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Health Care Law Blog

Health Care Law Blog

Comments on health care law. By Kevin S. Little P.C.

http://www.healthcarelaw-blog.com/
  • Oct 21

    Blowing the Whistle in Court

    Blowing the Whistle in Court
    The vast majority of physicians and other health care providers endeavor to provide services and bill for them in an ethical, legal manner. Trust is at the core of the federal government's provider reimbursement scheme under Medicare and…
  • Sep 30

    Michigan Bill Would Benefit Direct Primary Care Doctor

    Michigan Bill Would Benefit Direct Primary Care Doctor
    A Michigan legislator's bill, SB 1033, sponsored by Senator Patrick Colbeck, would benefit direct primary care doctors in that State, and the idea may warrant consideration in other States. The purpose of the bill is to provide physicians…
  • Sep 24

    Physician Practices: Recent Survey Reviews the Effects of Expanded Patient Acce

    Physician Practices: Recent Survey Reviews the Effects of Expanded Patient Acce
    A well-intended objective of the Affordable Care Act (ACA) is to improve patient access to doctors. Sometimes this objective is artfully stated as "better" access to care, rather than "increased" access to care, perhaps to acknowledge the…
Rank this Week: 2551

Nursing Law Blog

Nursing Law Blog

Covers health law and nursing law. By George F. Indest III, P.A.

http://nursinglawblog.wordpress.com/
Rank this Week: 2811

STEIN on Medical Malpractice

STEIN on Medical Malpractice

Discusses new court decisions, legislation, and other cutting-edge developments in medical malpractice laws across the United States. By Alex Stein, Professor of Law at the Benjamin N. Cardozo School of Law.

http://steinmedicalmalpractice.com
  • Jun 9

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit
    June 9, 2014 Libby v. The Eights Judicial District Court, --- P.3d ----, 2014 WL 2428791 (Nev. 2014) The Nevada Supreme Court recently delivered an important decision interpreting the state’s statute of limitations for medical…
  • Jun 9

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit
    June 9, 2014 Libby v. The Eights Judicial District Court, --- P.3d ----, 2014 WL 2428791 (Nev. 2014) The Nevada Supreme Court recently delivered an important decision interpreting the state’s statute of limitations for medical…
  • Jun 9

    Causation Defenses in New Jersey

    Causation Defenses in New Jersey
    June 9, 2014 Komlodi v. Picciano, --- A.3d ----, 2014 WL 2050758 (N.J. 2014)This new decision of the New Jersey Supreme Court restated the rule that denies the comparative negligence defense to doctors who negligently fail to guard…
Rank this Week: 2510

ALJ Hearings and Appeals to the…

ALJ Hearings and Appeals to the MAC

Examines the Medicare administrative appeals process and covers issues related to the appeal of ZPIC, PSC and RAC audits of Medical claims. By Lilies Parker.

http://www.aljappeal.com/
  • Jan 29

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.
    (January 30, 2013): The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (also referred to as “BIPA”), amended Section 1869 of the Social Security Act, resulting in a number of significant changes to…
  • Jan 29

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.
    (January 30, 2013): The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (also referred to as “BIPA”), amended Section 1869 of the Social Security Act, resulting in a number of significant changes to…
  • Jan 21

    Medicare Appeals Have Become More Complex Than Ever.

    Medicare Appeals Have Become More Complex Than Ever.
    (January 21, 2013):  Medicare appeals of denied claims for services are somewhat common.  In years past, both health care providers and members of their staff have represented themselves or their practice in the…
Rank this Week: 2639

Marijuana Law, Policy & Reform

Marijuana Law, Policy & Reform

Edited by Douglas A. Berman.

http://lawprofessors.typepad.com/marijuana_law/
  • Oct 23

    Oregon Senator plans to vote in favor of marijuana legalization

    Oregon Senator plans to vote in favor of marijuana legalization
    In another sign of the changing politics on marijuana legalization, Oregon Senator Jeff Merkley told TalkingPointsMemo.com that he plans to vote for the marijuana legalization ballot measure in Oregon. "I lean in support of it," the…
  • Oct 21

