Articles
Final Rules on Reimbursement for Off-Campus Provider Based Departments
On Nov. 2, 2015, Congress surprised providers with the passage of Section 603 of the Bipartisan Budget Act of 2015 (the “Act”), which eliminates Medicare Outpatient Prospective Payment System (OPPS) reimbursement for off-campus outpatient provider-based …..
Negligent Credentialing of Physicians: Increased Liability for Hospitals
The Louisiana Third Circuit recently held in Billeaudeau v. Opelousas General Hosp. Authority, 189 So. 3d 561 (La. App. 3d Cir. 2016) that a claim for “negligent credentialing” of a physician by a hospital does …..
Department of Justice Doubles Health Care Civil Fraud Penalties starting August 1, 2016
The U.S. Department of Justice (DOJ) published an interim final rule on June 30th that dramatically increased potential civil penalties under the Civil False Claims Act and the Federal Anti-Kickback Statute. Currently, violations of the …..
DOJ Doubles Health Care Civil Fraud Penalties
The U.S. Department of Justice (DOJ) published an interim final rule on June 30th that dramatically increased potential civil penalties under the Civil False Claims Act and the Federal Anti-Kickback Statute. Currently, violations of the …..
Desk Audits. HIPAA Audits Are Underway!
BA Desk Audits Right Around the Corner On July 11, 2016, HHS Office of Civil Rights (OCR) notified 167 Covered Entities (CE) of their selection, via a random sampling process, to participate in HIPAA desk …..
La. DHH Proposes New Rules to Limit Freestanding Emergency Departments
The Louisiana Department of Health (LDH) published two notices of intent in the July 2016 edition of the Louisiana Register related to free-standing emergency departments (EDs). One proposed rules would prohibit free-standing EDs from operating …..