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In this Issue
From the Chair OIG Activity Long Term Care Long Term Care Industry Still a DOL Target Pharma Durable Medical Equipment Reimbursement Provider-based Rules: Changes and Delays CMS Proposes Rule for Repaying Overpayments CMS Expands "Incident-to" Relationships Final Clinical Lab Rules Published BIPA's Impact on Administrative Appeals Process MSP Data Collection Requirements Relaxed Further EMTALA False Claims Act Circuit Court Split: What Constitutes a "Person" Under the FCA? Medical Center's Lease Payments Are Fair Market Value Court Says "No" to FCA Quality of Care Case Enforcement Tax-Exempt Business Antitrust Employment Report |
From the Chair
This issue of the Health Law Alert addresses a number of developments in the reimbursement arena. We also discuss the most recent developments relating to the federal False Claims Act, which is more and more becoming the provision of choice for federal prosecutions, not to mention the significant increase in qui tam relator cases. In this regard, we also include an article intended to provide guidance to those who find themselves subject to a federal fraud investigation. As is our custom, we provide analyses of several recent OIG advisory opinions with this issue. In addition, this issue includes an analysis of the first antitrust advisory opinion relating to clinically integrated physician networks which, perhaps, signals a new opportunity, if not simply increased flexibility, for physicians who increasingly find it difficult to "go it on their own." Finally, we include a discussion of the final ambulance restocking safe harbor, perhaps putting that most "controversial" issue to rest. We hope that you are enjoying your summer. As always, we appreciate receiving any comments or suggestions regarding this or future issues of our Health Law Alert. Sandy Teplitzky, Department Chair Copyright© 2002, Ober, Kaler, Grimes & Shriver | |