Blog - Archive for Health Care Law News

Healthcare Professionals Beware: Genetic Testing Enforcement is On the Rise

Posted on Fraud Investigation, Health Care Law News, Medicare Reimbursement June 17, 2022 by Rachel Broughton

Genetic testing, when medically necessary, can provide physicians with important information for the diagnosis, prevention, and treatment of numerous illnesses. It has become an extremely valuable tool in many fields of medicine and can play a significant role in the overall medical care that a patient receives. In recent years, genetic testing has become heavily Read more →

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RN With Mental Health History Successfully Obtains Nursing License in Florida

Posted on Firm News, Health Care Law News June 14, 2022 by Erin Ferber

The process of attempting to obtain a nursing or other healthcare license in the State of Florida can be overwhelming, especially if you have health, discipline, or criminal history that must be disclosed.  Such information must be disclosed whether you are applying for your first nursing license directly out of nursing school or you are Read more →

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DOH Investigation Regarding Alleged Improper Balance Billing Closed With a Finding of No Probable Cause

Posted on Firm News, Health Care Law News May 13, 2022 by Erin Ferber

With the implementation of the No Surprise Act on January 1, 2022, patients, insurers, and regulatory authorities have begun taking a closer look at the billing practices of healthcare providers, especially for out-of-network providers. Due to decreasing reimbursement rates, increased oversight, and challenging hurtles to get credentialed, more providers are choosing to operate as out-of-network Read more →

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U.S. DOJ Announces $150 Million Nationwide Coordinated Law Enforcement Action to Combat COVID-19 Health Care Fraud

Posted on Fraud Investigation, Health Care Law News April 26, 2022 by Parker Eastin

On Wednesday, April 20, 2022, the U.S. Department of Justice (DOJ) announced, a nationwide coordinated law enforcement action to combat health-care-related COVID-19 fraud. Specifically, the DOJ revealed criminal charges – including health care fraud, illegal kickbacks, money laundering, wire fraud, theft of government property, making false statements, and aggravated identity theft – against 21 defendants Read more →

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Establishing Medical Necessity as DOJ Ramps-Up COVID-19 Related Enforcement

Posted on Health Care Law News, Medicare Reimbursement April 20, 2022 by Erin Ferber

The Families First Coronavirus Response Act (“FFCRA”), which was enacted in March of 2020, requires insurers to provide benefits without imposing any cost-sharing in connection with certain items and services related to the testing and treatment for COVID-19.  Curiously, the legislation is silent as to the concept that is well-known in the healthcare industry today Read more →

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