August 31, 2020 | The Legal Intelligencer
D.C. Court of Appeals Sides With HHS on Hospital Site-Neutral PaymentsOn July 17, the U.S. Court of Appeals for the District of Columbia reversed a lower court's decision and held that the Department of Health and Human Services (HHS) has the authority to cut Medicare payments to hospital off-campus facilities to bring them in line with independent physician practices and other outpatient payments.
By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff
6 minute read
August 03, 2020 | The Legal Intelligencer
Novartis Agrees to Pay $678M for Illegal Kickbacks in 'Sham' Speaker SchemeAfter nearly a decade of litigation, Novartis Pharmaceuticals Corp. (Novartis) has agreed to pay over $678 million in separate settlements to resolve claims that it systematically violated the federal False Claims Act and the Anti-Kickback Statute.
By Vasilios J. Kalogredis and Rachel E. Lusk Klebanoff
6 minute read
July 06, 2020 | The Legal Intelligencer
Opioid Dispensing Guidelines: Pharmacists' Role in Combating EpidemicPennsylvania has been working on improving things as to the dispensing and the use of opioids for the treatment of pain for several years. Up until a few years ago, Pennsylvania was only one of a handful of states that did not have a functioning prescription drug monitoring program.
By Vasilios J. Kalogredis
6 minute read
June 01, 2020 | The Legal Intelligencer
How the Employee Retention Tax Credit May Be Beneficial to Health Care ClientsAs part of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) signed by President Donald Trump March 27, the U.S. Treasury Department and the Internal Revenue Service (IRS) launched the employee retention credit program designed to encourage businesses, including many of our for-profit and nonprofit health care clients.
By Vasilios J. Kalogredis
6 minute read
April 27, 2020 | The Legal Intelligencer
Loan Forgiveness Rules Under the PPP and Its Impact on Medical, Dental ClientsNow that many small businesses have actually received their PPP loan funds, thereby triggering the eight-week coverage period, the fundamental question has become: How much of my loan will be forgiven, and what will I need to do to apply for forgiveness?
By Vasilios J. Kalogredis
6 minute read
April 02, 2020 | The Legal Intelligencer
Do Your Doctor Clients Know What Kind of Malpractice Insurance They Have?For doctors in private practice in particular, decisions about malpractice insurance may be among the most important they will make.
By Vasilios J. Kalogredis
6 minute read
February 27, 2020 | The Legal Intelligencer
OIG Opinion: Drugmaker Can Offer Financial Assistance to Cell Therapy PatientsOn Jan. 15, the Office of Inspector General for the U.S. Department of Health and Human Services issued Advisory Opinion No. 20-02 approving an arrangement under which a pharmaceutical manufacturer could provide financial assistance to certain patients receiving the manufacturer's cell therapy drug.
By Vasilios J. Kalogredis
7 minute read
January 27, 2020 | The Legal Intelligencer
CMS Reforms Stark Law Advisory Opinion RegulationsUnder the CMS advisory opinion process, parties can seek guidance on whether a physician's referrals for certain designated health services payable by Medicare to an entity with which he (or an immediate family member) has a financial relationship are prohibited under the Medicare program by Section 1877 of the Social Security Act.
By Vasilios J. Kalogredis
8 minute read
December 20, 2019 | The Legal Intelligencer
Physician 'Blacklisting' by the National Practitioner Data BankHCQIA called for the creation of a national database "to protect peer review bodies from private money damage liability and to prevent incompetent practitioners from moving state to state without disclosure or discovery of previous damaging or incompetent performance."
By Vasilios J. Kalogredis
6 minute read
December 02, 2019 | The Legal Intelligencer
Hospital System Agrees to Pay $20.25M to Settle False Claims Act AllegationsThe hospital entities of Sanford Health, Sanford Medical Center and the Sanford Clinic of Sioux Falls, South Dakota, have agreed to pay $20.25 million to resolve False Claims Act (FCA) allegations that they knowingly submitted false claims to federal health care programs.
By Vasilios J. Kalogredis
6 minute read
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