On January 11, U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra formally renewed the federal COVID-19 public health emergency (PHE) for another 90 days. The PHE, which originally went into effect on January 31, 2020, provides important flexibilities for healthcare providers and Medicare beneficiaries and waives key reporting requirements. Some important telehealth
An Insurance Fraud Year in Review
Rivkin Radler’s Michael Sirignano authored an article for the January 5 issue of the New York Law Journal entitled “An Insurance Fraud Year in Review.” The article discussed various types of healthcare fraud for which the perpetrators were sentenced in 2022.
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A Survey of OIG’s 2022 Advisory Opinions
- Discuss select Advisory Opinions from last year on a variety of topics, including use of
FTC Issues New Business Guidance for Marketers and Sellers of Health Products
On December 20, the Federal Trade Commission’s Bureau of Consumer Protection announced the issuance of Health Products Compliance Guidance. The revised Guidance updates the FTC’s 1998 guide, Dietary Supplements: An Advertising Guide For Industry, and is a must read for everyone involved in marketing, labeling, and creating and evaluating substantiation for dietary supplements and…
Medicare Telehealth Flexibilities Extended
On December 23, the U.S. Congress passed the “Consolidated Appropriations Act, 2023,” the omnibus budget bill for fiscal year 2023 (HR 2617). The bill includes several provisions relating to Medicare coverage of telehealth, including extending some of the flexibilities that became effective at the beginning of the COVID-19 pandemic.
The budget bill for…
OIG Advisory Opinion Promotes Hospital Use of NPs
The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) recently issued a favorable Advisory Opinion on a hospital arrangement in which the hospital was using its employed nurse practitioners to perform services that were traditionally performed by patients’ attending physicians. Specifically, if the attending physician elected to participate in the hospital’s…
OCR Issues Warning Bulletin on Website and App Tracking Technologies
On December 1, the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) issued a Bulletin entitled ”Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates“ that addresses the responsibilities of HIPAA covered entities and business associates (“regulated entities”) when using online tracking technologies. Regulated entities need…
New Legislation Protects New Yorkers with Medical Debt
New York Governor Kathy Hochul recently signed legislation designed to prevent New York hospitals and medical providers from employing certain collection practices against patients with medical debt. This protection became effective immediately upon the Governor’s signing.
The legislation prohibits providers and hospitals from previous collection practices of garnishing up to 10% of a patient’s paycheck…
Pharma Coalition Files Suit Against HHS over OIG Advisory Opinion
On November 9, the Pharmaceutical Coalition for Patient Access (PCPA) filed an action against the U.S. Department of Health and Human Services (HHS) after HHS’s Office of Inspector General (OIG) determined that a proposed patient assistance model posed more than a minimal risk of fraud, waste, and abuse under the federal Anti-Kickback Statute (AKS). PCPA…
New 2023 Minimum Wages and Minimum Salaries to Take Effect
Minimum hourly wages for many nonexempt employees and minimum salaries for exempt employees in New York, New Jersey and Connecticut are scheduled to increase in 2023. Employers should begin to make plans to ensure that their hourly wages for nonexempt employees, their minimum salaries for exempt employees and their wage hour policies and practices comply…
