Assisted Labor Act (EMTALA) was alleged to have been violated in Love v. Rancocas Hospital. In this case, plaintiff Daisy Love was brought to the hospital by ambulance after experiencing a temporary loss of consciousness, falling and poorly controlled high blood pressure.
By Vasilios J. Kalogredis
7 minute read
April 07, 2005 | The Legal Intelligencer
Gain-Sharing Arrangements Between Hospitals and PhysiciansIn February 2005, the Department of Health and Human Services Office of Inspector General (OIG) issued five advisory opinions (numbers 05-02, 05-03, 05-04, 05-05 and 05-06). All five of these opinions involved arrangements between hospitals and either groups of cardiologists or groups of cardiac surgeons in which it was agreed to pay the physician-groups 50 percent of any cost savings arising from the doctors' implementation of a number of cost-reduction measures.
By Vasilios J. Kalogredis
11 minute read
March 05, 2009 | The Legal Intelligencer
3rd Circuit Court Provides Stark Law AnalysisThis January, the 3rd U.S. Circuit Court of Appeals overturned a grant of summary judgment by the U.S. District Court for the Middle District of Pennsylvania, and held that a defendant hospital in a False Claims Act qui tam action failed to show that its arrangement with an anesthesiology physician group practice was not a violation of the federal Stark and Anti-Kickback laws.
By Vasilios J. Kalogredis
9 minute read
December 01, 2005 | The Legal Intelligencer
Psychiatrists Allowed to Form Partnership to Establish Treatment FacilityOn Oct. 31, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services issued OIG Advisory Opinion 05-12. This was in response to a request for the establishment of a joint venture relative to a day treatment facility to provide psychiatric services to pediatric patients (the proposed arrangement).
By Vasilios J. Kalogredis
10 minute read
August 05, 2010 | The Legal Intelligencer
The Role of the New Independent Payment Advisory BoardAmong what may be considered the many controversial new provisions of the Patient Protection and Affordable Care Act, or PPACA, Congress created a new entity called the Independent Payment Advisory Board. The purpose of the board, according to the legislation, is to "reduce the per capita rate of growth in Medicare spending."
By Vasilios J. Kalogredis and Karilynn Bayus
8 minute read
July 02, 2009 | The Legal Intelligencer
OIG Approves On-Call Services Payment PlanTaking a look at an issue pressing many hospitals, the Department of Health and Human Services, Office of Inspector General, or OIG, addressed the issue of a payment arrangement between a hospital and physicians for on-call coverage and indigent in-patient care in an advisory opinion issued May 21, 2009.
By Vasilios J. Kalogredis
8 minute read
March 02, 2006 | The Legal Intelligencer
Key Elements of the Office of Inspector General Work PlanEvery year, the Office of Inspector General releases a work plan reflective of what it believes to be vulnerabilities of the Department of Health and Human Services' (HHS) program and activities. It is intended to promote improvement in HHS efficiency and effectiveness. It provides guidance to those in the health care field regarding projects the OIG intends to undertake and areas of focus deemed to be critical by the OIG for that particular fiscal year.
By Vasilios J. Kalogredis
8 minute read
October 04, 2007 | The Legal Intelligencer
OIG Permits Customer Financial 'Rewards' ProgramLate this August, the Health and Human Services (HHS) Office of Inspector General (OIG) issued an advisory opinion that approved a retailer's "rewards" program.
By Vasilios J. Kalogredis
8 minute read
May 07, 2009 | The Legal Intelligencer
N.J. Enacts Legislation Affecting Licensure, Ownership of ASCsThe bill further amends the Codey law prohibition on referral of patients by a physician to an entity in which he has a significant beneficial interest by carving out certain criteria that will exempt the physician from this restriction.
By Vasilios J. Kalogredis
7 minute read