GENERAL HEALTHCARE

by Beth Anne Jackson, J.D. On June 23, 2020, the Centers for Medicare and Medicaid Services (“CMS”) announced the creation of the Office of Burden Reduction and Health Informatics (the “OBRHI”). OBRHI serves two purposes: it centralizes CMS’s efforts to reduce regulatory and administrative burden on providers and to actualize the potential of data-driven health […]

By: Allison Davis, J.D. Many employers only have comprehensive, written employment agreements for senior management and rely on at-will employment laws and regulations for the rest of their employees. However, employers should consider entering into detailed, written employment agreements with certain types of employees. Specialized Training. If an employer provides an employee with specialized training, […]

By Denise M. Leard, Esq. Just as fraud schemes have become highly migratory and transitory in nature, so has CMS’ targeting, monitoring, and enforcement of these schemes. On January 30, 2018, the Centers for Medicare and Medicaid Services (CMS) announced the ninth extension of its temporary moratoria on enrollment of home health agencies (HHAs) into […]

By: Rossanna J. Madrigal, Esq. The term Accountable Care Organizations (“ACOs”) was formally defined by the Affordable Care Act (“ACA”) in 2010. ACOs are defined as “a legal entity that is recognized and authorized under applicable State, Federal, or Tribal law, is identified by a Taxpayer Identification Number (TIN), and is formed by one or […]

By: Jeffrey S. Baird, Esq. It is a common practice for a DME supplier to enter into a loan closet arrangement with a hospital. This is also known as a “consignment” or “stock and bill” arrangement. In a typical loan closet arrangement, the supplier stores inventory (e.g., canes, walkers, braces) at the hospital. When a […]

The False Claims Act allows the government to recover losses from private entities that overcharge the government for services. The Obama Administration placed a high priority on fighting healthcare fraud, which has led to numerous investigations and large recoveries against the healthcare industry. In 2015, the administration recovered over 3.5 billion dollars. Qui tam is […]