The Centers for Medicare & Medicaid Services (“CMS”) defines hospitals with physician owners or investors as Physician Owned Hospitals. Physician Owned Hospitals utilizing the Stark II whole hospital and rural provider exceptions must now file …..
(“Doughnut Hole”) Medicare Part D Coverage Gap Under the Medicare Part D Prescription Drug Benefit, many Medicare beneficiaries have annually encountered a large gap in their prescription drug coverage that is commonly referred to as …..
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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