Health Services

Shapiro Publishes Article in Nutrition Industry Executive
December 12, 2018 | Steven Shapiro | Compliance Investigations & White Collar | Health Services
Steven Shapiro published an article in Nutrition Industry Executive, “What is Slack-fill & Why You Need to Know.” Click here to read the article. …
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UPDATE: OMIG Issues Changes to December 2018 Certification
December 7, 2018 | Ashley S. Osadon | Health Services | Compliance Investigations & White Collar
OMIG has issued updates to its certification process for applicable Medicaid and Managed Medicaid providers, which may have a significant impact on providers who are required to certify by December 31, 2018. OMIG has expanded its certification to adopt five separate categories listed on the updated Social Services Law Certification Form: (i) Annual Certification, (ii) …
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Deadline Approaches to Certify Compliance Programs
November 20, 2018 | Ashley S. Osadon | Health Services | Compliance Investigations & White Collar
The December 31 deadline for certain Medicaid providers and third-party billers to certify as to the effectiveness of their compliance program is fast approaching. New York State Medicaid providers and third-party billing companies who claim, bill, order or receive at least $500,000 in any consecutive 12-month period from the Medicaid Program or Managed Medicaid payors …
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Shapiro Published Article in Natural Products Insider
November 13, 2018 | Health Services
Steven Shapiro authored an article “Making and Using Endorsements” that was published in Natural Products Insider. The article discusses the need for brands working with celebrity or influencer endorsements to share all pertinent information with its consumers. Click here to read the article. …
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All Publicity is Good Publicity, Unless it is a HIPAA Breach
October 10, 2018 | Health Services
A recent U.S. Department of Health and Human Services, Office for Civil Rights (OCR) settlement illustrates why health care facilities must carefully consider potential privacy risks and take precautionary steps before allowing a camera crew to film on their premises. OCR settled with three Massachusetts hospitals for a total amount of $999,000 for violations of …
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Federal Government Agrees to Global $260M Settlement with Florida Hospital Chain
| Geoffrey R. Kaiser | Health Services | Compliance Investigations & White Collar
The United States recently agreed to a $260 million settlement of criminal charges and related civil claims under the False Claims Act arising from a scheme to defraud conducted by Naples, Florida-based hospital chain Health Management Associates, LLC (HMA). The Department of Justice (DOJ) announced the settlement on September 25. The settlement is evidence of …
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OMIG Audits: Failure to Provide Comments Can Prove Costly
September 19, 2018 | James P. Lagios | Margarita Christoforou | Health Services | Compliance Investigations & White Collar
Healthcare providers must not only be knowledgeable in their respective specialties, they must also understand and comply with the multitude of regulations that not only directly affect their practice of medicine, but also their payment for the services rendered. After all, “those who deal with the government are expected to know the law, and cannot …
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OIG: Telehealth Equipment Donation Presents Low Risk of Fraud and Abuse
| Geoffrey R. Kaiser | Ada Kozicz | Health Services | Compliance Investigations & White Collar
In a recent advisory opinion, the U.S. Department of Health and Human Services, Office of Inspector General (OIG) concluded that a proposed donation of telehealth equipment to a referral source presented a low risk of fraud and abuse under the federal Anti-Kickback Statute. The conclusion was premised on several factors, one of which included OIG’s …
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Shapiro Published in Vitamin Retailer
August 29, 2018 | Health Services
Steven Shapiro wrote an article published in the September 2018 issue of Vitamin Retailer entitled, “What is the story with CBD dietary supplements? Are they legal for sale in my store?” Click here to read the article. …
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CMS Proposes Expansion of Telehealth Services
August 15, 2018 | Benjamin P. Malerba | Ada Kozicz | Health Services
The Centers for Medicare and Medicaid Services (CMS) recently issued a proposed rule that revises the Medicare Physician Fee Schedule and other Medicare payment policies for telehealth services. Over the past decade, stakeholders in the health care industry have voiced their support for telehealth services, explaining how modern communication technology can promote care coordination, ensure …
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