Despite some regulatory flexibilities granted to clinical laboratories during the COVID-19 crisis, there are two separate federal anti-kickback laws labs must strictly adhere to throughout this public health emergency and...more
To protect patients seeking addiction treatment, the federal government passed strict regulations limiting the disclosure of substance abuse patient records. Substance abuse treatment programs must not only comply with the...more
10/24/2022
/ CARES Act ,
Compliance ,
Custody ,
DEA ,
Drug Treatment ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare Facilities ,
Medicaid ,
Medicare ,
Mental Health ,
Patient Privacy Rights ,
Substance Abuse
An appeal brought before the Texas Supreme Court could unleash a wave of legal action by out-of-network ER physicians pursuing insurers for underpayment of claims. Unlike in-network providers who negotiate reimbursement...more
9/19/2022
/ Arbitration ,
Dispute Resolution ,
Employee Retirement Income Security Act (ERISA) ,
Employer Group Health Plans ,
Essential Functions ,
Health Care Providers ,
Insurance Code ,
Medicaid ,
Medicare ,
Out of Network Provider ,
Physicians ,
Reimbursements ,
TX Supreme Court ,
Underpayment ,
United Healthcare Insurance Co.
Investment in ambulatory surgery centers (ASCs) is soaring. Physicians, hospitals, and health systems are attracted by the high margins, significant growth potential, payer influence, and efficient patient care. Beyond...more
8/11/2022
/ Ambulatory Surgery Centers ,
Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Due Diligence ,
Investors ,
IRS ,
Medicaid ,
Ownership Interest ,
Physician Ownership ,
Physicians ,
Safe Harbors ,
Stark Law ,
Texas