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
Reporting to the National Practitioner Data Bank (“NPDB”) is required when certain adverse clinical privilege actions involving professional competence or conduct of physicians occur. Reports submitted in response to negative actions or findings... Read More
As practices and payers are recovering from the pandemic, payers are getting “back to business”. Private and public payers alike are increasing their audits, returning to in-office inspections and using pre-payment reviews more than... Read More
The U.S. Department of Health and Human Services (“HHS”) recently announced a clawback of funds disbursed by Health Resources and Services Administration (“HRSA”) under the Coronavirus Aid, Relief and Economic Security (“CARES”) Act.... Read More
A Passaic County judge has reconsidered and reversed his own decision to send an employment case to arbitration, instead finding that a mandatory arbitration provision contained in the employee handbook could not be enforced because the handbook... Read More
The Healthcare Quality Improvement Act (“HCQIA”) provides immunity to hospitals and other healthcare entities that utilize the peer review process in healthcare professional review actions. The law was passed to prevent inappropriate use of the... Read More
On December 23, 2021, Frier Levitt filed suit on behalf of Osler Health IPA, LLC (“Osler”) against Horizon Healthcare Services, Inc. d/b/a Horizon (“Horizon”), for allegedly materially breaching the Parties’ shared savings agreement. The... Read More
A nationally known lab (“Lab”) recently filed a lawsuit against at least one urology practice in what may be a harbinger of a new trend to attempt to hold medical practices liable for failing to collect unpaid fees from patients of the practice... Read More
As all providers know, healthcare is one of the most heavily regulated industries in the United States. Unfortunately, failure to abide by these regulations may have far more wide-reaching impacts on a physician and a physician’s practice than... Read More
As the nation reels from the heartbreaking COVID-19 pandemic, scrutiny of Skilled Nursing Facilities and Long-Term Care facilities is all but certain to continue. Industry leaders and recent data suggests providers anticipate enhanced oversight from... Read More
