In light of findings from the COVID-19 outbreak at a nursing home in Kirkland, Washington, the Centers for Medicare and Medicaid Services (CMS) has announced that it will suspend all routine facility inspections and surveys...more
3/25/2020
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Eligibility ,
Enrollment ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Hospitals ,
Medicaid ,
Medicaid Expansion ,
Medicare ,
OIG ,
Regulatory Agencies ,
State and Local Government
On Monday, March 2, 2020, the United States Supreme Court granted certiorari in the consolidated cases of Texas v. California and California v. Texas, both of which address the Fifth Circuit’s decision to strike down the...more
New legislation passed in the 2019 session of the Texas Legislature, SB 1264, went into effect on January 1, 2020. The statute protects Texas residents from so-called surprise billing, where patients receive costly medical...more
1/24/2020
/ Arbitration ,
Billing Rates ,
Consumer Protection Laws ,
Employee Retirement Income Security Act (ERISA) ,
Health Care Providers ,
Health Insurance ,
Insurance Reform ,
Medical Expenses ,
Medical Reimbursement ,
New Legislation ,
Out of Network Provider ,
State and Local Government ,
State Employees ,
Surprise Medical Bills
Three cases recently wrapped up in the Northern and Southern Districts of Texas reveal an increased focus on health care fraud committed against private commercial third-party payors, as well as the tools that the Department...more
4/18/2019
/ Anti-Kickback Statute ,
Criminal Conspiracy ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Hospitals ,
Incentive Compensation ,
Interstate Commerce ,
Medicaid ,
Medicare ,
Third Party Payments ,
Travel Act