October 01, 2024 | The Legal Intelligencer
OIG Issues Unfavorable Opinion for Proposal to Share a Percentage of SavingsThe requestor inquired as to whether the "proposed arrangement," as discussed below, would warrant sanctions under Sections 1128(b)(7) or 1128A(a)(7) of the Social Security Act (SSA) as they relate to the federal Anti-Kickback Statute (AKS). The opinion concludes that, if undertaken, the proposed arrangement would generate prohibited remuneration under the AKS.
By Vasilios J. Kalogredis
9 minute read
July 30, 2024 | The Legal Intelligencer
OIG Responds Favorably to an Arrangement for Pharmaceutical Company's Payment of Travel ExpensesThe opinion concludes that although the proposed arrangement would generate prohibited remuneration under the AKS (if the requisite intent were present), the OIG would not impose administrative sanctions on the requestor; and the arrangement does not generate prohibited remuneration under the beneficiary inducements CMP.
By Vasilios J. Kalogredis
12 minute read
April 23, 2024 | The Legal Intelligencer
Multistate Licensure Compact for Social WorkThe compact will establish a single license allowing social workers with a college degree or clinical license to serve patients across state lines (within each compact state), including through telehealth platforms. This single license requirement is anticipated to promote greater flexibility and access for both social workers and the patients they serve.
By Vasilios J. Kalogredis
4 minute read
March 29, 2024 | The Legal Intelligencer
The Use of Ketamine for Trauma, Pain and Depression in Health CareKetamine, which was once used primarily as a recreational drug, is now being administered in clinics throughout the United States to treat patients suffering from trauma, pain and depression.
By Vasilios J. Kalogredis
8 minute read
February 23, 2024 | The Legal Intelligencer
OIG Responds Favorably to Arrangement Incentivizing Policyholders to Seek Care From In-Network HospitalsThe opinion concludes that although the proposed arrangement, if undertaken, would generate prohibited remuneration under the AKS (if the requisite intent were present), as well as the Beneficiary Inducements CMP, the OIG would not impose administrative sanctions on the Medigap plan or PHO.
By Vasilios J. Kalogredis
11 minute read
January 22, 2024 | The Legal Intelligencer
US Worker Shortages and H-1B Visas in Health CareBecause of the various avenues available, foreign health care workers should keep abreast of the different visa types; advantages, disadvantages, and eligibility for each; and the processes and timelines involved.
By Vasilios J. Kalogredis
6 minute read
November 27, 2023 | The Legal Intelligencer
OIG Issues Favorable Opinion for Proposal to Pay Bonuses to Employed Physicians Based on Net ProfitsThe HHS Office of Inspector General (OIG) issued Advisory Opinion No. 23-07 (opinion) on Oct. 10 regarding a "requestor's" proposal to pay bonuses to its employed physicians based on net profits derived from certain procedures performed by the physicians (the proposed arrangement).
By Vasilios J. Kalogredis
5 minute read
October 30, 2023 | The Legal Intelligencer
Corporate Transparency Act: Health Care Providers BewareThe CTA is expected to impact the majority of for-profit health care businesses and provider practices that have fewer than 20 full-time employees and do not qualify for any other applicable exemption. Accordingly, health care entities should take notice of the CTA's requirements and ensure that their respective practices are compliant with the CTA's standards effective no later than Jan. 1, 2024.
By Vasilios J. Kalogredis
9 minute read
January 23, 2023 | The Legal Intelligencer
OIG's Solutions to Reduce Fraud, Waste and Abuse in HHS—2022 EditionCMS provides direction and technical guidance for the administration of the federal effort to plan, develop, manage, and evaluate health care financing programs and policies, and OIG promotes changes that help CMS to improve such programs. Some of this is done through the annually published recommendations. In this article I provide highlights of what I believe are the most notable recommendations of this year's edition.
By Vasilios J. Kalogredis
8 minute read
October 31, 2022 | The Legal Intelligencer
OIG Issues Fraud Alert for Practitioners Working With Telehealth CompaniesDozens of investigations conducted by OIG revealed various fraud schemes utilized by such telemedicine companies.
By Vasilios J. Kalogredis
7 minute read