OIG Issues New Special Fraud Alert on Physician-Owned Entities

On March 26, 2013, the Office of Inspector General (OIG) issued a new Special Fraud Alert regarding physician-owned entities. Physician ownership or investment in entities that derive revenue from selling or arranging for the sale of medical devices, supplies or equipment has been an area of OIG scrutiny for over two decades. OIG has issued a number of guidance documents … Continue reading »

The CMS Proposed Regulations for the 60-Day Refund Rule: The Good, the Bad, and the Ugly

On February 13, 2012, CMS finally issued a set of proposed regulations for compliance with the “60-Day Refund Rule”. The proposed rule is published at 77 Fed. Reg. 9179 (February 16, 2012). Buried in the 2010 Patient Protection and Affordable Care Act (PPACA)(often referred to as the “Healthcare Reform Law” or “Obama Care”) was a significant modification to the federal … Continue reading »

Washington Supreme Court Settles Long-Running Debate on Certificate of Need Regulations

The Washington State Supreme Court issued its unanimous opinion in Overlake Hospital Association v. Swedish Health Services. This ruling settles a long-running debate in the Washington medical community about how the Washington State Department of Health applies its Certificate of Need regulations when considering an application by an ambulatory surgery center for a certificate. An ambulatory surgery center may operate … Continue reading »

Washington Supreme Court Favors Physician Ownership of Physical Therapy Practices

The Washington Supreme Court recently handed down a unanimous decision in favor of the legal arguments advocated in my, amicus curie brief submitted on behalf of the American Medical Association, the Washington State Medical Association, and approximately twenty other medical societies in the Columbia Physical Therapy v. Benton Franklin Orthopedic Associates, et al case. In the case, Columbia Physical Therapy … Continue reading »

Page 2 of 212