    How To Run A Successful Legalization Campaign

    How To Run A Successful Legalization Campaign
    Talk about perfect timing! Kenneth Leon and Ronald Weitzer's article, Legalizing Recreational Marijuana: Comparing Ballot Outcomes in Four States, is available through the Social Science Research Network. Here's the abstract: Medical…
  • Oct 21

    Dynamic Colorado debate over suggestion of near complete ban on marijuana edible

    Dynamic Colorado debate over suggestion of near complete ban on marijuana edible
    This new Denver Post article, headlined "Proposed Colorado marijuana edibles ban shows lingering pot discord," documents the enduring challenges and debates over the best regulatory frameworks for states which have moved away from…
Rank this Week: 3417

The Medicare Compliance Blog

The Medicare Compliance Blog

Covers Medicare secondary payer compliance, Medicare set-asides, mandatory insurer reporting, recovery resolutions, conditional payment notification, Medicare risk assessment, self-administration support issues, Medicare impact on long-term care. By Gould & Lamb.

http://themedicarecomplianceblog.com/
  • Oct 6

    Humana v. Farmers – Medicare Advantage Plans at Issue

    Humana v. Farmers – Medicare Advantage Plans at Issue
    A recent federal court decision from Texas gives a Medicare Advantage plan a potential green light to seek reimbursement under the Medicare Secondary Payer (MSP) Act. At issue in the case, Humana Insurance Company v. Farmers Texas Mutual…
  • Jul 18

    US Court of Appeals Provides Opinion on Michigan Spine and Brain Surgeons v. State Farm

    US Court of Appeals Provides Opinion on Michigan Spine and Brain Surgeons v. State Farm
    The United States Court of Appeals for the Sixth Circuit published its opinion in Michigan Spine and Brain Surgeons, PLLC v. State Farm Mutual Automobile Insurance Company on July 16, 2014. The long awaited decision addresses the…
  • Jun 5

    CMS Amends the Workers Compensation Reference Guide

    CMS Amends the Workers Compensation Reference Guide
    On May 29, 2014, the Centers for Medicare and Medicaid Services (CMS) amended the recently released Workers’ Compensation Reference Guide published in February 2014. The changes affect medical review, treating physician reports,…
Rank this Week: 3322

Psychology and Mental Health Law…

Psychology and Mental Health Law Blog

Covers health law, psychology and mental health law. By George F. Indest III, P.A.

http://mentalhealthlawblog.wordpress.com/
Rank this Week: 3035

Sidebar Blog

Sidebar Blog

Covers health care compliance and criminal defense. By Matthews Law Firm, P.A.

http://matthewspa.com/sidebar-blog
  • Sep 10

    Florida execution put on hold to accommodate Attorney General’s fundraising event

    Florida execution put on hold to accommodate Attorney General’s fundraising event
    Yes, you read that right. Here’s the story detailing how the execution of a Florida inmate has been delayed so the Attorney General can attend her re-election kick-off reception.
  • Mar 19

    When vacating convictions, which charge is the “lesser offense”?

    When vacating convictions, which charge is the “lesser offense”?
    Imagine this scenario: A defendant is convicted of both Attempted Trafficking of Oxycodone and Possession of Oxycodone. He files an appeal arguing he should not have been convicted of both due to double jeopardy. The appellate court agrees…
  • Jan 16

    Prostitution Fine Amounts Increased in Florida

    Prostitution Fine Amounts Increased in Florida
    As of January 1, 2013, the civil penalty for committing prostitution has increased to $5,000.  From 796.07 (6): A person who violates paragraph (2)(f) shall be assessed a civil penalty of $5,000 if the violation results in any judicial…
Rank this Week: 3014

Healthcare Integration Advisors

Healthcare Integration Advisors

Covers health care compliance, fraud, HIPAA, and laws. By Iseman, Cunningham, Riester & Hyde, LLP.

http://www.healthcareintegrationadvisors.com
  • May 21

    CMS Proposes to Increase Reward for Reporting Medicare Fraud to $10 Million

    CMS Proposes to Increase Reward for Reporting Medicare Fraud to $10 Million
    Posted by Laurie K. ChisolmHealth provider compliance officers may soon have another cause for busy days and sleepless nights.  CMS recently issued a proposed rule that, if finalized, would revise its little-used Medicare Incentive…
  • May 7

    Who Decides Who Visits a Hospital Patient?

