As physician practices are in the midst of calculating and distributing 2022 year-end bonuses to physician employees and profits to owners, practices providing Designated Health Services ("DHS"), such as laboratory testing, diagnostic radiology... Read More
As part of the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act, the United States Small Business Administration (“SBA”) created the Paycheck Protection Program (“PPP”) that helped businesses keep their workforces employed... Read More
Major healthcare and hospital systems are the latest victims in the growing trend amongst insurers and payors who are refusing to reimburse health care providers for their services. Most recently, Valley Health System (“Valley”) filed suit... Read More
Effective as of November 16, 2022, certain health care entities must continue to employ certain employees for a period of four months following a change in control of such entity. On August 18, 2022, New Jersey Governor Phil Murphy signed Public... Read More
Rising drug prices have forced consumers to seek out and utilize the most affordable sources to obtain their prescription medications. Whether it’s through commercial insurance, prescription discount cards, or manufacturer assistance programs,... Read More
During the 2021 fiscal year, The U.S. Department of Justice (DOJ) recovered $5.6 billion in civil settlements and judgments involving fraud and violations of the False Claims Act; a record-breaking $5 billion of this recovery was derived from... Read More
The Federal Anti-Kickback Statute (the “AKS”) prohibits the payment or receipt of remuneration to induce or reward referrals of items or services reimbursable by a federal health care program (including, but not limited to, Medicare and... Read More
The Office for Civil Rights (OCR) announced a settlement with Oklahoma State University – Center for Health Services (OSU-CHS) related to a hacking incident that compromised the protected health information (PHI) of 279,865 individuals. The... Read More
On June 29, 2022, the Department of Justice (“DOJ”) announced the formation of the New England Prescription Opioid (NEPO) Strike Force. This strike force will investigate and vigorously prosecute healthcare providers involved in healthcare fraud... Read More
On June 15, 2022, the Supreme Court of the United States ruled unanimously in favor of several hospital groups concluding that the Department of Health and Human Services (HHS) exceeded its statutory authority by implementing a discriminatory... Read More
