Health Care Law Brief

NOVEMBER 17, 2021

We turn first to an area addressed extensively in the PFS Final Rule—the amendments to the Physician Self-Referral Law (Stark Law) regulations. The Current Stark Law Prohibitions. Since its passage, the Stark Law has been amended in a series of “significant and comprehensive rulemakings.”

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MedTrainer

FEBRUARY 12, 2024

In this blog, we’ll share how healthcare organizations are managing compliance around false claims and safeguarding both the integrity of healthcare services and the welfare of patients. The Stark law is a strict liability statute, which means proof of specific intent to violate the law is not required.

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Hall Render

DECEMBER 27, 2023

Under the federal Stark Law, hospitals, physician groups, labs and other provider entities may provide non-monetary ( i.e. , non-cash or cash equivalent) compensation to physicians up to an aggregate amount of $507 for calendar year 2024. Pursuant to the Stark Law regulations at 42 C.F.R.

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Bill of Health

JANUARY 18, 2024

While summarizing the entire content of the 13 blogs comprising this symposium in any depth is not possible here, this concluding post will attempt to synthesize some of the major inputs from the contributions. Several contributions to the symposium unpack the PHE Principles’ treatment of solidarity further.

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Compliancy Group

MARCH 19, 2024

In this blog, we’ll outline the fundamentals and importance of regulatory compliance in healthcare in the U.S. Department of Health and Human Services (HHS) enforces laws relevant to patient care, healthcare delivery and billing, and workplace safety in the U.S. By comparison, the Stark Law pertains only to physicians.

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MedTrainer

NOVEMBER 14, 2023

In this blog post, we’ll explore the many reasons why healthcare compliance isn’t just important — it’s vital. Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. What Is Healthcare Compliance?

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Verisys

MARCH 23, 2023

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 As a healthcare provider, being familiar with healthcare fraud and abuse laws is important. This guide will cover three federal fraud and abuse laws that healthcare providers need to know about.

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Bill of Health

JULY 26, 2023

The disastrous effects of last summer’s historic flooding in the Sunamganj and Sylhet districts on persons with disabilities show that while the country’s laws and policies gesture toward inclusion, considerable gaps remain between policy and practice.

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YouCompli

JANUARY 4, 2022

This includes: Expanded capacity Burden Relief Provider enrollment relief Stark Law waivers HIPAA enforcement discretion Patient inducement enforcement discretion DEA waivers Expanded telehealth coverage. YouCompli sponsored MHA’s 2021 Healthcare Legal Compliance Forum in 2021.

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Hall Render

DECEMBER 6, 2022

Under the federal Stark Law, hospitals, physician groups, labs and other provider entities may provide non-monetary (i.e., Other requirements of the Stark Law exceptions for non-monetary compensation and medical staff incidental benefits also need to be met. Pursuant to the Stark Law regulations at 42 C.F.R.

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YouCompli

JANUARY 18, 2023

Sharobem said that two types of issues his team is actively investigating now are Stark Law violations and Turbocharging. He reminded the audience that Stark is strict liability and that intent isn’t considered. Good faith efforts can still help an organization in strict liability cases like Stark Law violations.

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Med Law Blog

JANUARY 13, 2022

Under the Federal Ethics in Patient Referrals Act (more commonly known as “Stark”), if a physician [1] has a financial relationship with an entity, the physician may not refer patients to the entity for medical services payable by Medicare unless the financial relationship complies with the Stark safe harbors. Please contact Ashley S.

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HIPAA & Health IT

DECEMBER 15, 2021

Although HIPAA does not provide a private right of action, the lawsuit alleges negligence, invasion of privacy, and violations of three California state laws: (1) the California Confidentiality of Medical Information Act, (2) the California Consumer Records Act, and (3) California’s Unfair Competition Law.

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MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. State healthcare compliance requirements refer to regulations, laws, and standards that individual states impose on healthcare organizations operating within their jurisdiction.

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Healthcare Law Blog

FEBRUARY 9, 2024

In response, ChristianaCare argued that Sherman himself was responsible for reporting any violations of the Anti-Kickback Statue or Stark Law to the OIG and he did not do so, instead certifying compliance with the CIA.

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MedTrainer

OCTOBER 16, 2023

Stark Law The Stark Law , primarily enforced by Centers for Medicare & Medicaid Services (CMS), deals specifically with physician referrals. In essence, it prevents providers from offering, paying, soliciting, or receiving anything of value to induce referrals or generate federal healthcare program business.

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Hall Render

AUGUST 1, 2022

The OPPS Proposed Rule also discusses quality-reporting requirements for REHs, an expedited Medicare enrollment process and REH-specific Stark Law updates. The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, established the new REH provider type. Stark Modifications. Background.

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Hall Render

SEPTEMBER 15, 2023

Among the tips shared, the authors suggest evaluating operating vs. capital lease structure and compliance with Stark and AKS regulations. The decision could provide a final resolution on questions of legality and scope of the state’s CON law. Hall Render blog posts and articles are intended for informational purposes only.

