On June 12, 2020, the United States District Court for the Central District of Illinois granted a pharmacy's motion for summary judgment in a False Claims Act (FCA) qui tam lawsuit involving the pharmacy's usual and customary (U&C) pricing in the case U.S. ex. rel. Proctor v. Safeway.

Psychiatrist Tyler Byrd, DO has joined the staff at Cullman Regional Medical Group. Byrd, who will see patients at Cullman Regional Turning Point Health Center, received his undergraduate degree from Birmingham-Southern College and his medical degree from William Carey University College of Osteopathic Medicine in Hattiesburg, Mississippi.

Researchers at the Hugh Kaul Precision Medicine Institute at UAB have zeroed in on Degarelix, an FDA-approved drug for prostate cancer, as a potential therapeutic for SARS-CoV-2 by preventing the virus from entering lung tissue.

With the uncertainty and ever-changing policies and guidance related to COVID-19, healthcare providers are struggling to keep up with the recommendations while also providing care in a difficult situation.

One of the last national conferences held before COVID-19 began spreading, MGMA20: The Financial Conference shared critical information that's now more important than ever.

Peanut allergies are the second most common food allergy in children, occurring in about one in 50 kids. "There is no cure for peanut allergies other than avoidance, so families naturally have a lot of concern about accidental contact," says Weily Soong, MD, who practices with Alabama Allergy & Asthma Center.

Several years ago, the Center for Medicare and Medicaid Services released Chronic Care Management (CCM) to assist in improving the quality of chronic illness care which should result in better patient outcomes.

Over the past several months, the Office for Civil Rights ("OCR"), the entity responsible for compliance with and enforcement of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations ("HIPAA"), has issued several notices (and hosted a few webinars/conference calls) regarding HIPAA enforcement in light of the current COVID-19 pandemic.

With the spreading COVID-19 disease disrupting life, causing businesses to close temporarily, putting people out of work while most stay home, many Alabama medical practices are struggling with the challenges of managing a plunge in revenue and the need to safely care for patients.

In light of the challenges for medical practices, many carriers including BlueCross of Alabama have expanded coverage to make telehealth easier to access and are reimbursing clinics for certain types of visits.

Courts continue to be split regarding what is required to establish falsity under the False Claims Act, causing potential confusion amongst healthcare providers.

The Setting Every Community Up for Retirement Enhancement (SECURE) Act was signed by President Trump in December 2019 and became effective as of January 1, 2020.

A January 2020 decision by the District Court of Columbia has invalidated a rule regarding an individual's access to protected health information (PHI).

Approximately 30 percent of the three million people in metro Birmingham have pre-diabetes, a condition that can progress to Type 2 diabetes without treatment.

As you may know, a patient has the right to access his/her medical records pursuant to the Health Insurance Portability and Accountability Act ("HIPAA").

There is an ongoing discussion among healthcare provider associations regarding the appropriateness of the Physician Office Exemption ("POE") under the Certificate of Need ("CON") Program.

Physicians across specialties are facing mounting legal and operational risks at the same time as health systems and private equity (PE) investors are hungry to buy practices and take that risk off physicians' hands - at unprecedented valuations.

The absorption of physician practices by hospitals and health systems has soared the past decade. According to the Physicians Advocacy Institute, hospital acquisition of practices has increased 128 percent since 2012, jumping from 35,700 to 80,000 practices over five years.

Page Dunlap enjoyed owning Fowler Pharmacy in Hartselle. Her customers were her neighbors. They trusted her, and they knew that she was happy to take the time to answer any questions they might have.

The role of artificial intelligence, or machine learning, will be pivotal as the healthcare industry wrestles with a gargantuan amount of data that could improve - or muddle - health and cost priorities, according to a National Academy of Medicine Special Publication on the use of AI in healthcare.

The American Medical Association is helping physician practices integrate fundamental changes to the coding and documentation of evaluation and management (E/M) office visit services that account for nearly $23 billion in Medicare spending.

In September, the UAB School of Medicine opened the UAB Healthcare Educators Academy.