In January 2017, the U.S. Department of Health & Human Services (HHS) released a newsletter entitled “Understanding the Importance of Audit Controls.” Shortly after its release, HHS announced a $5.5 Million settlement, one of the largest reported settlement payments to date for violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The...Read More
Kahn, Dees, Donovan & Kahn, LLP (KDDK) has been recognized as a leading law firm in the Evansville metropolitan area for several areas of law. It was announced today that KDDK achieved Metropolitan Tier 1 rankings for Closely Held Companies and Family Businesses Law, Labor Law-Management, and Real Estate Law, and Metropolitan Tier 2 rankings...Read More
On Feb. 11, 2016, the Center for Medicare and Medicaid Services (“CMS”) issued its long-awaited final rule on the mandatory reporting and return of overpayments, commonly known as “the 60-day rule.” Medicare and Medicaid providers, suppliers and managed care contractors are to report and return any overpayments within 60 days of their identification. Retention of...Read More
The Affordable Care Act (ACA) has seen a number of challenges since its passage in 2010. In continuing this trend, the Supreme Court of the United States heard oral arguments on the latest challenge to the law at the end of March, this time from the Little Sisters of the Poor. At issue was the...Read More
On October 30, 2015, the Centers for Medicare & Medicaid Services (“CMS”) announced a new final rule for services furnished under the Medicare Physician Fee Schedule on or after January 1, 2016. Among other things, the new final rule offers several clarifications intended to help reduce the burden on healthcare providers and facilitate compliance with...Read More
Last Thursday, the United States Supreme Court voted 6-3 in favor of the defendants in the case of King v. Burwell. In that case, the petitioners argued that the words, “an exchange established by the state” in the Affordable Care Act meant that only Americans purchasing health care coverage from a State-run exchange (such as...Read More
The U.S. Department of Justice (DOJ) recently reported that federal fiscal year (FFY) 2014 was a record-breaking year for judgments and settlements in civil cases involving health care fraud and abuse, particularly qui tam whistleblower actions under the False Claims Act (FCA). In total, DOJ reported that the Federal Government recovered $5.69 billion, with nearly 40%...Read More
Beginning January 1, 2015, employers with 100 or more employees that fail to offer health insurance coverage to full-time employees or that offer health insurance coverage that is not “affordable” are subject to penalties under the Affordable Care Act. Employers that fail to offer health insurance coverage are subject to a penalty of up to...Read More
KDDK attorneys Stephen S. Lavallo and Michael G. Smith will be the featured speakers for the Indiana Occupational Therapy Association (IOTA) Southwest District’s upcoming seminar presentation: “Legal Aspects of Documentation” Steve Lavallo has more than 25 years’ experience representing businesses in the defense of worker’s compensation claims. He will discuss important aspects of record keeping for healthcare providers....Read More
