For good reason, many companies focus their legal and compliance work on matters that require immediate attention, like active litigation and pressing regulatory issues. But matters that come to the company’s attention before...more
Due diligence properly performed in connection with the purchase and sale of a health care entity is simply different—vastly so—than due diligence performed in other contexts. Failure to recognize this reality can lead to...more
9/26/2023
/ Anti-Kickback Statute ,
Billing ,
Buyers ,
Compliance ,
Department of Health and Human Services (HHS) ,
Due Diligence ,
False Claims Act (FCA) ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Patients ,
PHI ,
Regulatory Requirements ,
Risk Management ,
Sellers ,
Sensitive Business Information ,
Sensitive Personal Information ,
Stark Law
On May 1, 2020, the Office of the National Coordinator for Health Information Technology (“ONC”) published its final rule, commonly referred to as the “Information Blocking Rule,” implementing certain provisions of the 21st...more
On April 30, 2020, CMS issued several new and revised blanket waivers for health care providers retroactively effective March 1, 2020, through the end of the emergency declaration. CMS’s authority to grant blanket waivers...more
On March 30, 2020 (retroactively effective as of March 1, 2020), CMS issued blanket – nationwide – waivers of sanctions under the Stark Law in response to the COVID-19 public health emergency.
Overview of the Law -
When...more
On March 17, 2020, TennCare published guidance regarding testing and telehealth services pertinent to healthcare providers that serve TennCare beneficiaries. Effective immediately and lasting until April 30, 2020, all of...more
Physician offices across the country are rescheduling routine care clinic visits in an effort to protect patients, healthcare providers and workforce. The government is working to remove obstacles that would interfere with...more
Summer is winding down, and Fall texted to say she is on her way. This means that Pro Te: Solutio is returning for its third edition of 2019. As always, our authors have taken the time to research and address current issues...more
10/3/2019
/ Centers for Medicare & Medicaid Services (CMS) ,
Criminal Liability ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Expert Testimony ,
Expert Witness ,
False Claims Act (FCA) ,
False Statements ,
Federal Rules of Civil Procedure ,
FRCP 26 ,
Health Care Providers ,
Health Insurance ,
Litigation Strategies ,
Medicare ,
Pharmaceutical Industry ,
RICO ,
Witness Preparation