Vasilios J. Kalogredis

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

August 30, 2021 | The Legal Intelligencer

On July 14, the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) issued Advisory Opinion 21-09 approving an arrangement between a private licensed offeror of Medicare Supplemental Health Insurance policies (Medigap) and a preferred hospital organization (PHO).

By Vasilios J. Kalogredis

7 minute read

August 02, 2021 | The Legal Intelligencer

Due to a recent decision in the U.S. District Court for the District of Columbia, Milton S. Hershey Medical Center v. Becerra, hospitals' Medicare reimbursements for training residents and fellows will be boosted.

By Vasilios J. Kalogredis

7 minute read

July 02, 2021 | The Legal Intelligencer

On April 26, the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) issued Advisory Opinion 21-02, approving a proposal whereby a health system, certain orthopedic surgeons and neurosurgeons employed by the health system (the physician investors), and the manager would invest in a new ambulatory surgery center (the new ASC).

By Vasilios J. Kalogredis

8 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

April 01, 2021 | The Legal Intelligencer

On March 3, the U.S. Department of Justice (DOJ) announced that it had reached a settlement with Geisinger Health (Geisinger) and Evangelical Community Hospital (Evangelical) that would resolve the DOJ's ongoing civil antitrust litigation challenging Geisinger's "partial acquisition" of Evangelical.

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

6 minute read

February 25, 2021 | The Legal Intelligencer

While gift cards themselves have been a topic of several advisory opinions in the past, this opinion offers insight as to how the OIG may distinguish acceptable inducements to support care from more problematic programs that offer beneficiary inducements merely as an incentive for patients to obtain federally reimbursable items and services.

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

7 minute read

January 25, 2021 | The Legal Intelligencer

On Dec. 28, 2020, the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) published Advisory Opinion 20-07, approving a proposal whereby certain health care facilities and clinicians could use an online platform to disburse, to patients and the patients' payors, a portion of the reimbursement the facilities and clinicians, receive for claims where Medicare is a secondary payor.

By Vasilios J. Kalogredis and Rachel E. Klebanoff

7 minute read