­

CMS Releases Its Stage 3 Proposed Rule Regarding Meaningful Use

On March 20th, the Centers for Medicare & Medicaid Services (CMS) issued its Stage 3 proposed rule to the Medicare and Medicaid Electronic Health Records Incentive Program.  To qualify for the Program incentives, and to avoid negative payment adjustments absent […]

New IRS Penalty Relief for Small Employer Health Insurance Premium Payment Plans

Business owners nationwide have been scrambling to find ways to adhere to the rules and regulations set forth in the Affordable Care Act (ACA),which was enactedin 2010. Of course, many of the provisions regulating small businesses and theirowners did not […]

CMS Releases New ACO Model

The Affordable Care Act (ACA) encouraged doctors, health care providers, and other medical professionals to participate in Accountable Care Organizations(ACOs), which are groups of medical professionals and healthcare providers that voluntarily unite to offer comprehensive treatment to Medicare beneficiaries.Specifically, the Medicare […]

Hospital Can’t Fire for Conduct During Peer Review

In order to provide the highest quality of care, and to ensure patient safety on the premises, hospitals throughout the country use a system of peer reviews to assess medical staff. Specifically, a group of employed medical professionals,acting as a professional review […]

Court Orders Divestiture Following Anti-Competitive Acquisition of Idaho Medical Group

The Federal Trade Commission (FTC), a government agency tasked with protecting consumers’ rights in the U.S., recently exercised its power in a case filed in Idaho, asserting that a healthcare acquisition within the state threatened competition, and pushed for the divestiture […]

$39 Million Settlement Resulting from Kickback Allegations Resulting from Physician Speaker Fees

The U.S. Department of Justice recently announced that Daiichi Sankyo Inc.,a global pharmaceutical company based in New Jersey, agreed to pay the U.S.and State Medicaid programs $39 million in a settlement agreement regardingallegations that it violated the False Claims Act […]

Patient Protection Regulations for 501(c)(3) Tax-Exempt Hospitals

Over the last several years charitable hospitals have been keeping an eye on the requirements of Code Section 501(r), which was added by the Patient Protection and Affordable Care Act.  In 2012 and 2013, the Internal Revenue Service issued proposed […]

IRS Issues Private Letter Ruling Benefitting Investor-Owned Hospitals and Other Companies that Manage Professional Practices

The Internal Revenue Service (IRS) issued a private letter ruling in December2014(PLR 201451009) that has gotten the attention of professional management companies and investor-owned hospitals that have managerial interests in captive professional corporations (PCs).

The IRS ruled that captive PCs may […]