On Friday, April 17, President Barack Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015, repealing the "sustainable growth rate" formula or "SGR" which was set by Congress in 1997 to control Medicare spending by limiting annual increases...
PLDO Law Blog
Month: April 2015
Revocation of Home Health Agency’s Medicare Enrollment and Billing Privileges Upheld
The revocation of a home health agency's (HHA) Medicare enrollment and billing privileges was recently upheld by an Administrative Law Judge in the Civil Remedies Division of the Health & Human Services Departmental Appeals Board (ALJ). The ALJ determined that the...
Health Care Providers Cannot Sue States Over Low Medicaid Reimbursement Rates
On Tuesday, March 31, 2015, in a 5-4 vote, the Supreme Court of the United States ("SCOTUS") ruled in the case Armstrong v. Exceptional Child Center, Inc., that health care providers cannot sue a state to challenge low Medicaid reimbursement rates. Initially,...
SHOULD CLIENTS KNOW IF THEIR ATTORNEY USES AI? CONFIDENTIALITY AND INFORMED CONSENT CONSIDERATIONS
Once safely confined to the realm of science fiction, AI is now an undeniable reality. AI driven tools are rapidly evolving and becoming indispensable across industries, including the legal field. Attorneys now have access to AI-powered research assistants, contract...
DEVELOPING AN EFFECTIVE “AI” POLICY
Artificial Intelligence (“AI”) is now a very real part of our business ecosystem, and will play an increasing role in many companies’ continued growth. Leveraging a business's data assets and the skills of its workforce, there are numerous ways that AI can help...
TO COMPETE OR NOT TO COMPETE
Scrutiny of new and existing noncompetition and nonsolicitation provisions affecting employees and independent contractors has magnified since February 26, 2025. That Wednesday, the Federal Trade Commission (FTC) issued a directive to form a Task Force to examine...
BUSINESSES VS. THE FEDERAL GOVERNMENT: AN UPDATE ON THE ONGOING LEGAL BATTLE OVER THE CTA
The fight over the Corporate Transparency Act drags on as the Financial Crimes Enforcement Network further postpones reporting requirements. PLDO Attorney Javellys Polanco provides the latest update for businesses below: The Corporate Transparency Act, 31 U.S.C. §...
WHY BUSINESS SUCCESSION PLANNING SHOULD BE A PRIORITY IN 2025
Succession planning is a vital yet often neglected component of a comprehensive business strategy. Whether it is a start-up or a ten-year-old business, developing a succession plan is a critical step in ensuring the continuity and long-term stability of any business....