    Who Decides Who Visits a Hospital Patient?
    Posted by Laurie K. ChisolmUnder federal regulations, a hospital patient has the right to determine who can visit during the hospital stay.  Hospitals may not prevent “non-traditional” family members or any others from…
  • Apr 23

    Revise Your Notice of Privacy Practices By September 23, 2013

    Revise Your Notice of Privacy Practices By September 23, 2013
    Posted by Linda TernerPatient-focused health care providers understand that privacy is important to patients.  Providing patients with an explanation of their health information privacy rights has been a standard part of provider office…
Rank this Week: 3435

Medicare-Medicaid Audit World

Medicare-Medicaid Audit World

Covers RACs, MACs, and Medicare and Medicaid court cases. By David S. Dessen of Dessen, Moses & Rossitto.

http://www.medicaremedicaidblog.com/
Rank this Week: 3110

Healthcare Neutral ADR Blog

Healthcare Neutral ADR Blog

Covers healthcare arbitration and mediation, end-of-life decisions, and medical malpractice claims. By Healthcare Neutral.

http://www.healthcareneutraladrblog.com/
  • Sep 18

    Could ObamaCare Cause Hospitals To Lose Tax Exempt Status?

    Could ObamaCare Cause Hospitals To Lose Tax Exempt Status?
           I just read an interesting post by David Whelan on The Health Care Blog. In short, he points out that on full implementation, ObamaCare will drastically reduce the number of uninsured patients seen at most tax exempt hospitals in…
  • Sep 10

    AHLA Offers Enhanced ADR Training Opportunitie

    AHLA Offers Enhanced ADR Training Opportunitie
         For many years, the American Health Lawyers Association ("AHLA") Alternative Dispute Resolution Service has offered basic (one day) training courses in arbitration and mediation. I just heard from Geoff Drucker, Manager of the ADR…
  • Sep 4

    NJ Bar Health Law Section Opens With Program On Health Reform

    NJ Bar Health Law Section Opens With Program On Health Reform
         The New Jersey State Bar Association's Health Law Section kicks off its 2012-2013 meeting year on September 11th with a program entitled: "Health Reform Is Alive And Well...Sort Of...The View From Providers And Insurers." It begins…
Rank this Week: 3587

Physician Law and Finance

Physician Law and Finance

Provides legal and financial information for Pennsylvania physicians. By Dennis Hursh.

http://physicianlaw.blogspot.com/
  • May 9

    My new book

    My new book
    It seems like I've been waiting for years, but my book, The Final Hurdle - A Physician's Guide to Negotiating a Fair Employment Agreement is finally out!
  • Nov 29

    What does a winning streak tell us?

    What does a winning streak tell us?
    Bill Miller is one of the most closely watched money managers in the industry, so it was big news when he announced his decision last week to step down as portfolio manager of Legg Mason Capital Management Value Trust (LMVTX) early next year.…
  • Sep 20

    Curve Ball

    Curve Ball
    Predicting interest rate movements correctly is hard. Predicting them for a living is harder still. But getting it wrong is nowhere near as painful as the experience of those who lose their own money based on someone's forecast.
Rank this Week: 3129

HealthReformStat

HealthReformStat

"Translates" various provisions of the 2010 Health Reform law into English. By Jennifer Stiller.

