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15 Apr 2010, 8:36 am by Todd Rodriguez
As if physicians didn't already have enough to worry about, it appears that many states are now contemplating expanding the scope of practice of nurse practitioners. [read post]
9 Apr 2010, 11:27 am by Todd Rodriguez
  For physicians in the process of developing physician-owned hospitals, the race is on to get those facilities up and running by December, 2010. [read post]
8 Apr 2010, 6:23 am by Todd Rodriguez
Among its many provisions, the newly signed Patient Protection and Affordable Care Act has imposed a new requirement on physicians who rely on the Stark "In-Office Ancillary Services" exception. [read post]
9 Mar 2010, 7:34 am by Todd Rodriguez
Under the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), all Medicare suppliers of the technical component of advanced imaging services have until by January 1, 2012 to become accredited by an accreditation organization designated by the Secretary of Health and Human Services . [read post]
4 Mar 2010, 10:21 am by Todd Rodriguez
On Tuesday night, President Obama signed into law the “Temporary Extension Act of 2010” - a bill extending various benefits to unemployed Americans. [read post]
2 Mar 2010, 10:47 am by Todd Rodriguez
In an effort to give Congress a few more days to pass legislation postponing the 2010 Medicare Physician Fee Schedule payment cuts, CMS has once again instructed its contractors to hold physician claims for the first 10 days of March for claims with dates of service March 1, 2010 and later. [read post]
25 Feb 2010, 7:51 am by Todd Rodriguez
In what should be welcome news for physicians, yesterday the House of Representatives quietly passed a bill which would repeal a long-standing exemption for insurance companies from federal anti-trust laws. [read post]
22 Feb 2010, 11:22 am by Todd Rodriguez
In anticipation of a much publicized bipartisan meeting with representatives of Congress, President Obama released today a comprehensive health plan which seeks to combine the House and the Senate health care bills. [read post]
22 Feb 2010, 5:49 am by Todd Rodriguez
According to an article in the Philadelphia Inquirer over the weekend, a total of 83 in the Philadelphia area have been charged in connection with an alleged scheme to stage automobile accidents and file false claims for insurance benefits. [read post]
12 Feb 2010, 5:24 am by Todd Rodriguez
Physicians, Wondering why cash is a little tighter in 2010? [read post]
29 Jan 2010, 6:44 am by Todd Rodriguez
According to a PR Newswire article today, the White House intends to significantly increase efforts to curb health care fraud and abuse. [read post]
19 Jan 2010, 8:38 am by Todd Rodriguez
In case you missed it, the Centers for Medicare and Medicaid Services (CMS) eliminated use of the evaluation and management Consultation Codes. [read post]
11 Jan 2010, 7:29 am by Todd Rodriguez
According to a Department of Justice Press Release, a Texas Hospital has agreed to pay the federal government close to a million dollars in settlement of allegations that the hospital violated the federal False Claims Act. [read post]
16 Dec 2009, 6:57 am by Todd Rodriguez
In a 2008 report, the the Congressional Budget Office estimated that the savings from tort reform would amount to only about $4 Billion over the period from 2010 to 2019. [read post]
8 Dec 2009, 7:52 am by Todd Rodriguez
The Pennsylvania Department of Health has published the amounts which may be charged by a health care facility or health care provider in Pennsylvania upon receipt of a request or subpoena for production of medical charts or records. [read post]
8 Dec 2009, 6:00 am by Todd Rodriguez
According to a recent Transmittal from the Centers for Medicare and Medicaid Services, physicians and others are using modifier -PC to designate the "professional component" of diagnostic tests. [read post]
27 Nov 2009, 6:13 am by Todd Rodriguez
According to a report issued by the Office of Management and Budget (OMB) of the White House, the Federal government made $54 billion in improper payments in 2009 from the Medicare and Medicaid programs. [read post]
17 Nov 2009, 5:44 am by Todd Rodriguez
While all eyes are on the health care reform debate, a new Senate bill would give the government improved tools for investigating and prosecuting fraud and abuse in both federal and private health insurance programs. [read post]
16 Nov 2009, 7:30 am by Todd Rodriguez
A cautionary tale for physicians who lease space or provide medical director services to hospitals. [read post]