HortySpringer Health Law Expressions

Latest Episodes:

Don’t Talk With Your Thumbs! Mar 07, 2024

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CMS recently clarified that physicians can give orders via test in hospitals and critical access hospitals. But the texts have to be through a secure system, and computerized physician order entry is still preferred. Join HortySpringer attorneys Dan Mulholland and Mary Paterni as they discuss this new CMS guidance and also talk about the dangers of texting in general.

Hometown Heroes Jan 25, 2024

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On this episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar take a look at cases happening in their own backyard to show that healthcare fraud can happen anywhere.

Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.

New OIG General Compliance Program Guidance Dec 06, 2023

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The Office of Inspector General recently published its General Compliance Program Guidance. The GCPG is a reference guide for the health care compliance community and other health care stakeholders. It is chock-full of information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. While the GCPG is voluntary guidance and not binding on any individual or entity, it is an important roadmap to how the Government views the industry and how it intends to enforce the law.

Join HortySpringer partners Henry Casale and Dan Mulholland for this new podcast as they break down this new guidance and suggest what you need to do in light of it.

The Kickback Chronicles: Where Are They Now? Aug 23, 2023

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On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar look back at cases they have discussed over the last year to see where the defendants are today, what sentences they actually received, and if any old habits die hard. Listen now to this episode to see what you can learn from the misfortune of others.

Fraud Will Cost You Your Yellow Submarine Aug 03, 2023

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On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar discuss a series of fraudulent schemes that spanned the West Coast. They take a deeper dive into how “one of the nation’s busiest” physicians got caught in a scheme riddled with fraud and abuse. Listen now to see what you can learn from the misfortune of others.

Don’t Get Burnout from Your Wellness Program: The New Stark Exception and Anti-Kickback Safe Harbor for Wellness Programs Jul 19, 2023

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In the Congressional Appropriations Act passed in December 2022, Congress adopted a new Stark exception and Anti-Kickback safe harbor for wellness programs for physicians and other clinicians. Specifically, the new law provides that counseling, mental health services, suicide and substance abuse prevention programs offered by hospitals and other providers with a formal medical staff will not violate the Stark law or Anti-Kickback Statute so long as the are set out in a board-approved policy that meets five specific elements described in the statute.
Join HortySpringer Partners Henry Casale and Dan Mulholland on this new Health Law Expressions podcast episode as they explain the new law and what you should do to take advantage of it.

Fox in the Hen House a/k/a Compliance Officer Goes Rogue Jul 12, 2023

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The Kickback Chronicles, Episode 18
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar discuss what happens when a Chief Compliance Officer stops performing in accordance with his job description and instead becomes the center of a fraudulent scheme.

Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.

What You Know Will Hurt You Jun 28, 2023

Show notes

The U.S. Supreme Court recently held that in order to violate the False Claims Act, a defendant’s knowledge and subjective beliefs matter—not to what an objectively reasonable person may have known or believed. That case – U.S. ex rel Schutte v. Supervalu, Inc. – dispels the notion that defendants can skate on an FCA claims by coming up with after-the-fact justifications. Understanding this case and its implications is a must for any compliance officer or in house or external counsel in the health care field.
Join HortySpringer partners Henry Casale and Dan Mulholland as they explain this case and what it will mean for health care providers in this new podcast episode.

Testing Positive for Fraud Jun 13, 2023

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The Kickback Chronicles, Episode 17
On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar examine a pharmacogenetic testing scheme spanning several states and take a closer look at the spider web of arrangements that frauded Medicare out of $28 million.

Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.

Catch Me If You Can—Health Care Edition May 25, 2023

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The Kickback Chronicles, Episode 16
On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar examine one of their favorite archetypes: the repeat offender. They examine how a former PA already convicted for practicing without a license re-emerged years later to repeat her crimes.

Listen now to this episode of The Kickback Chronicles to see what you can learn from the misfortune of others.

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