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28 Jan 2014, 9:00 am
., Board Certified by The Florida Bar in Health Law In December 2013, the US Department of Health and Human Services’ (HHS) Office of Medicare Hearings and Appeals (OMHA) notified hospitals, doctors, nursing homes and other health care providers that due to a backlog of Recovery Audit Contractor (RAC) appeals, the agency would be suspending acting on new requests for hearings filed. [read post]
7 Nov 2017, 9:00 am
., Board Certified by The Florida Bar in Health Law On November 1, 2017, a dentist working at a US Department of Veterans Affairs (VA) medical center in Wisconsin engaged in unsterile practices that could have exposed patients to deadly viruses. [read post]
27 Feb 2018, 10:46 pm
., Board Certified by The Florida Bar in Health Law In Part 1 of this blog I began a list of tips that should serve you well if you are notified by your hospital or medical staff that you are the subject of an internal or external peer review action. [read post]
25 Sep 2013, 10:00 am
., Board Certified by The Florida Bar in Health Law The Health Insurance and Portability and Accountability Act (HIPAA) Privacy and Security Rules were amended by an Omnibus Final Rule published by the US Department of Health and Human Services (HHS) in January 2013. [read post]
12 Dec 2012, 9:00 am
., Board Certified by The Florida Bar in Health Law The Drug Enforcement Administration (DEA) is warning the public to be aware of a prescription drug scam. [read post]
13 Jun 2017, 10:00 am
., Board Certified by The Florida Bar in Health Law On May 1, 2017, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. [read post]
5 Nov 2015, 9:00 am
., Board Certified by The Florida Bar in Health Law A medical center, a community hospital and a multi-specialty clinic comprising an integrated health care system (System) (collectively known as Requestors), requested an advisory opinion from the Office of Inspector General (OIG) about a plan to offer free shuttle service to patients of the System (Proposed Arrangement). [read post]
Healthcare Professionals: Please, Please, Please Do NOT Talk to a Department of Health Investigator!
7 May 2019, 10:00 am
., Board Certified by The Florida Bar in Health Law Whether you are a nurse, physician, pharmacist or dentist, I beseech you: please do not talk to a Department of Health (DOH) investigator until you have talked to a health lawyer who is experienced with DOH investigations and board licensing complaints. [read post]
20 Mar 2023, 10:00 am
., Board Certified by The Florida Bar in Health Law On March 3, 2023, a federal appeals court overturned the conviction of a doctor accused of unlawfully prescribing opioids after the US Supreme Court issued a ruling making it harder to prosecute such cases. [read post]
18 Nov 2016, 9:00 am
., Board Certified by The Florida Bar in Health Law When a physician, medical group or other healthcare provider receives a notice of an audit and site visit from Medicare, the Medicare Administrative Carrier (MAC) or the Zone Program Integrity Contractor (ZPIC), things happen fast with little opportunity to prepare. [read post]
20 Nov 2015, 9:00 am
., Board Certified by The Florida Bar in Health Law. [read post]
20 Apr 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law On April 14, 2016, a jury in California awarded Aetna Inc. more than $37.4 million in damages after finding a network of Northern California surgical centers overbilled the insurer for out-of-network procedures. [read post]
4 Jun 2018, 10:00 am
., Board Certified by The Florida Bar in Health Law On May 14, 2018, a Minnesota appeals court affirmed the dismissal of a complaint filed by a woman who says a hospital violated her privacy. [read post]
12 May 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law A new study by patient safety researchers revealed that common medical errors are now the third leading cause of death in the US, after heart disease and cancer. [read post]
5 Nov 2015, 9:00 am
., Board Certified by The Florida Bar in Health Law A medical center, a community hospital and a multi-specialty clinic comprising an integrated health care system (System) (collectively known as Requestors), requested an advisory opinion from the Office of Inspector General (OIG) about a plan to offer free shuttle service to patients of the System (Proposed Arrangement). [read post]
16 Nov 2015, 9:00 am
., Board Certified by The Florida Bar in Health Law Just prior to Veteran's Day this year, an announcement was made by former US Representative and licensed clinical psychologist, Brian Baird, and his colleague, Steven Haist. [read post]
22 Jul 2013, 10:00 am
., Board Certified by The Florida Bar in Health Law About a year ago we told you about one of the newest acronyms in the Medicare Program’s audit process, “CERT” which stands for the Medicare Comprehensive Error Rate Testing Program. [read post]
27 Sep 2012, 10:00 am
., Board Certified by The Florida Bar in Health Law A Miami man, his wife and their daughter have been charged with child abuse following two alleged dental procedures that left a 14-year-old girl permanently disfigured. [read post]
15 May 2020, 10:00 am
., Board Certified by The Florida Bar in Health Law On April 14, 2020, several companies announced they are considering a class action lawsuit against Hiscox Insurance over its failure to pay business interruption claims relating to the coronavirus lockdown. [read post]
5 Jun 2023, 10:00 am
., Board Certified by The Florida Bar in Health Law When a healthcare provider receives notice of an audit or site visit from Medicare, the Medicare Administrative Carrier (MAC), or the Integrity Contractor, they must act quickly. [read post]
