Living with Billeaudeau
Update: Living with Billeaudeau By: Matthew K. Brown and Isabel Bonilla-Mathé Hospitals across the state have been grappling with [...]
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
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
Brian D. Grubb Managing Member
Brian D. Grubb is the managing member of the firm and head of the construction and business law [...]
$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 [...]