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18 Aug 2011, 6:50 am
The results of a comprehensive study published this week in the New England Journal of Medicine (NEJM) confirms that physicians’ fears of being sued for malpractice are not irrational. [read post]
3 May 2012, 5:54 am
When it comes to record-breaking Medicare fraud busts, the hits keep coming. [read post]
31 Mar 2011, 8:52 am
Several federal agencies have just issued much awaited proposed guidance regarding Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program. [read post]
12 Feb 2010, 5:24 am
Physicians, Wondering why cash is a little tighter in 2010? [read post]
9 Aug 2011, 3:20 pm
According to an announcement this week, the Centers for Medicare and Medicaid Services (CMS) has extended its 5-year Physician Group Practice (PGP) Payment Demonstration program by another two years. [read post]
18 Jul 2017, 9:50 am
Under CMS’s new Quality Payment Program, which will adjust Medicare Part B payments starting in 2019 based on data from this year, physicians and other eligible clinicians must qualify for one of two payment “tracks”, either the Merit-Based Incentive System (MIPS) or the Advanced Alternative Payment Model (Advanced APM) track. [read post]
28 Apr 2014, 6:53 am
Many physicians I speak with are still surprised to learn that the federal Stark statute imposes restrictions on income division within group practices. [read post]
30 Jun 2014, 3:29 pm
Are you and your practice ready to be rated by Medicare? [read post]
4 Mar 2015, 10:34 am
By J. [read post]
5 Jan 2016, 6:11 am
This week the Office of Inspector General (OIG) published Advisory Opinion 15-16 addressing a 501(c)(3) charitable foundation (the “Requestor”) that would seek donations from third parties (including drug manufacturers) and provide financial assistance with out-of-pocket patient expenses for outpatient prescription drugs. [read post]
30 Jul 2009, 8:38 am
Citing lingering confusion over to whom the identity theft rules apply, the FTC announced yesterday that it is delaying the Red Flags Rule compliance date for a third time. [read post]
28 May 2010, 11:57 am
Five California physicians are among the eleven individuals indicted by a federal grand jury on May 20, 2010 for Medicare fraud. [read post]
23 Apr 2009, 6:13 am
Things appear to be heating up between the lagest health system and the second largest health system in the Pittsburgh health care market. [read post]
18 Sep 2015, 8:25 am
As a follow up to our most recent post on What You Need to Know About PA’s Child Protective Services Law, you should know that the Pennsylvania Superior Court (PA’s primary appellate court) recently held that a physician may be sued for malpractice for failing to report suspected child abuse, even though there is not an express right to sue a physician for failing to report such abuse under the PA Child Protective Services Law (the “Child Abuse Law”). [read post]
6 Jan 2009, 5:24 am
So much has been said and so little done over the last ten or more years about healthcare reform that many of us have stopped listening. [read post]
27 May 2009, 6:46 am
Major Medicare fraud and false claims settlements against large providers and pharmaceutical and device companies are reported in the news on a regular basis these days. [read post]
25 Jun 2010, 7:37 am
On June 24, by a vote of 417-1, the House of Representatives passed a bill (H.R. 3962) impelmenting a six-month deferral of the automatic 21% cuts in the Medicare physician fee schedule retroactive to June 1. [read post]
24 Apr 2012, 11:25 am
If you read this blog with any regularity (or even if you read healthcare related news from time to time), you should be aware of the emphasis that federal and state enforcement authorities are placing on healthcare fraud and abuse enforcement. [read post]
12 Aug 2014, 2:53 pm
According to a final rule published by the Centers for Medicare and Medicaid Services on August 4, 2014, providers will be required to use the International Classification of Diseases, 10th Revision for diagnosis coding starting on October 1, 2015. [read post]
1 Apr 2014, 6:08 am
This past Friday, the Office of the National Coordinator for Health Information Technology, in collaboration with the HHS Office for Civil Rights and HHS Office of the General Counsel, developed a HIPAA “Security Risk Assessment Tool. [read post]
