By Emily Cousins | October 2, 2023
"Medicare Advantage plans that submit false information to increase payments from CMS show blatant disregard for the integrity of these vital federal health care funds," Christian J. Schrank, deputy inspector general for investigations with the Office of Inspector General for the Department of Health and Human Services, said. "Such actions are an affront to the Medicare program and the millions of patients who rely on its services. Working with our law enforcement partners, our agency will continue to prioritize investigating alleged fraud that targets the Medicare Advantage program."
3 minute read
By Riley Brennan | October 2, 2023
"Nonetheless, the difficulty here—at least for present purposes—is that this case involves both a set of high-level judgments by MGB (that is, whether to require vaccinations generally, whether to permit exemptions under certain circumstances, and if so, according to what procedures) and a series of separate low-level individual judgments (that is, whether a particular employee qualified for a particular exemption)," U.S. District Chief Judge F. Dennis Saylor IV wrote.
6 minute read
By Anthony Natale III | October 2, 2023
The workers' compensation practitioner has now become a forced bedfellow of CMS, like it or not. If you fail to "issue spot" in relevant settlements, you will have problems.
8 minute read
By Vasilios J. (Bill) Kalogredis | October 2, 2023
The requestor inquired as to whether the proposed arrangement would warrant sanctions under Section 1128(b)(7) or Section 1128(a)(7) of the Social Security Act (SSA), as they relate to Section 1128B(b), the federal anti-kickback statute (AKS).
9 minute read
By Marianna Wharry | October 2, 2023
"We are so thankful for this opportunity to protect trans youth, their families, and their medical providers from this baseless and dangerous law," said Malita Picasso, staff attorney for the ACLU's LGBTQ & HIV Project. "While this fight is not over, every day that transgender Montanans are able to access this care is a critical and life-saving victory. We will never stop opposing this ban and all others like it until every transgender person has the care and support they need to thrive."
4 minute read
By Alex Anteau | September 28, 2023
What federal data tells us about trends in Georgia's district courts.
4 minute read
By Thomas Spigolon | September 28, 2023
"You draw on the expertise of the team," Rachel King, previously the chief compliance officer for Children's Healthcare of Atlanta, said of the model at Health Law Strategists.
4 minute read
By Emily Cousins | September 27, 2023
"Absent any improvement whatsoever in [my client's health], they out of the blue do an about-face and declare [she] can work based primarily ... on a doctor three time zones away who wrote a five-page report," Ian O. Smith said. "For 22 years, I've been doing my best to counter that because ... under any standard, any reasonable person would view this as wrong."
4 minute read
By Alex Anteau | September 26, 2023
"This is what happens when insurance companies force plaintiffs to try cases," plaintiff's counsel said.
5 minute read
By Allison Dunn | September 22, 2023
"Counsel, are you asserting that somehow this private information that was disclosed at a public trial regains its confidentiality after the trial is over?" Illinois Supreme Court Justice Lisa Holder White asked the plaintiff's attorney at one point.
6 minute read
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Professional Announcement
Frederick D. Miceli has joined the firm as Of Counsel
Professional Announcement
