Latest Peer review Podcast Episodes
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The Triple Crown of Fraud
HortySpringer Health Law Expressions - June 05, 2024 14:00 - 18 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar dive into the case of a seasoned professional who found himself in the middle of not one, not two, but three different fraudulent healthcare schemes. Listen now to this episode of the “Kickback Chronicles” to see wha...
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While You Were Sleeping: CMS Revises Guidelines on Informed Consent for Sensitive Examinations
HortySpringer Health Law Expressions - May 13, 2024 19:00 - 15 minutes ★★★★★ - 1 ratingIt has been a longstanding practice within Hospitals across the U.S. for medical students and other practitioners-in-training to perform pelvic and other sensitive examinations on patients, most of whom are under anesthesia, without their explicit consent. Join Hala and Mary as they discuss the ...
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Urine Trouble Too
HortySpringer Health Law Expressions - May 09, 2024 15:00 - 15 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar take a look at how some not-so-routine drug testing landed two providers in hot water. Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.
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Gun Jumping - Don’t Act Like You’re Merged Until You Are!
HortySpringer Health Law Expressions - May 01, 2024 14:00 - 7 minutes ★★★★★ - 1 ratingWhen hospitals and health systems are pursuing a merger or affiliation, there is a natural tendency to move things along quickly. While it is ok to conduct due diligence, explore potential efficiencies and plan for what might be possible if the affiliation takes place, the parties need to refrai...
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Sex, Drugs, and Rock & Roll
HortySpringer Health Law Expressions - April 18, 2024 13:00 - 17 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar turn their attention to a small town in Tennessee to look at a provider that helped exacerbate the opioid crisis in his community for fame and fortune. Listen now to this episode of the “Kickback Chronicles” to se...
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Bigger (and Broader) is Better When It Comes to Releases
HortySpringer Health Law Expressions - March 20, 2024 12:00 - 8 minutes ★★★★★ - 1 ratingTwo recent lawsuits decided by Utah courts draw attention to the importance of strong, broad release language protecting physician leaders who volunteer to participate in credentialing, peer review, and other medical staff activities. In both cases, the physicians challenging peer review activit...
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Blood From a Stone
HortySpringer Health Law Expressions - March 07, 2024 18:00 - 17 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar take their first look at for-profit hospitals to discuss a unique case involving a hospital, its investors, and an attempt to avoid repaying Medicare. Listen now to this episode of The Kickback Chronicles to see w...
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Don’t Talk With Your Thumbs!
HortySpringer Health Law Expressions - March 07, 2024 17:00 - 9 minutes ★★★★★ - 1 ratingCMS 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 t...
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Hometown Heroes
HortySpringer Health Law Expressions - January 25, 2024 17:00 - 21 minutes ★★★★★ - 1 ratingOn 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.
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New OIG General Compliance Program Guidance
HortySpringer Health Law Expressions - December 06, 2023 21:00 - 34 minutes ★★★★★ - 1 ratingThe 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, O...
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The J&J Podcast: Peer Review Week 2023
J&J Editorial Podcast - September 28, 2023 15:59 - 24 minutes ★★★★★ - 1 ratingSpecial Peer Review Week 2023 podcast with APS Associate Publications Director, Editorial and Content Development, Kara Keehan. We discuss the current bottlenecks and flaws with the current Peer Review system and the innovations and solutions currently in progress or on the horizon. Hosted on A...
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The Kickback Chronicles: Where Are They Now?
HortySpringer Health Law Expressions - August 23, 2023 19:00 - 19 minutes ★★★★★ - 1 ratingOn 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 e...
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Fraud Will Cost You Your Yellow Submarine
HortySpringer Health Law Expressions - August 03, 2023 13:00 - 25 minutes ★★★★★ - 1 ratingOn 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 a...
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Don’t Get Burnout from Your Wellness Program: The New Stark Exception and Anti-Kickback Safe Harbor for Wellness Programs
HortySpringer Health Law Expressions - July 19, 2023 13:00 - 18 minutes ★★★★★ - 1 ratingIn 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...
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Fox in the Hen House a/k/a Compliance Officer Goes Rogue
HortySpringer Health Law Expressions - July 12, 2023 13:00 - 12 minutes ★★★★★ - 1 ratingThe 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 t...
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What You Know Will Hurt You
HortySpringer Health Law Expressions - June 28, 2023 12:00 - 21 minutes ★★★★★ - 1 ratingThe 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 defend...
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Testing Positive for Fraud
HortySpringer Health Law Expressions - June 13, 2023 19:00 - 12 minutes ★★★★★ - 1 ratingThe 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 ...
