HortySpringer Health Law Expressions
Check out Health Law Expressions -- our podcast channel, in which HortySpringer attorneys give their take on cutting edge developments in health law in 20 minutes or less, and have some fun while doing so. You give us 20 minutes, we’ll give you the law.
Episodes
In this episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar discuss a case of alleged violations of the False Claims Act and Stark Law that turned into a case of retaliation.
Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
Historically, peer review was limited to the review of practitioners’ clinical care for hospital patients. However, with health care entities providing more clinical services on an outpatient basis and the increase in employed physicians by hospital affiliated entities, there has been significant interest in developing outpatient peer review processes. But, before moving forward with such a project, there are a number considerati...
It’s a new year and there have been several new developments on the fraud and abuse front. The Department of Justice has a new division that will be focusing specifically on fraud. Given the recent activities of the DOJ and the OIG, health care organizations are sure to be in the crosshairs of government scrutiny. Among other things, provider enrollment procedures are likely to tighten up and take longer. And the enforcement agenci...
HortySpringer attorneys Henry Casale and Hala Mouzaffar discuss how a Ph.D. holder took the title “Doctor” a little too far. Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar discuss how a home health agency used unlicensed foreign medical graduates to “assist” physicians in providing services. Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
All too often, a hospital’s response to peer evaluation, especially when there is negative information about the physician, is “name, rank, and serial number.” While this approach may be quick and easy, and feels like it is risk free, it may not be for the patients. The “speak no evil” approach compromises the ability of the hospital on the receiving end of the response from properly credentialing the applicant.
Join us for episode...
The Board is not just a rubber stamp. In Crash Course Credentialing, our new series on the Health Law Expressions Podcast, HortySpringer attorneys Susan Lapenta and Lauren Massucci explore how involved the Board should be in the credentialing process and the information that it should know in order to satisfy its legal obligations.
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar dive into how lavish speaking events cost a Pharmaceutical Manufacturer a whole lot more than what they bargained for.
Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
In this episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar look at how a hospice provider frauded millions out of the Medicare program by concealing their true billing intentions. Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
HortySpringer attorneys Henry Casale and Hala Mouzaffar look at how a physician was excluded from participation in all federal health care programs simply due to his position as Medical Director of a Pharmaceutical Manufacturer. Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
On this episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar look at what happens when an OIG Advisory Opinion on pharmaceutical subsidies turns into a court battle over the language of the Anti-Kickback Statute.
Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
HortySpringer attorneys Henry Casale and Hala Mouzaffar review how the “But For” test is changing the landscape of false claims cases brought in qui tam lawsuits. Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar dive into a case of alleged bribery to induce providers to prescribe a specific pharmaceutical drug that resulted in a new test for Anti-Kickback claims in the Second Circuit.
Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.
In this episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar change gears and discuss how a surgery center could have prevented disaster with its credentialing and peer review processes.
Unless you have been in a coma or hiding in the Witness Protection Program, you probably are aware that there is an election coming up in a few weeks. It is our right as Americans to vote and participate in the political process. But nonprofit organizations like hospitals and health systems that are tax exempt under Section 501(c)(3) of the Internal Revenue Code are prohibited from participating in political campaigns and may only ...
Exciting news for those in the PSO world! The United States Court of Appeals for the Eleventh Circuit issued an opinion (In re Baycare Medical Group, 101 F.4th 1287 (11th Cir. 2024)) on May 14, 2024 that expands the scope of information, known as “Patient Safety Work Product,” protected by the Patient Safety and Quality Improvement Act (“PSQIA”). The Court rejects the “sole purpose” test articulated by other courts and the Departme...
HortySpringer attorneys Henry Casale and Hala Mouzaffar take a look at three clinics in rural Alabama to see how a physician’s disregard of warnings that her clinics were committing fraud led to the fall of the clinics, the physician, and the physician’s wife.
Listen now to this episode of the The Kickback Chronicles to see what you can learn from the misfortune of others.
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar dive into the case of a seasoned professional who found himself in the middle of not one, not two, but three different fraudulent healthcare schemes. Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.
It has been a longstanding practice within Hospitals across the U.S. for medical students and other practitioners-in-training to perform pelvic and other sensitive examinations on patients, most of whom are under anesthesia, without their explicit consent. Join Hala and Mary as they discuss the growing movement to better police this practice and how, as a result of mounting public scrutiny, it has caught the attention of CMS.
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar take a look at how some not-so-routine drug testing landed two providers in hot water. Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.
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