Articles and Blogs

The National Labor Relations Board has, for at least the past two years, been focusing on private employer policies that interfere with employee rights to engage in protected concerted activity for their mutual aid and protection.  Employer policies that prohibit talking about wages, hours and working conditions while at or away from work have been…Read More

It’s long been a crime or at least a misdemeanor for someone to threaten or intimidate another person.  Recently, some prosecutions for intimidation were dismissed by the courts because of the way Indiana’s intimidation statute was written.  For instance, it wasn’t clear that threats made electronically were prohibited.  Also, it wasn’t clear that intimidation covered…Read More

Originally due last Fall, the Centers for Medicare & Medicaid Services (“CMS”) has published the Quality Assessment and Performance Improvement (“QAPI”) Provider Toolkit and Provider Resources for skilled nursing facilities (“SNFs”).  These items have been published on a new CMS website dedicated to helping SNFs develop and implement a QAPI program, as required by the…Read More

Executive Summary On May 17, 2013, the Centers for Medicare and Medicaid Services (“CMS”) published Change Request 8219 (Transmittal 465) (“CR 8219”) announcing new guidance on the use of rubber stamp signatures. For medical review purposes, Medicare requires providers to authenticate services provided or ordered with a handwritten or electronic signature. Currently, CMS does not…Read More

Paul Ryan Tells Hall Render Congress “Ready” to Reform SGR, but Questions Remain On Monday, House Budget Committee Chairman and Ways and Means Committee member Paul Ryan (R-WI) told John Williams, the head of Hall Render’s federal advocacy practice area, that Congress is “ready” to permanently reform the Sustainable Growth Rate (“SGR”) formula.  “We’re ready to…Read More

Adverse Inference from Deleted Evidence Litigation happens.  When it does, and sometimes even before it does, you need to be aware that, unless you take steps to preserve discoverable or relevant evidence such as emails, memos or data banks, a jury might be instructed by the court to assume that the deleted evidence was harmful…Read More

In November 2011, the Office of Inspector General (“OIG”) initiated a study regarding the use of atypical antipsychotic drugs in nursing homes.  The findings from the study indicated these types of drugs were being overprescribed to high-risk nursing home residents suffering from dementia; were being prescribed for uses not approved by the FDA; and were…Read More

Release and Waiver of Claims Can’t Release and Waive Too Much  Employee severance agreements often grant severance benefits conditioned upon the departing employee’s signing an agreement that includes a general waiver and release of all claims.  That’s a common and prudent practice.  However, a recent complaint filed by the EEOC shows that common release and…Read More

Introduction What Is  a Scribe?  A scribe is a documentation assistant.  A scribe records, in “real time,” facts and events that occur between a patient and a physician or other practitioner1 (“Physician”) during a patient encounter.  In a hospital emergency department, the scribe accompanies the Physician to the treatment area and records in the electronic or…Read More

Hall Render Launches Stark Law Correction Initiative On May 30, Hall Render announced the formation of a coalition of health systems to pursue changes to the Stark Law.  The coalition, known as the Stark Law Correction Initiative (“SLCI”), will lobby Congress to adopt a “technical noncompliance” amendment that will fix the monetary penalty a hospital…Read More