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Recent Posts
- Stephen Siegel Presents at South Florida Health Care Summit
- Jamie Gelfman Named to Health Law Executive Council, Selected for Leadership Broward
- Frank Rainer Hosts Online Seminar on Direct Primary Care
- Department of Justice Raises Penalties for False Claim and Anti-Kickback Violations
- Mike Bittman, co-chair of Broad and Cassel’s Healthcare Practice Group, weighs in on the Amazon, JPMorgan, Berkshire healthcare partnership for Becker’s Hospital Review
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Tag Archives: providers
Beware of Excluded Individuals and Entities
By: Anne Novick Branan One of the recent enforcement trends landing practitioners in hot water is the federal government’s pursuit of those who employ Medicare or Medicaid excluded individuals or entities. Federal statutes allow the Office of Inspector General for … Continue reading
Posted in Anne Novick Branan, Fraud/Abuse
Tagged Broad and Cassel, excluded, federal healthcare programs, LEIE, Medicaid, OIG, physician, practitioner, providers
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CMS Announces New Flexibility with MACRA
By: Mike Segal It is now quite clear that the Medicare Access and CHIP Reauthorization Act, or MACRA, enacted into law in 2015, will have a telling effect on how Medicare reimburses for physician services. In April 2016, the Centers … Continue reading
Posted in Care Delivery, Mike Segal
Tagged APM, Broad and Cassel, care delivery, CHIP, CMS, Florida, health law, Health Law Practice Group, healthcare, MACRA, Medicare Access and CHIP Reauthorization Act, MPIS, physician, providers, QEP, quality
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Reminder to Health Care Providers: You Have to Disclose to Patients That You Are an Investor in the Entity To Which You Are Referring Them
By: Fred Segal Attorneys may sometimes discover that, unknown to the client, their clients may be engaging in conduct that is violative of the law. Much of the time, the client simply isn’t aware that such law exists. One of … Continue reading
Posted in Care Delivery, Fred Segal, Regulatory
Tagged Broad and Cassel, disclosure, entity, Florida, health care, health law, Health Law Practice Group, healthcare, investment interest, investor, providers, referral
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July 2016 Health Law Update Now Available
Please visit this page for the July 2016 installment of Broad and Cassel’s “Health Law Update.” Topics include Medication Therapy Management, balance billing legislation, false claims and healthcare providers and bankruptcy. If you would like to receive the “Health Law Update” … Continue reading
Posted in Practice News
Tagged balance billing, bankruptcy, Broad and Cassel, false claims, Florida, Florida health law, HB 221, Health Foru, Health Forum, health law, Health Law Practice Group, healthcare, Medication Therapy Management, providers
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Advising Buyers of Substance Abuse Businesses: Beware!
By: Heather Miller Whether you work in healthcare or are a patient in the community at large, almost everyone who has received medical care has heard of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), one of the … Continue reading
Posted in Heather Miller, Regulatory
Tagged Broad and Cassel, controlled substances, DEA, Florida, Florida health law, health law, Health Law Practice Group, healthcare, HIPAA, patient data, patient information, providers, SAMHSA, substance abuse
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Going on the Offensive with Combatting Fraud
By: Benton Curtis So often today we read press clippings from across the country on how the Department of Justice continues to crack down on health care fraud, be it in the criminal or civil arena. But this barrage of … Continue reading
Posted in Benton Curtis, Fraud/Abuse
Tagged Broad and Cassel, data analytics, DOJ, Florida, Florida health law, fraud, health care benefit programs, health care fraud, health law, Health Law Practice Group, managed care organizations, Medicare, prosecution, providers, TRICARE
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6 ways health care providers can reduce fraud, waste and abuse risks in 2016
By: Michael Bittman Health care providers such as hospitals and doctors face a variety of legal risks: malpractice, tax, and fraud, waste and abuse. Recent cases have shown that fraud, waste and abuse exposure can dwarf the risk of malpractice … Continue reading
Posted in Compliance, Fraud/Abuse, Mike Bittman
Tagged CMS, compliance, fraud, fraud and abuse, Health Law Practice Group, HHS, liability, malpractice, Medicaid, Medicare, OIG, providers, tax liability, TRICARE, waste
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CMS Steps Up Medicare Revocation Actions
By: Anne Branan The Centers for Medicare and Medicaid Services (“CMS”) published a final rule, effective February 3, 2015, that drastically expanded CMS’s ability to revoke a provider’s Medicare billing privileges (“Final Rule”). This Final Rule has proved to be … Continue reading
Posted in Anne Novick Branan, Care Delivery, Reform
Tagged audit claims, billing privileges, Broad and Cassel, CMS, final rule, Florida law, health law, Health Law Practice Group, healthcare, Medicaid, Medicare, providers, South Florida Hospital News
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First Court Opinion Interpreting ACA’s 60-Day Rule
In rejecting a hospital system’s argument that the 60-day clock under the ACA to return a known overpayment does not commence until one is precisely identified, a New York District Court ruled this week that identification, and thus the starting … Continue reading
Posted in Care Delivery, Compliance
Tagged 60 days, ACA, Broad and Cassel, FCA, Florida, health law, Health Law Practice Group, healthcare, hospitals, overpayment, providers, put on notice
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Bankruptcy Ruling Limits Ability of Payers to Terminate Provider Agreements
By: Nicolette Vilmos The current economic conditions, the challenges to financing, and changes to health care coverage have led to an increase in healthcare related bankruptcy filings. This is a trend that is likely to continue over the next few … Continue reading
Posted in Care Delivery
Tagged bankruptcy, Broad and Cassel, CCRCs, CMS, Continuing Care Retirement Communities, Florida Agency for Health Care Administration, Nicolette Vilmos, provider agreement, provider agreements, providers
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