On February 6, 2019 Greenway Health entered into a settlement with the Department of Justice for $57.25 million related to allegations of violations of the False Claims Act and the Anti-Kickback Statute. The settlement evolved around allegations of misrepresentation of its EHR product and providing remuneration to users to induce them to recommend the product. [...]
In October of 2018 Congress enacted a new law that applies to many commercial health insurance plans, as well as Medicare and Medicaid. The law, known as the “Eliminating Kickbacks in Recovery Act of 2018”, was passed as part of the SUPPORT for Patients and Communities Act, which generally targets the national opioid crisis. Specifically, [...]
Hospitals have been strategizing around payments for years. In fact, when Medicare makes a change, often times other payors follow. A recently issues Final Rule by the government changes the strategy that most hospitals have followed for the past 20 years and further mandates hospitals to think about a different business model. The Rise of [...]
The Medicare Payment Advisory Commission (“MedPAC”) is an independent US federal body that advises the United States Congress on issues affecting the administration of the Medicare program. In early October, MedPAC met and two topics were discussed impacting nurse practitioners (“NPs”) and physician assistants (“PAs”). Specifically, MedPAC is recommending some approaches that start to blend the [...]