Coronavirus Checklist for Nursing Homes and Hospitals

Posted on April 16, 2020October 30, 2025 by admin

Comprehensive Guide to Hospital Readiness and Infection Control Introduction The ongoing threat of coronavirus (COVID-19) requires hospitals to maintain rigorous preparedness and response plans. This detailed checklist is designed to help hospital administrators and healthcare teams ensure readin...

DOJs New Evaluation of Corporate Compliance Programs – The Essence of Compliance

Posted on May 20, 2019October 30, 2025 by admin

The Criminal Division of the United States Department of Justice (DOJ) revised its Evaluation of Corporate Compliance Programs in April 2019. Initially introduced in 2017, this document provides prosecutors with structured guidance for investigations, charging decisions, and plea negotiations. Th...

New CMS Rules for Inpatient Rehabilitation

Posted on May 13, 2019 by admin

Well, it’s a start. New Medicare rules kicked in starting January 1, 2019 that are aimed at focusing less provider time on paperwork and more on patient care in inpatient rehabilitation facilities. Any change that reduces paperwork in this overregulated area is welcome, but the actual impac...

CMS Proposes Rule to Ease Compliance Requirements

Posted on October 22, 2018 by admin

Last month, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule designed to, in CMS’s words, “relieve burden on healthcare providers by removing unnecessary, obsolete or excessively burdensome Medicare compliance requirements for healthcare facilities”. CMS esti...

OIG Opinion on Donation of Telehealth Equipment

Posted on September 5, 2018 by admin

A recent Advisory Opinion (Advisory Opinion 18-03) from the Office of Inspector General (OIG) of the Department of Health and Human Services addresses potential kickback issues involved in the donation of telehealth equipment. The OIG has issued opinions addressing technology donation in the pa...

Hospital Program for Free Support Services for Caregivers – Approved by OIG

Posted on August 30, 2018 by admin

A recent Office of Inspector General (OIG) advisory opinion approved a proposal under which a hospital has established a caregiver center that provides or arranges for free or reduced-cost support services to caregivers in the local community (Arrangement). The OIG, basing its opinion on the fa...

Ruder Ware Health Care and Compliance Attorney Receives Top Award

Posted on August 28, 2018October 30, 2025 by admin

Ruder Ware health care and compliance attorney John Fisher has received top recognition from JDSupra, a leading national legal blogging platform and resource site. Mr. Fisher received the 2018 Reader’s Choice Award from JDSupra in two separate categories, Health Care and Compliance. Mr. Fishe...

Non-Economic Damage Limitation Upheld by the Wisconsin Supreme Court

Posted on July 11, 2018 by admin

The Wisconsin Supreme Court has issued a ruling in the case of Mayo v. Wisconsin Injured Patients and Families Compensation Fund. The Supreme Court’s decision, which was handed down on June 27, 2018, overturned a lower court decision that found the non-economic damage cap to be unconstitution...

Can an ACO Violate the Antitrust Laws?

Posted on June 21, 2018 by admin

This may not be obvious to people who do not keep track of the Federal Trade Commission (FTC)/Department of Justice antitrust enforcement policy, but an enforcement action has never been published involving an Accountable Care Organization (ACO) that participates in Managed Security Service Provi...

DOJ Focuses Antitrust Enforcement on Health Care Industry

Posted on June 5, 2018 by admin

As health care attorneys we are often called upon to consider the antitrust implications in a variety of contracts and transactions. For example, the establishment of clinically integrated health care networks requires consideration of potential price fixing and exclusionary issues. The antit...

When is a Referral Mandate for Employed Physicians Permitted under the Stark Law?

Posted on June 4, 2018 by admin

When Employed Physicians be Required to Make Referrals for Designated Health Services The Stark Law Regulations include a provision that dictates the conditions under which an employer of a physician may mandate referrals for designated health services. Certain specific conditions must be met i...

Complying with Michigan’s New Controlled Substance Laws – The Bona-Fide Prescriber-Patient Relationship Requirement

Posted on May 29, 2018 by admin

The state of Michigan has enacted a number of separate pieces of legislation to address the opioid epidemic. Most of these laws are directed at controlling the prescribing relationship between a physician and a patient. Generally, Michigan requires a controlled substance license to prescribe co...

