It is critically important for hospitals to be especially vigilant about complying with Federal and state fraud and abuse statutes in relation to the Hospital’s financial arrangements with physicians. A jury in a Federal trial …..
A federal district court in Wisconsin recently ruled that a private whistleblower could proceed with her allegations that a physician practice violated the Federal False Claims Act by acting with “reckless disregard” to the existence …..
One obscure but sweeping provision of the Patient Protection and Affordable Care Act (“PPACA”) grants the Centers for Medicare & Medicaid Services (“CMS”) unchecked authority to impose administrative moratoria on new providers and suppliers without …..
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The Centers for Medicare and Medicaid Services (CMS) issued a final decision as part of its review of appropriate supervision levels required for hospital outpatient services. The new rule, effective July 1, 2012, simplifies what …..
Novitas Solutions, Inc. (Novitas) recently issued two local coverage determinations (LCDs) that created significant compliance issues for hospital outpatient psychiatric departments. LCD L32705: Partial Hospitalization Programs (PHPs) – Psychiatric incorrectly requires “direct personal supervision” by …..
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