On February 12, 2020, the New York State Department of Health (DOH) issued a Dear Administrator Letter clarifying DOH’s policies for hospice patients residing in adult care facilities (ACF) when those ACF Hospice Residents are no longer capable of self-administration of medications.
On February 5, 2020, the Centers for Medicare and Medicaid Services (CMS) proposed removing long-standing prohibitions and eligibility restrictions that had barred many individuals with End-Stage Renal Disease (ESRD) from participating in the Medicare Advantage program.
Spurred by physician sexual misconduct and abuse at high-profile institutions, California now requires clinics, health facilities, and “other entities” to report certain written allegations of a health care professional’s sexual misconduct to the professional’s licensing agency.
The health care industry continues to be a top priority of the Justice Department with respect to False Claims Act enforcement. In the meantime, investment in a robust compliance program may pay off in cooperation credits to mitigate a False Claims violation.
“Enforcing the False Claims Act is a top priority for the Department—not just for our office,” said Deputy Associate Attorney General Stephen Cox, the Keynote Speaker for the 2020 Advanced Forum on False Claims and Qui Tam Enforcement, hosted by the American Conference Institute. Deputy Cox reflect
The Oregon Department of Consumer and Business Services (the Department) issued a proposed bulletin on January 26 that seeks to provide guidance to drug manufacturers regarding the Department’s interpretation of what constitutes a “new prescription drug” for purposes of price reporting.
The federal government revealed in a recent report that of the $3 billion it recovered last year from companies charged with fraud and abuse, more than $2.6 billion involved the health care industry, marking the tenth consecutive year that the Department of Justice recovered more than $2 billion fro
In welcome news to most anyone who supervises, employs, credentials, or is a physician assistant, amendments to California Business and Professions Code Section 3500 et seq., effective January 1, 2020, significantly simplify the supervision requirements for PAs in California.
Natarajan addressed an important question: When may physicians who are the subject of a peer review hearing challenge the hearing officer in their cases on the ground that the hearing officer is biased?
The California Court of Appeal gave licensees of health care facilities good news by expanding the scope of the “reasonable licensee” defense when the California Department of Public Health (CDPH) issues a citation and imposes penalties.
In what is widely considered to signal intensified focus by the Federal government on Medicaid supplemental payments and related State Medicaid financing mechanisms, the CMS on November 18, 2019 proposed the Medicaid Financing and Accountability Regulation.
CMS issued an Interim Final Rule with comment period that further delays the inclusion of the US territories in the definitions of “States” and “United States” for purposes of the Medicaid Drug Rebate Program from April 1, 2020 until April 1, 2022.
