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13 Nov 2023, 5:40 pm
These are defined as “safe harbors,” and they are legally defined defenses to any kickback charge against a physician or other health care provider. [read post]
25 Mar 2020, 10:00 am
Additionally, Congress is currently working on the third and large piece of legislation to address both the health care and economic impact of this outbreak. [read post]
25 Jun 2020, 1:04 pm
The post Federal judge upholds health care price transparency law appeared first on JURIST - News - Legal News & Commentary. [read post]
12 Nov 2014, 1:00 pm
CMS also introduced new CPT code 99490, which allows physicians to bill Medicare for chronic care management. [read post]
6 Mar 2012, 12:07 pm
And, if an overpayment is retained after the deadline, it becomes an obligation under the False Claims Act, the provider or supplier may have liability under the Civil Monetary Penalties Law, and the provider or supplier could be excluded from participation in Federal Health Care programs. [read post]
16 May 2011, 12:28 pm
It is often instructive to review the thinking of health care decision-makers as a tool to acquire insight on the direction of health care policy. [read post]
31 May 2012, 10:28 am
This is another way the Affordable Care Act rewards doctors, nurse practitioners, physician assistants, and other primary care providers who are central to our health care system. [read post]
9 Aug 2018, 8:56 am
In the FY 2015 IPPS/LTCH proposed rule (79 FR 28169) and final rule (79 FR 50146), CMS discussed and then implemented Section 2718(e) of the Public Health Service Act, which was enacted as part of the Affordable Care Act. [read post]
17 Jan 2012, 5:01 am
From Fierce Health Care: The Centers for Medicare & Medicaid Services (CMS) has been slow to respond to contractor-identified weaknesses in the system that allow for fraud, waste and abuse, according to a report by the Office of Inspector General (OIG), issued Friday. [read post]
7 May 2014, 9:00 am
Read More › Tags: Health Care Reform, Insurance, Medicare/Medicaid, Providers [read post]
4 Nov 2021, 10:52 am
Norton Rose Fulbright attorneys are continuing to review the CY 2022 OPPS/ASC payments final rule and consider its implications for health care providers. [read post]
7 Nov 2017, 9:52 am
Provider Letter No. 17-32 Provider Letter No. 17-33 Provider Letter No. 17-34 The post The Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Requirements appeared first on Garlo Ward, P.C.. [read post]
17 Sep 2018, 11:37 am
According to the fact sheet summary excerpt: This proposed rule would reform Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. [read post]
4 Nov 2019, 11:51 am
In this final rule, CMS finalizes updates to the HH QRP by adopting two new quality measures, referred to as the Transfer of Health Information to Provider-Post-Acute Care and the Transfer of Health Information to Patient-Post-Acute Care quality measures. [read post]
20 May 2015, 8:49 am
Under the Pioneer ACO Model, which was authorized by the ACA, health care organizations and providers with experience coordinating care across settings may share in Medicare savings generated if they meet quality performance standards, but they are at risk of paying a share of any losses generated. [read post]
5 Apr 2022, 6:16 am
But these new rules allow CMS to issue a variety of significant penalties against a provider. [read post]
4 Nov 2021, 2:59 pm
According to CMS, the only exempt Medicare and Medicaid providers are Religious Nonmedical Health Care Institutions (RNHCIs), Organ Procurement Organizations (OPOs), and Portable X-Ray Suppliers. [read post]
4 Apr 2011, 1:01 am
The rule sets forth 65 quality measures that fall into several key areas, such as coordination of care, patient safety, patient care experiences and preventive health, and would require ACOs to report these measures to CMS. [read post]
25 Jan 2024, 5:31 am
Health Care Provider Risks When Ordering and Billing Chelation Therapy Services (January 25, 2024): Although chelation therapy[1] has played an important role in mainstream medicine for many years,[2] it is still considered by many clinicians and regulators to fall within the category of "Complementary and Alternative Medicine. [read post]
28 Jan 2015, 10:17 am
February 18: National provider call on payment of chronic care management services under the 2015 Medicare physician fee schedule. [read post]