http://healthreformstat.com/whats-in-the-bills/
  • Jan 16

    Issues the Supreme Court will consider

    Issues the Supreme Court will consider
    What exactly are the issues that the Supreme Court will decide in its review of the Affordable Care Act?  The best summary I’ve found is here.
  • Jun 8

    INDEPENDENT PAYMENT ADVISORY BOARD

    INDEPENDENT PAYMENT ADVISORY BOARD
    One of the most far-reaching innovations in the PPACA is the creation of an Independent Payment Advisory Board (IPAB), which will allow changes in Medicare reimbursement rules to be fast-tracked starting in 2015.  The purpose of the IPAB is…
  • Jun 5

    Provider reimbursement – reduction in market basket update

    Provider reimbursement – reduction in market basket update
    Effective immediately, the annual market basket updates are being reduced for 15 different types of Medicare services.  The statute expressly provides, as to each of the following services that, as a result of these adjustments, a…
Rank this Week: 3593

Partial Hospitalization Program…

Partial Hospitalization Program Claims

Focuses on the health law issues and challenges faced by Community Mental Health Centers (CMHCs) around the country. By Liles Parker.

http://www.partialhospitalization.com
Rank this Week: 3655

Whitney on Health Care Fraud

Whitney on Health Care Fraud

Features analysis of recent legislation and case law impacting the successful pursuit of False Claims Act qui tam actions involving Medicare and Medicaid fraud. By Daniel W. Whitney.

http://whitneyonhealthcarefraud.blogspot.com/
  • Jul 6

    Pleading Medicare Fraud

    Pleading Medicare Fraud
    Depending on where suit is filed may determine whether the complaint is subject to dismissal for failure to comply with Fed. R. Civ. P. 9(b). Circuit courts are divided in their interpretation of the specificity requirement of Rule 9(b). See…
  • May 6

    Relief From Retaliation Against False Claims Act Whistleblower

    Relief From Retaliation Against False Claims Act Whistleblower
    People may witness Medicare or Medicaid fraud but choose to look the other way. That may be entirely understandable, but is that the most we should expect from our fellow citizens? If health care fraud becomes ever more rampant, should any…
  • Apr 19

    The Diminished Public Disclosure Defense

    The Diminished Public Disclosure Defense
    Courts have dismissed countless False Claims Act (“FCA”), 31 U.S.C. § 3729-33, lawsuits based on the “public disclosure bar.” This defense jurisdictionally barred claims that had been “publicly disclosed” under certain…
Rank this Week: 3699

ACA Review

ACA Review

Covers labor and employment, tax, employee benefits and healthcare law issues associated with the Affordable Care Act. By Balch & Bingham LLP.

http://www.acareview.com/
  • Oct 21

    Supreme Court Subsidy Review: Maybe Sooner than Expected

    Supreme Court Subsidy Review: Maybe Sooner than Expected
    Michael Carvin’s October 14 brief for prompt Supreme Court review of the www.healthcare.gov subsidy authority dispute is making news, focused on this forceful opening: In 2011, the Eleventh Circuit became the first Circuit to invalidate…
  • Oct 10

    MOOP and Reference-Based Pricing

    MOOP and Reference-Based Pricing
    With group health plan premium increases limited by market and regulatory forces, insurers and self-insurers have raised deductibles, co-insurance, co-pays and other cost-shifting provisions, subject to the ACA’s 2015 maximum…
  • Oct 2

    Final Rules for Excepted Benefit

    Final Rules for Excepted Benefit
    The Departments of Labor, Health and Human Services (HHS) and the Treasury (Departments) have jointly issued final regulations that address the treatment of dental and vision benefits and employee assistance programs (“EAP”s) as…
Rank this Week: 4160

Chicago Nursing Home Lawyers Blog

Chicago Nursing Home Lawyers Blog

Comments on nursing home legal issues. By Robert Kreisman.

