August 02, 2021 | The Legal Intelligencer
Medicare Reimbursement Payments for Training Physicians Will Be IncreasedDue 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
OIG Issues Opinion on Ambulatory Surgery Center Joint Venture InvestmentOn 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
Pa. Legislators Propose to Ban Noncompetes in Doctors' Employment ContractsOne 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
Detroit Cardiologists Win $10.6M Arbitration Award for Retaliation ClaimTwo 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
DOJ Reaches Settlement With Central Pa. Health Care Providers in Antitrust CaseOn 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
OIG OKs Gift Card Offers to Motivate Patients to Attend Preventative AppointmentsWhile 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
OIG Opinion: Providers Can Share a Portion of Reimbursements With MSP PatientsOn 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
November 30, 2020 | The Legal Intelligencer
The Corporate Practice of Medicine: Is It Applicable for Your Client?Private equity and other nondoctor investment in U.S. health care has grown significantly over the past decade thanks to investors who have been keen on getting into a large market with potentially high returns.
By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff
7 minute read
November 02, 2020 | The Legal Intelligencer
CMS Price Transparency Rule Effective January 2021—What Hospitals Need to KnowOn June 23, a federal district court upheld the Centers for Medicare and Medicaid Services' (CMS) Hospital Price Transparency Final Rule, which will require hospitals to provide patients with easily accessible information about standard changes for items and services offered by the hospital, including privately negotiated payment rates with insurers.
By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff
7 minute read
October 05, 2020 | The Legal Intelligencer
West Virginia Hospital Pays $50 Million to Settle False Claims Act AllegationsThe hospital, which has several subsidiaries and a physician network, has agreed to pay the federal government $50 million to resolve allegations that it violated the False Claims Act by knowingly submitting claims to Medicare that resulted from violations of the Physician Self-Referral Law and the Anti-Kickback Statute.
By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff
6 minute read
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