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Krieg DeVault
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No “Privilege Against Self-Incrimination” (Fifth Amendment) for Corporate Documents in a Fraud and Abuse Investigation
In a federal grand jury investigation into illegal
physician kickbacks paid by a laboratory, Circuit Court Judge Cohen, writing
for the U.S. Court of Appeals for the Third Circuit, affirmed the U.S. District
Court for the District of New Jersey’s order of c...
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CMS Proposes Medicaid Managed Care Revisions
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OIG Issues Warning to Physicians
The United
States Department of Health and Human Services Office of Inspector General
(“OIG”) released an alert to physicians and health care organizations related
to compensation arrangements that could violate the Anti-Kickback Statute
(“AKS”).  Specifica...
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On June 4, 2015, the Centers for Medicare and
Medicaid Services (“CMS”) issued a Final Rule for the “Medicare Shared Savings
Program: Accountable Care Organizations.” The Final Rule follows the December
2014 Proposed Rule and the review of more than 270 pub...
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Changes to Advanced Practice Nurse and Physician Assistant Laws
Utilization of advanced practice nurses,
such as nurse practitioners, and physician assistants has been increasing over
the past few years.  Laws with respect to
these health care providers have also changed, both on a Federal and State
level.  On May 4 th ...
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On
May 1, 2015, the Centers for Medicare & Medicaid Services (“CMS”) released
Medicare Part D prescription drug data that individual physicians, nurse
practitioners, physician assistants, and other health care providers prescribed
in 2013. This release of d...
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Are
hospital and health system boards aware of compliance within your
organization?  On April 20 th ,
the Office of Inspector General (“OIG”) of the U.S. Department of Health and
Human Services (“HHS”), in collaboration with various healthcare and legal
com...
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On April 14, Congress passed H.R. 2 , the Medicare Access and
CHIP Reauthorization Act of 2015.  Acknowledging
the “ bipartisan achievement , ” i t was signed into law by
the President in a “Rose Garden” ceremony late in the day on April 16, 2015.
Common “d...
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On April
27, 2015 CMS released the proposed 2016 payment and policy rule for Medicare
inpatient rehabilitation facilities (“IRFs”).  Here are the key points
from the proposed rule: ·          Update
the IRF federal prospective payment rates to use updated F...
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OIG Published the 2015 Work Plan
This past week, the U.S.
Department of Health and Human Services Office of Inspector General (“OIG”)
published the Fiscal Year 2015 Work Plan (the “Work Plan”).   The Work Plan describes areas the OIG
anticipates to focus on for the upcoming year.   The Wor...
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