http://www.chicagonursinghomelawyersblog.com/
  • Oct 8

    Resident’s Fall at Nursing Home Leads to $1.25 Million Settlement

    Resident’s Fall at Nursing Home Leads to $1.25 Million Settlement
    John Tully, 80, had a history of an unsteady gait. He was living at a nursing home owned and managed by the California Department of Veteran Affairs. Tully had fallen twice within a 10-day period and, as a result of his last fall, he…
  • Oct 1

    $13.2 Million Jury Verdict in Inadequate Staffing Case at Nursing Home

    $13.2 Million Jury Verdict in Inadequate Staffing Case at Nursing Home
    Mary Dwyer was 87 years old when she was admitted to Harbor View Heath Care Center for a short-term rehabilitation after she had surgery. During the following three months, she lost 20 pounds and developed multiple pressure sores, including a…
  • Sep 16

    Nursing Home Resident Suffers Fractures and Settles for $1.5 Million for Injurie

    Nursing Home Resident Suffers Fractures and Settles for $1.5 Million for Injurie
    Peter Piel, 62, resided at the Mirajoy Home. When a nurse’s aide attempted to transfer Piel from his bed to a shower chair, he fell, hitting his head, fracturing his left hip and injuring his right leg. He required surgery for the hip…
Rank this Week: 4219

PVW Health Care Law Blog

PVW Health Care Law Blog

Covers Health Care Reform, HIPAA compliance and practice management for health care practitioners. By Parsonage Vandenack Williams LLC.

http://www.pvwhealthcarelaw.wordpress.com/
  • Sep 24

    OCR Offers Advice in Advance of Upcoming Audit

    OCR Offers Advice in Advance of Upcoming Audit
    By M. Thomas Langan II. A senior advisor for the Office for Civil Rights (OCR) recently gave health care providers advice on how to prepare for an OCR audit.  Speaking at a HIPAA conference, the advisor said that a…
  • Sep 16

    AMA Proposes Medicare Billing Codes for End of Life Consultation

    AMA Proposes Medicare Billing Codes for End of Life Consultation
    By Mary E. Vandenack. Continued efforts by the American Medical Association (“AMA”)  are being made to get physicians paid for consultations related to end of life and advanced care discussions. The Centers of Medicare and…
  • Sep 3

    HHS Issues Temporary and Proposed Rules on Contraceptive Coverage

    HHS Issues Temporary and Proposed Rules on Contraceptive Coverage
    The Department of Health and Human Services (“HHS”) has recently issued rules to address the Supreme Court’s recent Hobby Lobby ruling. Under a temporary final rule, religious nonprofit organizations can notify the…
Rank this Week: 3844

BIZ LAW DDS

BIZ LAW DDS

Law blog for Wisconsin and Illinois dentists. By the Gauthier Law Group, LLC.

http://www.bizlawdds.com
  • Sep 5

    How to Negotiate a Dental Office Lease

    How to Negotiate a Dental Office Lease
    One of the most valuable assets of a health care practice is its location. If you do not own that location, it is extremely important that you secure the value of this key asset through a well-drafted medical office lease. … Continue…
  • May 8

    Wisconsin Senate Approves Non-Covered Services Legislation

    Wisconsin Senate Approves Non-Covered Services Legislation
    Yesterday, the Wisconsin Senate, by an overwhelming vote of 30 to 3, passed a bill that prohibits insurers from setting fees for dental and related services not covered by their policies.  This non-covered services bill was approved by…
  • Apr 18

    Wisconsin Assembly Approves Limits on Price Setting by Dental Insurer

    Wisconsin Assembly Approves Limits on Price Setting by Dental Insurer
    On Wednesday, April 17, 2013, the Wisconsin Assembly, by a vote of 89 to 8, passed a bill that prohibits insurers who provide limited-scope dental benefit policies from setting fees for dental and related services not covered by those…
Rank this Week: 4102

Dentistry Law Blog

Dentistry Law Blog

By George F. Indest III.

http://dentistrylawblog.wordpress.com/
Rank this Week: 4197

Massage Therapy Law Blog

Massage Therapy Law Blog

By George F. Indest III, P.A.

