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News 2017-04-06T10:40:26+00:00

NEW PROCESS FOR APPEALING MEDICAID MCOS’ ADVERSE CLAIM DETERMINATIONS

House Bill 492 – New Process for Appealing Medicaid MCOs’ Adverse Claim Determinations On June 7, 2017, Louisiana House [...]

  • Chambers-USA-2017

Chambers USA 2017

Sullivan Stolier Schulze & Grubb, LLC has been ranked by Chambers USA 2017.

Biz New Orleans Press Release

Click below for Biz New Orleans Press Release Sullivan Stolier Schulze & Grubb, LLC commemorates 30 Years

  • Desiree M. Charbonnet

Sullivan Stolier, LLC to Sullivan Stolier Schulze & Grubb, LLC

FOR IMMEDIATE RELEASE NEW ORLEANS, Louisiana – April 27, 2017. This year Sullivan Stolier, LLC commemorates 30 years [...]

Welcome Imtiaz A. Siddiqui

  Imtiaz A. Siddiqui has joined Sullivan Stolier Schulze & Grubb’s New Orleans office. Imtiaz’s practice focuses on construction, [...]

Brian D. Grubb Managing Member

  Brian D. Grubb is the managing member of the firm and head of the construction and business law [...]

Sullivan Stolier Schulze & Grubb

Sullivan Stolier LLC has changed its name to Sullivan Stolier Schulze & Grubb, LLC and announces that [...]

$5.5 Million HIPAA Settlement Underscores Importance of Audit Controls

Memorial Healthcare Systems (MHS) paid the U.S. Department of Health and Human Services (HHS) $5.5 million to settle [...]

Welcome Talayeh Voosoghi

Sullivan Stolier Schulze & Grubb is pleased to announce that Talayeh Voosoghi has joined our firm as of [...]

Welcome Timothy McGibboney

We welcome Timothy McGibboney to Sullivan Stolier Schulze & Grubb LLC as a new Associate. Mr. McGibboney will [...]

Louis J. Lupin is now eligible to practice law in the State of Texas

Louis J. Lupin Mr. Lupin is a senior attorney with the law firm of Sullivan Stolier Schulze & Grubb [...]

Negligent Credentialing of Physicians: Increased Liability for Hospitals

NEGLIGENT CREDENTIALING OF PHYSICIANS: INCREASED LIABILITY EXPOSURE FOR HOSPITALS EXECUTIVE SUMMARY The Louisiana Third Circuit recently held in [...]

Are You Prepared To MOON Your Patients?

Are You Prepared To MOON Your Patients? Medical Outpatient Observation Notice (Moon) ...Coming soon to a Hospital Near [...]

Off-Campus Provider-Based Departments

Final Rules on Reimbursement for Off-Campus Provider-Based Departments By: Michael Schulze, Isabel Bonilla-Mathé On Nov. 2, 2015, Congress surprised [...]

ERISA Preemption of Claims against Managed Care Organizations

ERISA Preemption of Claims against Managed Care Organizations Based upon State Law By: Michelle K. Buford, J.D., R.H.I.A. [...]

NEGLIGENT CREDENTIALING OF PHYSICIANS

NEGLIGENT CREDENTIALING OF PHYSICIANS: INCREASED LIABILITY EXPOSURE FOR HOSPITALS EXECUTIVE SUMMARY The Louisiana Third Circuit recently held in [...]

Medicare Outpatient Observation Notice (MOON)

Medicare Outpatient Observation Notice (MOON) … Coming Soon to a Hospital Near You On April 18, 2016, the [...]

DOJ Doubles Health Care Civil Fraud Penalties

Department of Justice Doubles Health Care Civil Fraud Penalties starting August 1, 2016 By Michael R. Schulze Sullivan [...]

Desk Audits

HIPAA Desk Audits are Underway! BA Desk Audits Right Around the Corner Sullivan Stolier Schulze & Grubb LC, [...]

La. DHH Proposes New Rules to Limit Freestanding Emergency Departments

La. DHH Proposes New Rules to Limit Freestanding Emergency Departments The Louisiana Department of Health (LDH) published two [...]

Final 60-Day Rule for Reporting and Returning Overpayments

CMS Releases Final “60-Day Rule” on Overpayments Quantification Required as Part of “Identifying” and Overpayment Six years after [...]

OCR Begins Phase 2 of its HIPAA Audit Program

OCR Begins Phase 2 of its HIPAA Audit Program The U.S. Department of Health and Human Services’ Office [...]

Final 60-Day Rule for Reporting / Returning Overpayments

Final 60-Day Rule for Reporting and Returning Overpayments CMS Releases Final “60-Day Rule” on Overpayments Quantification Required as [...]

CMS to Enforce 20 hrs. per Week Therapeutic Services

CMS to Enforce 20 hrs. per Week Therapeutic Services with Weekly Billing Requirement Patients admitted to a partial [...]

Business Associates the Target of HIPAA Audits

Business Associates the Target of HIPAA Audits For the first time since HIPAA was enacted in 1996, vendors [...]

Medicare Appeals

Medicare Appeals – Limiting the Scope of Review on Redeterminations and Reconsiderations of Certain Claims CMS recently provided [...]

OIG Issues Additional Compliance Guidance Emphasizing Responsibility of Governing Boards

OIG Issues Additional Compliance Guidance Emphasizing Responsibility of Governing Boards. by Michael Schulze A Hospital’s commitment to effective [...]

Avoiding and Managing CMS Audits

Avoiding and Managing CMS Audits Byline: J. Stuart Showalter Routine internal and external auditing of Medicare claims is [...]

LHA IMPACT Law Brief

LHA IMPACT Law Brief Volume 29, No. 10 December 2014 Louisiana Department of Health and Hospitals Issues RAC [...]

Automatic Denial Authority for “Related claims” – REDUX

CMS Provides MACs, CERT, RACs, and ZPICs with Automatic Denial Authority for “Related claims” – REDUX You may [...]

OCR Begins Phase 2 of its HIPAA Audit Program

OCR Begins Phase 2 of its HIPAA Audit Program The U.S. Department of Health and Human Services’ Office [...]

LHA IMPACT Law Brief – Volume 29, No. 5 June 2014

LHA IMPACT Law Brief Volume 29, No. 5 June 2014 Hospitals and American Hospital Association Sue HHS Over [...]

Automatic Denial Authority for “Related claims”

CMS Provides MACs, CERT, RACs, and ZPICs with Automatic Denial Authority for “Related claims” Effective March 6, 2014, [...]

Sixth Circuit Dismisses Racial Discrimination Claim

Sixth Circuit Dismisses Racial Discrimination Claim by Surgeon Following Suspension of Privileges By Michael Schulze and Harry Shulman* For [...]

Physician Owned Hospitals

Physician Owned Hospitals Must File Annual Report by December 1, 2013 to Comply with Stark II by Michael Schulze [...]

The Affordable Care Act and Closing the Prescription Benefit Coverage Gap

The Affordable Care Act and Closing the Prescription Benefit Coverage Gap (“Doughnut Hole”) by: Michael R. Schulze, Under [...]

LHA IMPACT Law Brief

LHA IMPACT Law Brief Volume 28, No. 6 July 2013 Landmark Settlement Agreement for Rehabilitation Providers By Michelle [...]

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