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Akron Univ. School of Law

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Saturday, April 1, 2006

AHLA's Health Lawyers Weekly

Here's the table of contents for this week's Health Lawyers Weekly from the AHLA, a great member benefit that pulls together a lot good information from disparate sources:

  • Top Stories
    • OIG Finds $1.1 Billion In Improper Payments For Medicare Consultations 
      Medicare paid approximately $1.1 billion more than it should have in 2001 for services billed as consultations, the Department of Health and Human Services Office of Inspector General (OIG) said in a new report, “Consultations In Medicare: Coding And Reimbursement” OEI-09-02-00030.
      At least 75% of services billed as consultations and paid by Medicare during 2001 did not meet program requirements, OIG said.
    • OIG Says DME Manufacturer’s Proposed Programs With Physicians Raise Significant Anti-Kickback Concerns 
      A durable medical equipment (DME) manufacturer’s proposal to offer physician practices two programs that would involve furnishing DME and orthotics to their patients poses a significant risk of fraud and abuse and could trigger administration sanctions under the Anti-Kickback Statute, the Department of Health and Human Services Office of Inspector General (OIG) said in Advisory Opinion No. 06-02 posted March 28.
  • Articles & Analyses
    • New International Health Regulations Will Affect Global Companies And Governments
      By Linda Horton and Eleftheria Nearchou, Hogan & Hartson LLP
    • Feds Remain Aggressive in Enforcement—Don't Be Their Next Target
      By Sara Kay Wheeler and Ken Schwartz, Powell Goldstein LLP
  • Current Topics
    • Antitrust
      • FTC Issues Final Consent Order For Texas IPA Charged With Price Fixing 
      • FTC Proposes To Study Competitive Impact Of Authorized Generics 
      • Multi-State Settlement Reached With GlaxoSmithKline Regarding Anticompetitive Conduct In Distribution Of Paxil To State Purchasers 
      • FTC Staff Concludes That Hospitals’ Plan For Collective Bargaining With Insurers Over Physicians’ Fees Likely Would Violate Federal Antitrust Laws 
    • EMTALA
      • U.S. Court In Florida Refuses To Allow EMTALA Claim Against Hospital After Subsequent Criminal Act Of Plaintiff When Hospital Provided Appropriate Care 
        Food and Drug Law
      • D.C. Circuit Finds FDA Patent Decision Arbitrary And Capricious 
    • Fraud and Abuse
      • OIG Says Sanctions Possible For Home Health Agency Proposing Free Home Safety Assessments 
      • U.S. Court In Kansas Declines To Dismiss Whistleblower’s Retaliatory Discharge Claim Against Employer 
      • Update 
    • Healthcare Spending
      • House Budget Panel Passes FY 2007 Budget Resolution 
    • Hospitals and Health Systems
      • Florida Appeals Court Holds Hospital No Longer Subject To Public Records Law After Sale To Private Entity 
      • Florida Appeals Court Finds Genuine Issue Regarding Apparent Agency Of Independent Contractor Anesthesiologists 
      • Senators Question DHHS Further On Enforcement Of Specialty Hospital Moratorium 
      • Federal Circuit Upholds Removal Of Nurse For Patient Abuse 
      • Study Says Baby Boomers Will Not Be Primary Driver Of Spike In Hospital Demand 
    • Medicaid
      • OIG, CMS Officials Discuss Focus On Curbing Medicaid Fraud Before Senate Panel 
    • Medicare
      • Report Finds Most Medicare Drug Plans Restrict Access To Some Formulary Drugs 
      • U.S. Court In Maryland Upholds Finding Of Overpayment For Wheelchairs 
      • CMS Agrees To Extend Transition Period For Certain Pennsylvania Dual Eligibles 
      • GAO Concludes CMS Methodology Adequate For Estimating Medicare Payment Errors 
      • CMS Issues Final 2007 Formulary Guidance 
    • News in Brief
      • OIG Releases 2005 Red Book 
      • JCAHO Launches New Website 

© American Health Lawyers Association.  Reprinted by permission.

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