Posted on May 25, 2018 by admin

Complying with Michigan’s New Controlled Substance Laws – The Bona-Fide Prescriber-Patient Relationship Requirement The state of Michigan has enacted a number of separate pieces of legislation to address the opioid epidemic. Most of these laws are directed at controlling the prescribing rel...

Treatment Center Pleads Guilty to Anti-kickback Statute Violations Involving Alcohol and Drug Addiction Treatment Centers

Posted on May 24, 2018 by admin

The Department of Justice (DOJ) recently announced the guilty plea of two individual alcohol and substance abuse treatment center owners for their participation in what the DOJ labeled a “multi-million dollar health care fraud and money laundering scheme.” The two individuals owned a licens...

Treatment Center Plead Guilty to Anti-kickback Statute Violations Involving Alcohol and Drug Addiction Treatment Centers

Posted on May 22, 2018 by admin

Substance Abuse Treatment Center Fraud Scheme Results in Guilty Plea The Department of Justice recently announced the guilty plea of two individual alcohol and substance abuse treatment center owners for their participation in what DOJ labeled a “multi-million dollar health care fraud and money...

Investment Interest in Radiation Therapy Anti-kickback Statute Settlement

Posted on May 20, 2018 by admin

Radiation Therapy Referral Kickback Arrangements with Investors. A national operator of radiation therapy centers, has agreed to settle a False Claims Act action alleging that it submitted claims violated the Anti‑Kickback Statute by paying of $11.5 million and entering into a 5 year Corporate ...

Fraud Allegation for Unnecessary Breast Cancer Index (BCI)Testing

Posted on May 18, 2018 by admin

Unnecessary Breast Cancer Testing Fraud Settlement A company will pay around $2 million to settle allegations of making false claims to Medicare for Breast Cancer Index (BCI) tests that were alleged to be not reasonable and necessary for the diagnosis and treatment of breast cancer. The governmen...

Recent Fraud Settlements Illustrate Current Compliance Risk Areas

Posted on May 17, 2018 by admin

One of the reasons compliance officers and health care attorneys read fraud settlements is to identify issues the government is focused on. The cases the government decides to pursue are very indicative of the areas of fraud enforcement they feel are important. These are not the only issues t...

Unnecessary Inpatient Admissions Results in Hospital DOJ Settlement

Posted on May 17, 2018 by admin

Unnecessary Inpatient Admissions – Hospital Fraud Settlement. An $18 million settlement was agreed by a hospital chain after allegations that claims were submitted to Medicare for patients who were admitted to an inpatient facility when they allegedly could have been treated on a less costly ou...

Whistleblower Settlements Increase Compliance Risk for Providers

Posted on May 16, 2018 by admin

Recent Fraud Settlements Emphasize Risk of Whisttleblowers One of the reasons why compliance officers and health care attorneys read fraud settlements is to identify the issues that the government is focused on. The cases that the government decides to pursue are very indicative of the areas of...

Physicians Health Lawyers

Tag: 2016 Work Plan

Coronavirus Checklist for Nursing Homes and Hospitals

DOJs New Evaluation of Corporate Compliance Programs – The Essence of Compliance

New CMS Rules for Inpatient Rehabilitation

CMS Proposes Rule to Ease Compliance Requirements

OIG Opinion on Donation of Telehealth Equipment

Hospital Program for Free Support Services for Caregivers – Approved by OIG

Ruder Ware Health Care and Compliance Attorney Receives Top Award

Non-Economic Damage Limitation Upheld by the Wisconsin Supreme Court

Can an ACO Violate the Antitrust Laws?

DOJ Focuses Antitrust Enforcement on Health Care Industry

When is a Referral Mandate for Employed Physicians Permitted under the Stark Law?

Complying with Michigan’s New Controlled Substance Laws – The Bona-Fide Prescriber-Patient Relationship Requirement

Treatment Center Pleads Guilty to Anti-kickback Statute Violations Involving Alcohol and Drug Addiction Treatment Centers

Treatment Center Plead Guilty to Anti-kickback Statute Violations Involving Alcohol and Drug Addiction Treatment Centers

Investment Interest in Radiation Therapy Anti-kickback Statute Settlement

Fraud Allegation for Unnecessary Breast Cancer Index (BCI)Testing

Recent Fraud Settlements Illustrate Current Compliance Risk Areas

Unnecessary Inpatient Admissions Results in Hospital DOJ Settlement

Whistleblower Settlements Increase Compliance Risk for Providers