AHLA

August 20, 2021

Health Law Weekly

Current Topics

Coronavirus Pandemic Hub

CMS Revises Guidance for State Medicaid Programs on Post-Pandemic Planning

CMS to Require COVID-19 Vaccinations of Nursing Home Staff

Fraud and Compliance

Blessing Hospital Agrees to $2.82 Million Settlement of Medicare and Medicaid Fraud Claims

Bristol Myers Reaches $75 Million Settlement over Allegations of Underpaid Rebates

D.C. Circuit Nixes UnitedHealth Win in Challenge to Medicare Advantage Overpayment Rule

Ninth Defendant Pleads Guilty in TRICARE Fraud Scheme

Nurse Practitioner Charged in $2.3 Million Health Care Fraud Scheme

Nursing Facility to Pay $360,000 to Settle Upcoding Allegations

OIG Confirms Medigap Plan's Use of Preferred Hospital Network

Optician Agrees to $679,000 Settlement of Medicaid Fraud Allegations

Pharmacist Charged for Selling COVID-19 Vaccine Cards Online

Physician Group Agrees to $200,000 Settlement of Medicare Overbilling Allegations

U.S. Court in Minnesota Rejects Whistleblower Action Against Boston Scientific over Implantable Defibrillators

Government Reimbursement

Bid Surety Bond Requirement Didn’t Dampen Small Supplier Participation in DME Competitive Bidding Program, GAO Reports

Health Care Finance and Transactions

Illumina Closes Acquisition of Grail Despite Ongoing Regulatory Review

Health Information

HRSA Awards $19 Million for Expanding Telehealth

Medical Staff, Credentialing, and Peer Review

California Supreme Court Rejects Physician’s Challenge Alleging Hearing Officer Financial Bias, Clarifies Whether Prospect of Future Work May Be Disqualifying

Current Issue

Health Law Weekly Issue - August 20, 2021

Featured Articles

AHLA Convener on Racial Disparities in Health Care, Part 5: Civic Engagement and Making an Impact

Enforcement and Health Care Technology: Navigating Fraud and Abuse Issues in Emerging Digital Health Care Areas

Current Topics

Coronavirus Pandemic Hub

CMS Revises Guidance for State Medicaid Programs on Post-Pandemic Planning

CMS to Require COVID-19 Vaccinations of Nursing Home Staff

Fraud and Compliance

Blessing Hospital Agrees to $2.82 Million Settlement of Medicare and Medicaid Fraud Claims

Bristol Myers Reaches $75 Million Settlement over Allegations of Underpaid Rebates

D.C. Circuit Nixes UnitedHealth Win in Challenge to Medicare Advantage Overpayment Rule

Ninth Defendant Pleads Guilty in TRICARE Fraud Scheme

Nurse Practitioner Charged in $2.3 Million Health Care Fraud Scheme

Nursing Facility to Pay $360,000 to Settle Upcoding Allegations

OIG Confirms Medigap Plan's Use of Preferred Hospital Network

Optician Agrees to $679,000 Settlement of Medicaid Fraud Allegations

Pharmacist Charged for Selling COVID-19 Vaccine Cards Online

Physician Group Agrees to $200,000 Settlement of Medicare Overbilling Allegations

U.S. Court in Minnesota Rejects Whistleblower Action Against Boston Scientific over Implantable Defibrillators

Government Reimbursement

Bid Surety Bond Requirement Didn’t Dampen Small Supplier Participation in DME Competitive Bidding Program, GAO Reports

Health Care Finance and Transactions

Illumina Closes Acquisition of Grail Despite Ongoing Regulatory Review

Health Information

HRSA Awards $19 Million for Expanding Telehealth

Medical Staff, Credentialing, and Peer Review

California Supreme Court Rejects Physician’s Challenge Alleging Hearing Officer Financial Bias, Clarifies Whether Prospect of Future Work May Be Disqualifying

Current Issue

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Featured Articles

AHLA Convener on Racial Disparities in Health Care, Part 5: Civic Engagement and Making an Impact

Enforcement and Health Care Technology: Navigating Fraud and Abuse Issues in Emerging Digital Health Care Areas

Current Topics

Coronavirus Pandemic Hub

CMS Revises Guidance for State Medicaid Programs on Post-Pandemic Planning

CMS to Require COVID-19 Vaccinations of Nursing Home Staff

Fraud and Compliance

Blessing Hospital Agrees to $2.82 Million Settlement of Medicare and Medicaid Fraud Claims

Bristol Myers Reaches $75 Million Settlement over Allegations of Underpaid Rebates

D.C. Circuit Nixes UnitedHealth Win in Challenge to Medicare Advantage Overpayment Rule

Ninth Defendant Pleads Guilty in TRICARE Fraud Scheme

Nurse Practitioner Charged in $2.3 Million Health Care Fraud Scheme

Nursing Facility to Pay $360,000 to Settle Upcoding Allegations

OIG Confirms Medigap Plan's Use of Preferred Hospital Network

Optician Agrees to $679,000 Settlement of Medicaid Fraud Allegations

Pharmacist Charged for Selling COVID-19 Vaccine Cards Online

Physician Group Agrees to $200,000 Settlement of Medicare Overbilling Allegations

U.S. Court in Minnesota Rejects Whistleblower Action Against Boston Scientific over Implantable Defibrillators

Government Reimbursement

Bid Surety Bond Requirement Didn’t Dampen Small Supplier Participation in DME Competitive Bidding Program, GAO Reports

Health Care Finance and Transactions

Illumina Closes Acquisition of Grail Despite Ongoing Regulatory Review

Health Information

HRSA Awards $19 Million for Expanding Telehealth

Medical Staff, Credentialing, and Peer Review

California Supreme Court Rejects Physician’s Challenge Alleging Hearing Officer Financial Bias, Clarifies Whether Prospect of Future Work May Be Disqualifying

Current Issue