Vasilios J. Kalogredis

January 27, 2020 | The Legal Intelligencer

Under 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

HCQIA 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

The 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

November 04, 2019 | The Legal Intelligencer

On Oct. 3, President Donald Trump signed an executive order focused on making changes to the current Medicare program. The order, titled "Protecting and Improving Medicare for Our Nation's Seniors," aims to improve Medicare by giving seniors access to more innovative, affordable plan options.

By Vasilios J. Kalogredis

6 minute read

October 07, 2019 | The Legal Intelligencer

  On Sept. 5, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that "strengthens the agency's ability to stop…

By Vasilios J. Kalogredis

6 minute read

August 30, 2019 | The Legal Intelligencer

I have been representing and advising physicians for decades. Early in my professional career, almost all physicians coming out of training put out their own shingles and established a solo practice. Some joined smaller groups.

By Vasilios J. Kalogredis

5 minute read

August 05, 2019 | The Legal Intelligencer

Even though the decision cannot be used as binding precedent, it nevertheless provides the nursing board and other professional boards with useful guidance.

By Vasilios J. Kalogredis

6 minute read

July 08, 2019 | The Legal Intelligencer

This year, in Estate of Krappa v. Lyons, 2019 Pa. Super. 168 (Pa. Super. Ct. 2019), decided May 7, the Pennsylvania Superior Court extended the exclusion to the files of a hospital's own credentialing committee.

By Vasilios J. Kalogredis

6 minute read

June 04, 2019 | The Legal Intelligencer

The Centers for Medicare and Medicaid Services (CMS) released draft guidance on May 3 regarding hospitals co-locating with other hospitals and with nonhospital health care entities.

By Vasilios J. Kalogredis

6 minute read

April 29, 2019 | The Legal Intelligencer

UPMC responded to the 2011 transaction the next year by deciding that it would no longer accept Highmark's insurance (mind you, UPMC offers its own health plans covering more than three million individuals so it seems that neither Highmark nor UPMC is, as it were, “staying in their lane”).

By Vasilios J. Kalogredis

6 minute read