Category: Regulatory Review

By Adrienne Dresevic, Esq. and Arturo Trafny, Esq. of The Health Law Partners, P.C.
On October 9, 2019 the Centers for Medicare & Medicaid Services (CMS), issued a Proposed Rule to Update the Physician Self-Referral (Stark) Law. On the same day, the Office of Inspector General for the Department of Health and Human Services (OIG), issued a Proposed Rule to Update the Anti-Kickback Statute and Civil Monetary Penalty Rules to update the Anti-Kickback Statute (AKS) and the Civil Monetary Penalty law (CMP) regarding beneficiary inducements.

By Adrienne Dresevic, Esq. and Carey Kalmowitz, Esq. of The Health Law Partners, P.C.
The Centers for Medicare & Medicaid Services (CMS) issued a final rule that strengthens the agency’s ability to stop fraud by barring unscrupulous providers from federal health insurance programs. This rule is unlike past rules in that it stops providers before they get paid.

By Adrienne Dresevic, Esq. and Olivia Dresevic, JD expected 2020, of The Health Law Partners, P.C.
“Surprise” or out-of-network medical bills arise when a patient receives medical care at a hospital inside their insurance network but is later hit with an enormous bill because those providing the treatment were out-of-network. Patients are generally unaware and believe they are being covered, and these situations oftentimes cannot be avoided (e.g. emergency room services).