On Monday, the Department of Justice (DOJ) announced a record $15 million settlement to resolve claims that Baylor St. Lukes Medical Center, Baylor College of Medicine, and Surgical Associates of Texas were billing Medicare...more
Retail medicine has directly challenged the role of physicians as gatekeepers to prescription medications and medical procedures, and as fiduciaries to their patients.
Some providers in the current IV hydration market are...more
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.