On April 7, 2025, Judge Matthew Kacsmaryk of the Northern District of Texas vacated two provisions of a major 2024 CMS nurse staffing regulation requiring nursing homes to have an RN on site 24 hours a day, 7 days per week...more
On March 21, 2025, the Georgia Senate passed S.B. 68, which contains numerous provisions affecting civil lawsuits in Georgia. The provisions include limits on the amounts plaintiffs can recover for medical expenses,...more
3/28/2025
/ Attorney's Fees ,
Breach of Contract ,
Damages ,
Discovery ,
Federal Rules of Civil Procedure ,
Georgia ,
Jury Trial ,
Liability ,
Medical Expenses ,
Negligence ,
New Legislation ,
Premises Liability ,
Stays ,
Tort Reform
On September 23, 2024, DOJ announced updates to its Evaluation of Corporate Compliance Programs guidelines (Guidance). The updates are the latest in a series of updates (including in 2019, 2020, and 2023) since DOJ first...more
On July 26, 2024, CMS approved the plan of North Carolina Governor Roy Cooper and the North Carolina Department of Health and Human Services (NCDHHS) to use North Carolina’s Medicaid program to increase reimbursements to...more
On July 8, 2024, OIG updated the Frequently Asked Questions on its website, adding four new questions and answers to its General Questions Regarding Certain Fraud and Abuse Authorities...more
On May 29, 2024, CMS released its fifth annual report evaluating the Bundled Payments for Care Improvement Advanced Model (BPCI Advanced Model). The BPCI Advanced Model is designed to reduce Medicare spending and maintain or...more
Cape Cod Hospital (CCH), which is based in Hyannis, Massachusetts, has agreed to pay $24.3 million to resolve allegations that it violated the False Claims Act. CCH allegedly submitted Medicare claims for transcatheter aortic...more
On April 1, 2024, CMS released new guidance to reiterate and clarify hospital requirements for informed consent from patients with respect to medical professionals performing sensitive examinations, especially for patients...more
On February 23, 2024, CMS published a final rule updating the regulatory requirements of the Medicaid disproportionate share hospital (DSH) program in response to the Consolidated Appropriations Act (CAA) of 2021. The final...more
On February 22, 2024, DOJ issued a press release regarding its Fiscal Year (FY) 2023 statistics regarding settlements and judgments under the False Claims Act (FCA). Notably, FY 2023 represents the highest number of...more
On September 27, 2023, Judge Royce Lamberth of the United States District Court for the District of Columbia dismissed a lawsuit challenging HHS’s calculation of the standardized amount used in calculating Medicare Inpatient...more
On September 8, 2023, Members of the House Energy and Commerce Committee, the Ways and Means Committee, and the Committee on Education and the Workforce introduced a health care package titled the Lower Costs, More...more
On July 31, 2023, CMS issued its final rule updating the rates and Medicare payment policies under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for FY 2024 (the Final Rule). The Final Rule also includes...more
8/10/2023
/ Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
Consolidated Appropriations Act (CAA) ,
Final Rules ,
Inpatient Prospective Payment System (IPPS) ,
Long Term Care Facilities ,
Medicare Part A ,
Mental Health ,
Patient-Driven Payment Model (PDPM) ,
Psychological Counseling ,
Skilled Nursing Facility ,
Value-Based Purchasing
On July 13, 2023, CMS issued a proposed rule that identifies and seeks public comments on a broad array of proposed changes to the Medicare Physician Fee Schedule (PFS) and Medicare Part B payments (the Proposed Rule). If...more
On March 30, 2023, the U.S. District Court for the Northern District of Texas vacated actions taken by HHS to implement provisions of the Affordable Care Act (ACA) that require health insurance plans to include coverage for...more
On March 1, 2023, the Drug Enforcement Administration (DEA) published two proposed rules that would expressly authorize telemedicine prescribing of medications that are controlled substances, but only in circumstances that...more
On January 18, 2023, CMS issued a Quality, Safety & Oversight Group memorandum announcing its initiative to improve nursing home safety and transparency. Specifically, CMS will conduct audits to determine whether nursing...more
The House of Representatives and Senate recently passed an omnibus spending bill that funds the Federal government through Fiscal Year 2023 and contains various provisions affecting healthcare providers. Among other things,...more
12/28/2022
/ Centers for Disease Control and Prevention (CDC) ,
CLIA ,
Coronavirus/COVID-19 ,
Medicaid ,
Medicare ,
Mental Health ,
Omnibus Guidance ,
PAMA ,
Physician Fee Schedule ,
Public Health Emergency ,
Telehealth
Aveanna Healthcare, LLC, a Georgia-based home health and hospice care company, entered a consent judgment with the Massachusetts Attorney General’s Office (the AG's Office) on November 3, 2022, agreeing to pay $425,000 to...more