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Summer is here and the HEAT is on! The government’s Health Care Fraud Prevention and Enforcement Action Team has been busy!

Bricker & Eckler LLP
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USA
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June 6 2013

Once again, May was a busy month for False Claims Act activity. We saw many settlements and enforcement actions in late April and during the month of

Ohio Supreme Court rules on workers' compensation coverage of mental health conditions

Bricker & Eckler LLP
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USA
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June 6 2013

On June 4, 2013, the Ohio Supreme Court found that mental health conditions are covered under Ohio workers' compensation law only when they are

Ignoring possible billing errors may be enough to support a "reverse" false claims lawsuit

Bricker & Eckler LLP
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USA
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April 11 2013

On March 28, 2013, a federal trial court in Wisconsin ruled that a medical clinic's failure to further investigate findings from internal billing

CMS clarifies lithotripsy “under arrangements” contracts can continue to use per-click and percentage-based payments

Bricker & Eckler LLP
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USA
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February 19 2009

On January 22, 2009, the Centers for Medicare and Medicaid Services (“CMS”) issued Stark law Frequently Asked Question (“FAQ”) 9556, addressing Stark and lithotripsy services

Analysis of the final HIPAA Omnibus Rule: individual rights regarding restrictions and access

Bricker & Eckler LLP
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USA
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February 6 2013

This is the fifth in a series of publications analyzing the changes of the HIPAA Omnibus Rule (Final Rule) released January 17, 2013, and published

Could this be you? A tale of two employers and the Affordable Care Act

Bricker & Eckler LLP
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USA
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April 19 2013

Many of the major provisions of the Affordable Care Act become effective next year, but planning should start now to ensure compliance. Clients have

IRS issues proposed regulations applicable to employer shared responsibility regarding health coverage

Bricker & Eckler LLP
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USA
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January 29 2013

The Department of Treasury published proposed regulations on the employer shared responsibility provisions of the Affordable Care Act (ACA) on

New physician assistant Medicaid reimbursement rules address expanded scope of practice

Bricker & Eckler LLP
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USA
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April 1 2009

Senate Bill 154 took effect on May 17, 2006

The Tuomey saga continues jury rules that Tuomey violated the Stark Law and False Claims Act

Bricker & Eckler LLP
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USA
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May 10 2013

After a four-week trial watched closely by many in the health care industry, on May 8, 2013, a jury concluded that Tuomey Healthcare System in Sumter

CMS Conditions of Participation: try, try again

Bricker & Eckler LLP
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USA
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April 5 2013

On February 7, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to make revisions to the Medicare Conditions of

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