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21 Apr 2011, 6:25 am by Todd Rodriguez
We spend a great deal of time on this blog recounting stories of physicians and other providers who have run afoul of the various federal and state abuse laws applicable to the practice of medicine. [read post]
28 Mar 2017, 6:57 am by Eric Bixler
The Centers for Medicare & Medicaid Services (“CMS”) recently introduced a new education initiative for Chronic Care Management (“CCM”) patients and providers. [read post]
14 Apr 2009, 8:04 am
The Pennsylvania Board of Nursing has published regulations implementing a 2007 law which gives nurse midwives the authority to prescribe, administer, and dispense drugs pursuant to collaborative agreement with a physician. [read post]
30 Aug 2010, 9:01 am by Todd Rodriguez
In years past, Congress was able with little fanfare to pass legislation forestalling the physician payments cuts under the Medicare Physician Fee Schedule Sustainable Growth rate (SGR) formula. [read post]
27 May 2015, 2:09 pm by Todd Rodriguez
A new provision in the Pennsylvania Health Care Facilities Act will take effect on June 1, 2015 requiring healthcare facility personnel, physicians in private practice and their employees to wear name badges while treating patients. [read post]
20 May 2009, 2:13 pm
Pennsylvania physicians need to be aware that legislation (House Bill 1405) has once again been introduced in the Pennsylvania House which would severely limit the ability of physicians to refer to entities in which they have investment interests. [read post]
11 Oct 2010, 6:09 am by Todd Rodriguez
Physicians and other Part B providers should be aware that the Office of Inspector General of the Department of Health and Human Services has released its Work Plan for Fiscal year 2011. [read post]
31 Jul 2012, 7:29 am by Todd Rodriguez
Do you have a succession plan for your medical practice? [read post]
12 Mar 2014, 11:26 am by Todd Rodriguez
Mergers and acquisitions are exceedingly common in most industries as business leaders have seen the obvious value in consolidation. [read post]
27 Aug 2009, 8:29 am by Todd Rodriguez
As reported previously on this Blog, the Centers for Medicare and Medicaid Services published the proposed Medicare Physician Fee Schedule CY 2010 on July 13, 2009 in the Federal Register. [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]
27 Aug 2012, 11:55 am by Todd Rodriguez
If you’re not sure what your managed care payers want from you, maybe you need to tell them. [read post]
27 Nov 2012, 1:16 pm by Todd Rodriguez
If you're like most physicians, you have probably given some recent thought to selling your practice or merging with one or more other groups. [read post]
12 Sep 2011, 7:33 am by Todd Rodriguez
Federal health care fraud enforcement authorities announced last week that they successfully carried out another major national health care fraud sting which they say is the largest of its kind. [read post]
26 Feb 2014, 12:36 pm by Todd Rodriguez
The recent federal antitrust case of Federal Trade Commission and State of Idaho, Plaintiffs, v. [read post]
30 Sep 2013, 7:22 am by Todd Rodriguez
In representing healthcare providers, we are frequently called upon to assist with labor and employment legal matters. [read post]
14 Aug 2018, 6:45 am by Edward J. Cyran
CMS recently issued its proposed changes to the 2019 Medicare Physician Fee Schedule, which include a controversial change to the reimbursement rates for Level 2-5 evaluation and management (E/M) services and some notable changes to the Quality Payment Program. [read post]
24 Feb 2011, 2:55 pm by Todd Rodriguez
In case you thought that you didn’t need to pay much attention to complying with the HIPAA Privacy Rule, a Notice of Final Determination issued by the Office of Civil Rights (OCR) of the Department of Health and Human Services this month should get your attention. [read post]