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Steptoe & Johnson PLLC: Physicians in Whistleblower Suits Need Not Exhaust Peer Review Remedies
Posted on 27 May 2014 by Steptoe & Johnson PLLC

A recent decision of the California Supreme Court removed a long-standing procedural limitation on physician suits against hospitals arising from peer review actions. In the recent decision, the California Supreme Court held that a physician need not... Read More

Steptoe & Johnson PLLC: 4th Circuit Rules CON Statute May Discriminate Against Providers
Posted on 21 Nov 2013 by Steptoe & Johnson PLLC

By Gordon H. Copland | A recent decision suggesting that the Virginia Certificate of Need (“CON”) law may be unconstitutional has widespread implications for CON laws around the country, including West Virginia and Kentucky. The surprising... Read More

Steptoe & Johnson PLLC: Make Sure Your Peer Review Program Is Ready Before You Need It
Posted on 10 Dec 2015 by Steptoe & Johnson PLLC

A 2015 decision by the West Virginia Supreme Court of Appeals highlights the importance of following procedural formalities by making it clear that a failure to apply and maintain clear distinctions in what health care providers intend to classify as... Read More

Steptoe & Johnson PLLC: False Billing Leads To Record Settlement In Medicare/Medicaid Fraud Case
Posted on 27 May 2014 by Steptoe & Johnson PLLC

The United States Attorney for the Southern District of West Virginia has announced a record $4.675 million settlement with a medical lab for false billings to Medicare and to West Virginia Medicaid. R. Booth Goodwin, of Charleston, WV, said in his press... Read More

Steptoe & Johnson PLLC: CMS Final IPPS Rule Effective Oct. 1, 2014
Posted on 23 Sep 2014 by Steptoe & Johnson PLLC

By Jami K. Suver, Of Counsel In August 2014, the Centers for Medicare and Medicaid Services (CMS) issued a final inpatient prospective payment system (IPPS) rule for fiscal year 2015, applicable to inpatient stays at general acute care and long-term... Read More

Steptoe & Johnson PLLC: Under Stark, ‘Value’ Doesn’t Mean ‘Expensive’
Posted on 1 Jul 2015 by Steptoe & Johnson PLLC

The federal Stark law prohibits physician referrals of “designated health services” payable by Medicare to entities with which the physician or an immediate family member has a financial relationship, unless the arrangement meets an exception... Read More