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August 4, 2023

Health Law Weekly

Featured Articles

Best Practices for Operationalizing Risk Assessment and Identifying and Mitigating Stark and Anti-Kickback Risk

CMS Finalizes $3.1% Bump in FY 2024 Medicare Payments to Hospitals

The Nexus Between the SEC’s Final Rule and the Health Care Industry

Current Topics

Fraud and Compliance

Clinical Lab, Owner to Pay Additional $5.7 Million to Resolve FCA Judgment over Inflated Mileage Bills

Compounding Pharmacy Owner Convicted in Kickback, Money Laundering Scheme

Eleventh Circuit Backs Government’s Dismissal of Whistleblower Action

Laboratory Owners to Pay $1.9 Million and Relinquish $7 Million in Escrow to Settle False Billing Allegations

Medical Staffing Companies to Pay $475,000 to Resolve Alleged Improper Billing of Physician Services

Medicare Advantage Provider Agrees to $22 Million Settlement of Inaccurate Coding Allegations

Pain Clinic Owner, Company Plead Guilty in Fraud Scheme, Agree to Pay $4 Million Restitution

Philadelphia Pharmacies, Owners Agree to Pay $3.5 Million to Resolve FCA Allegations

Physician, Office Manager Indicted for Alleged False Billing Scheme

Government Reimbursement

CMS Unveils New Dementia Care Payment Model for Medicare

Hospices to See Estimated $780 Million Medicare Payment Boost in FY 2024 Under Final Rule

Medicare Nursing Home Payments to Increase by $1.4 Billion in FY 2024

Medicare Part D Premiums Expected to Dip in 2024, CMS Says

Health Information

Medicare Contractor Sued over Data Breach

U.S. Court in Illinois Allows Class Action Against Health System over Alleged Online Tracking Disclosures, But Trims Claims

Health Insurance

DOL Sues UnitedHealth Group Unit Alleging Improper Denial of Claims

Reproductive Health Law Hub

U.S. Court in Idaho Enjoins Application of State’s Abortion Law to Provider Out-of-State Referrals

Tax and Nonprofit

Sixth Circuit Says ACA “Shared Responsibility Payment” Gets Priority in Bankruptcy

Current Issue

Health Law Weekly Issue - August 5, 2023