On October 9, 2019, the U.S. Department of Health and Human Services (“HHS”) released proposed changes to the physician self-referral law (the “Stark Law Proposed Rule”) and the Anti-Kickback Statute (AKS) and the Civil Monetary Penalty Law (CMPL) (the “AKS Proposed Rule”). These proposed changes to the Stark Law, the Anti-Kickback Statute, and the Civil Monetary Penalty Law contain some of the most significant changes to these laws in the last several years. Continue reading
On Monday, October 7, 2019, the Centers for Medicare & Medicaid Services (“CMS”) announced an enhancement available to nursing home residents, families and caregivers on CMS’ “Nursing Home Compare” website. By the end of the month, CMS will display a consumer alert icon next to nursing homes that have been cited on inspection reports for one or both of the following: 1) Abuse that led to harm of a resident within the past year; and 2) Abuse that could have potentially led to harm of a resident in each of the last two years.
The Nursing Home Compare website is available here.
Written By: Catherine B. Moore
When reviewing participating provider agreements with Bayou Health Plans, hospitals should keep the Louisiana Department of Health (“LDH”) requirements in mind as they carefully review proposed agreements for potential pitfalls. The following are some tips for hospitals to consider. Continue reading
Summer is traditionally a slow time for everyone, including those in law enforcement. But this summer was a little “hotter” enforcement-wise. Here are a few observations from the recent enforcement cases that have emerged this summer. Continue reading
Where the government chooses not to intervene in a whistleblower (qui tam) False Claims Act (FCA) suit, what is the statute of limitations? The federal statute governing the statute of limitations in FCA cases, 31 U.S.C. § 3731, provides that a claim must be brought by the latter of: (1) six years of the violation, i.e., the date of the false claim to the government, or (2) three years from the date that material facts “are known or reasonably should have been known by the official of the United States charged with responsibility to act in the circumstances.” Claims brought under the three-year “discovery” limitations period must be brought within 10 years after the date on which the violation is committed. Continue reading
Sen. Bill Cassidy (R-LA) and Sen. Michael Bennet (D-CO) released the latest legislation this week to address surprise medical bills. Continue reading