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Catch Me If You Can—Health Care Edition
HortySpringer Health Law Expressions - May 25, 2023 13:00 - 16 minutes ★★★★★ - 1 ratingThe 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-emerg...
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Master of Disguise
HortySpringer Health Law Expressions - May 10, 2023 13:00 - 22 minutes ★★★★★ - 1 ratingThe Kickback Chronicles, Episode 15 On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar examine a massive scheme involving a compound pharmacy and TRICARE. They take an especially close look at the lengths this group went to after they wer...
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Friendship is in the Eye of the Beholder
HortySpringer Health Law Expressions - March 30, 2023 14:00 - 22 minutes ★★★★★ - 1 ratingThe Kickback Chronicles, Episode 14 On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar examine a scheme involving ophthalmology surgery equipment. In a scheme seemingly drenched in kickbacks, find out why the company and its owner decided...
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Rx-ploiting Medicare and Medicaid
HortySpringer Health Law Expressions - March 15, 2023 13:00 - 12 minutes ★★★★★ - 1 ratingThe Kickback Chronicles, Episode 13 On this week’s episode of The Kickback Chronicles series, HortySpringer attorneys Henry Casale and Hala Mouzaffar see how encompassing pharmaceutical fraud can be by taking a closer look at three recent cases, each involving prescriptions, each entirely uniq...
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The Kickback Chronicles, Episode 12: Urine Trouble
HortySpringer Health Law Expressions - February 07, 2023 18:00 - 12 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar look at a North Carolina Medicaid fraud scheme in which Medicaid recipients were required to submit medical unnecessary urine specimens that were billed to the North Carolina Medicaid program in order to participate ...
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Urine Trouble
HortySpringer Health Law Expressions - February 07, 2023 18:00 - 12 minutes ★★★★★ - 1 ratingThe Kickback Chronicles, Episode 12 On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar look at a North Carolina Medicaid fraud scheme in which Medicaid recipients were required to submit medical unnecessary urine specimens that were billed to the North Carolina Medi...
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The Kickback Chronicles, Episode 11 – The Pain Caused by Lying to the Feds
HortySpringer Health Law Expressions - January 26, 2023 17:00 - 11 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar review the recent sentencing of two individuals connected with over prescribing Subsys, one of the drugs at the center of the opioid crisis. Listen now to this episode of the “Kickback Chronicles” to see what you ...
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The Kickback Chronicles, Episode 11: The Pain Caused by Lying to the Feds
HortySpringer Health Law Expressions - January 26, 2023 17:00 - 11 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar review the recent sentencing of two individuals connected with over prescribing Subsys, one of the drugs at the center of the opioid crisis. Listen now to this episode of the “Kickback Chronicles” to see what you ...
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The Pain Caused by Lying to the Feds
HortySpringer Health Law Expressions - January 26, 2023 17:00 - 11 minutes ★★★★★ - 1 ratingThe Kickback Chronicles, Episode 11 On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar review the recent sentencing of two individuals connected with over prescribing Subsys, one of the drugs at the center of the opioid crisis. Listen now to this episode of the ...
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Moving to a Three-Year Appointment Period – Is Now the Time?
HortySpringer Health Law Expressions - January 04, 2023 20:00 - 22 minutes ★★★★★ - 1 ratingThe Joint Commission announced in mid-December that, effective immediately, hospitals could begin reappointing and renewing clinical privileges for practitioners every three years, rather than every two years. This is nothing new for those hospitals accredited by the DNV, but with this announce...
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The Alchemy of Fraud
HortySpringer Health Law Expressions - December 14, 2022 14:00 - 10 minutes ★★★★★ - 1 ratingThe Kickback Chronicles, Episode 10 On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar turn their focus to telemedicine fraud in the pharmaceutical industry. With help from an industry expert, they take a closer look at some common themes to look for and avoid in th...
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The Kickback Chronicles, Episode 10: The Alchemy of Fraud
HortySpringer Health Law Expressions - December 14, 2022 14:00 - 10 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar turn their focus to telemedicine fraud in the pharmaceutical industry. With help from an industry expert, they take a closer look at some common themes to look for and avoid in the pharmaceutical world. Listen now ...
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The Kickback Chronicles, Episode 10 – The Alchemy of Fraud
HortySpringer Health Law Expressions - December 14, 2022 14:00 - 10 minutes ★★★★★ - 1 ratingOn this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar turn their focus to telemedicine fraud in the pharmaceutical industry. With help from an industry expert, they take a closer look at some common themes to look for and avoid in the pharmaceutical world. Listen now ...
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