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MedTrainer

SEPTEMBER 8, 2023

Covenant Healthcare Stark Law Settlement (2023) In 2023, Covenant Healthcare System reached a settlement agreement with the Department of Justice (DOJ) to pay more than $69 million to resolve allegations that it violated Stark Law. Physician compliance.

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MedTrainer

JUNE 29, 2023

This federal law ensures individuals receive emergency medical care regardless of their ability to pay or insurance status. Stark Law prohibits physicians from referring patients for certain designated health services to entities with which they have financial relationships, to avoid conflicts of interest.

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Hall Render

AUGUST 2, 2022

In response to a 2008 request, CMS stated that it did not consider on-site CME to be “remuneration” for purposes of the federal Stark Law if “primarily for the benefit of the hospital’s patients, for example, training on the prevention of nosocomial infection.”.

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MedTrainer

JANUARY 26, 2024

In the field of healthcare, adhering to laws and regulations is of utmost importance to ensure the safety and welfare of patients. Much of this training is obligatory, as dictated by policies, laws, or regulations, and it equips employees with a comprehensive comprehension of the numerous guidelines relevant to their roles.

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MedTrainer

JANUARY 31, 2024

The FCA, along with several subsequent legislation and regulations, such as the Anti-Kickback Statute and the Stark Law , brought about the need for healthcare compliance programs. These laws require healthcare providers to establish internal controls and compliance programs to prevent fraud and abuse in the healthcare system.

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Hall Render

JUNE 6, 2022

The North Carolina Senate passed a bill that partially repeals its Certificate of Need (“CON”) law for facilities in rural areas and for certain medical specialties. Hall Render recorded a podcast on Stark and Anti-Kickback issues impacting health care real estate transactions. Listen to the full episode here.

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YouCompli

DECEMBER 14, 2022

Sharon Parsley, JD, MBA, CHC, CHRC contributes a monthly post on compliance officer effectiveness for the YouCompli blog. In healthcare, however, those same activities can potentially run afoul of federal and state laws. For most of the rest of us, we usually attempt to distill the applicable law and regulation into policies.

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MedTrainer

APRIL 8, 2024

Stark Law : Prohibits physicians from referring Medicare patients for health services to entities with which the physician or an immediate family member has a financial relationship. law of workplace standards that ensures employees are protected from hazards that compromise their safety and health.

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MedTrainer

JULY 28, 2023

Tips and Leads From Law Enforcement Agencies. The OIG collaborates with other law enforcement agencies. If the OIG has previously identified issues in an HHS program or entity, they may conduct follow-up inspections to assess corrective actions and resolution. Tips or leads from these agencies may prompt further investigation.

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Healthcare Law Blog

MAY 31, 2022

As users “exist” in the metaverse as avatars performing activities, various types of data, including some that may be deemed “personal” or “sensitive” (by law), may be generated. Healthcare Laws. As the delivery of healthcare in the metaverse grows, the impact and application of these laws is uncertain.

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YouCompli

MARCH 29, 2023

CMS Updates to beneficiary PHE waivers that matter to healthcare compliance Sharon Parsley, JD, MBA, CHC, CHRC, contributes regularly to the YouCompli blog. Blanket waivers of various provisions of the Stark Law for financial relationships and referrals directly related to the COVID-19 PHE.

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Hall Render

MAY 23, 2022

Hall Render will be hosting several webinars in June on the following topics: Stark Law Basics; Reimbursement and Physician Compensation Issues; and Trends in Physician Practice Acquisitions. Hall Render blog posts and articles are intended for informational purposes only. Sign up here today.

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Hall Render

FEBRUARY 20, 2023

This includes the Stark Law blanket waivers related to COVID-19 physician arrangements (“Waivers”) and corresponding Anti-Kickback Statute (“AKS”) flexibilities issued at the onset of the pandemic. All current waivers that have not already been extended by Congress beyond the PHE (e.g.,

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Hall Render

JUNE 29, 2022

Specifically, the proposed rule would allow a group practice to submit a single “Group Practice Information Form” that would cover all of the physicians in the practice when disclosing noncompliance with the federal physician self-referral law (“Stark Law”).

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Healthcare Law Blog

MARCH 2, 2023

Effective March 1 st , certain providers choosing to self-disclose Stark Law violations must use forms updated by the Centers for Medicare & Medicaid Services (“CMS”). See 42 U.S.C. See 42 C.F.R. 1003.140; 42 C.F.R. 401.305(f). . 411.352 it failed to satisfy. Physician Information Form – Revised.

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MedTrainer

FEBRUARY 1, 2024

A “red flag” in healthcare compliance refers to a warning sign or indicator that suggests a potential issue or violation of healthcare laws, regulations, or policies. But what is a red flag in health compliance? Comply with HIPAA regulations for patient privacy. Develop mitigation strategies for identified risks.

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MedTrainer

AUGUST 31, 2023

Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law in the United States that protects patients’ health information, and ensures its confidentiality and availability.

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Hall Render

AUGUST 10, 2023

Hall Render blog posts and articles are intended for informational purposes only. The post CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.

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Hall Render

DECEMBER 4, 2023

CMS acknowledged that requiring hospitals to use a CMS template is a more prescriptive approach and a stark departure from the current regulation. Hall Render blog posts and articles are intended for informational purposes only.

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