http://massagelawblog.wordpress.com/
Rank this Week: 3950

Health Information Technology and…

Health Information Technology and Privacy Blog

Provides guidance to health care providers and facilities as they move into a new electronic era of privacy and security concerns under HIPAA and the HITECH Act. By Ober Kaler.

http://www.oberhealthinformationtechnology.com/
  • May 23

    NOIs Due Soon to Apply for 2014 ACO Program

    NOIs Due Soon to Apply for 2014 ACO Program
    The Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs) established under the Affordable Care Act is about to kick-off its second year with a new round of applications for the January 1, 2014 start date. As part…
  • Jan 24

    HHS Overhaul of HIPAA: Summary of New Obligations for Covered Entities and Business Associate

    HHS Overhaul of HIPAA: Summary of New Obligations for Covered Entities and Business Associate
    On January 17, 2013, the Department of Health and Human Services (HHS) posted Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules [PDF] (the Final Rule) under the authority of the HITECH Act and the…
  • Jan 17

    New HIPAA Rule Released Today

    New HIPAA Rule Released Today
    The new HIPAA/HITECH rule in an unpublished version was released today and can be found at www.federalregister.gov/articles/2013/01/25/2013-01073/modifications-to-the-hipaa-privacy-security-enforcement-and-breach-notification-rules.…
Rank this Week: 4730

Medical and Dental Device…

Medical and Dental Device Patenting Blog

Practical information, news, and commentary on patenting medical and dental products, processes, and software. By John Rizvi.

http://www.medicaldevicepatentattorneys.com/
  • Dec 22

    Medical Device Patent News of the Week

    Medical Device Patent News of the Week
    Medical Device Patent News The latest news in medical device patents includes technological advances in cardiac care. Seimens Medical Solutions USA, Inc. has patented a new medical ultrasound pressure gradient measurement. This measurement is…
  • Dec 18

    Medical Device Patent News for November 14

    Medical Device Patent News for November 14
    The latest advancements in the medical world include devices that are focused on invasive, internal uses of technology to limit surgical trauma and improve the function of implanted instruments. These accomplishments have recently received…
  • Dec 15

    Medical Device Patent News of the Week

    Medical Device Patent News of the Week
    Medical device patents continue to show the full range research and technology are having on modern medicine. The latest patent approvals include those that affect imaging, cancer fighting therapy, treatment of life threatening aneurysms and…
Rank this Week: 4478

Health Law Blog

Health Law Blog

Covers Medicare, Medicaid, audits, compliance and identity theft. By Martin Law Firm.

http://www.jbmartinlaw.com/blogs/health-law/
  • Aug 10

    PA Supreme Court Denies State Farm’s Appeal In Chiropractors’ Delegation Case

    PA Supreme Court Denies State Farm’s Appeal In Chiropractors’ Delegation Case
    On July 30, 2012, the Pennsylvania Supreme Court denied State Farm’s petition for an appeal in the case of State Farm Mutual Automobile Insurance Company, et al. v. Robert J. Cavoto, Jr., et al. (No. 943 MAL 2011).  State Farm…
  • Jun 5

    New Electronic Signature Process for Social Security Form SSA-827

    New Electronic Signature Process for Social Security Form SSA-827
    Adults applying for disability benefits online will now “click and sign” the SSA-827 as part of the electronic application process.  Upon execution of this process, an image of the electronically signed form immediately…
  • May 30

    HIPAA Audits Have Begun

    HIPAA Audits Have Begun
    The American Recovery and Reinvestment Act of 2009, in Section 13411 of the HITECH Act, requires the Department of Health and Human Services (HHS) to provide for periodic audits to ensure covered entities and business associates are complying…
Rank this Week: 4109

Florida Collection Law Blog

Florida Collection Law Blog

Covers consumer, commercial, and medical debt collection in Florida. By Jorge M. Abril.

http://floridacollectionlaw.blogspot.com/
Rank this Week: 4652