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
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
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
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
Hospitals are mandated by federal law to query the National Practitioner Data Bank (“NPDB”) on the status of physicians, dentists and other health care practitioners who apply for medical staff appointment or clinical privileges. Other health... Read More
Navigating the intricacies of the National Practitioner Data Bank (“NPDB”) can be a challenging undertaking, especially in instances where reportable incidents have occurred. The NPDB is a clearinghouse created by Congress that maintains... Read More
Binding arbitration clauses are often included in the agreements entered into between the nursing home and resident, or resident representative. The Centers for Medicare and Medicaid Advocacy recently enacted rule 84 Fed. Reg. 34718 permitting... Read More
Earlier this year a federal rule was implemented to impose stiffer penalties on hospitals that conceal the costs of services and procedures. The mandate for pricing transparency is being exercised through the imposition of harsher monetary penalties... 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
Self-regulation by the medical profession is separate and distinct from the conventional rules exercised by the judicial system. Peer review and disciplinary matters are generally heard before the Medical Executive Committee (“MEC”) at Hospitals... Read More
