By Allison Shelton and Beth Anne Jackson, Brown & Fortunato, P.C. On March 5, 2019, the Centers for Medicare and Medicaid Services (CMS) issued new guidance relating to “Immediate Jeopardy” (IJ) determinations. The instructions for such determinations that had been in place since 2004 in Appendix Q of the State Operations Manual were overhauled by CMS. Appendix Q guides surveyors in the determination of IJ situations, which is the most serious citation that may be...

By Elizabeth Jepson and Allison Shelton, Brown & Fortunato, P.C. The U.S. Department of Health and Human Services Office for Civil Rights (OCR) ended 2018 with a bang by announcing a total $28.7 million collected in enforcement actions and settlements with healthcare providers under the Health Insurance Portability and Accountability Act (HIPAA). The most recent settlement announced at the beginning of February (but negotiated in December 2018) was with Cottage Health, which operates four hospitals...

By Beth Anne Jackson and Elizabeth Jepson, Brown & Fortunato, P.C. On January 14, 2019, the United States Court of Appeals for the Fifth Circuit (Fifth Circuit) affirmed a federal district court in Louisiana’s dismissal of a physician’s claims that his due process rights were denied in violation of 42 U.S.C. § 1983 and the Louisiana Constitution. Although the case is from Louisiana, Texas falls within the Fifth Circuit’s jurisdiction, and the rationale behind the...

By Elizabeth Jepson and Allison Shelton, Brown & Fortunato, P.C. In 2019, the health care industry will be watching a case from the U.S. District Court for the Northern District of Texas. In Texas v. United States, Judge Reed O’Connor ruled that the Affordable Care Act (ACA) is unconstitutional and invalid. Judge O’Connor’s decision was appealed on January 3, 2019. If upheld, the decision will significantly affect the regulatory and compliance landscape as we know...