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7 Nov 2014, 6:38 am
Last week, the Centers for Medicare and Medicaid Services (CMS) issued the final Physician Fee Schedule for Fiscal Year 2015. [read post]
3 Jan 2008, 4:00 pm
Citing the need for additional clarification of what constitutes the "office of the billing physician" under the final anti-markup regulations issued as part of the 2008 Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) issued another regulation today postponing the effective date of the anti-markup regulations until January 1, 2009. [read post]
28 Sep 2011, 7:44 am
Even after many years of working with physicians, I am still surprised by the poor record-keeping habits of private practices. [read post]
21 May 2008, 2:34 pm
It is no secret that the federal government is very interested in the connection between gifts and other remuneration from drug and device manufacturers and physician decision-making when it comes to ordering those items. [read post]
2 Dec 2009, 6:30 am
On November 24, 2009, the U.S. [read post]
15 Mar 2016, 12:51 pm
Called by some the “King of Nursing Homes” for his many low-income nursing home patients in northeast Illinois, Dr. [read post]
3 Mar 2014, 4:28 pm
There was an interesting article published on nytimes.com over the weekend (see ”New Law’s Demands on Doctors Have Many Seeking a Network“) comparing and contrastng the practice of two primary care physicians, one employed by a hospital and another still in private practice but perhaps concerned about her ability to remain there. [read post]
12 Apr 2011, 10:58 am
Although many Medicare billing rules can present challenges for physicians, the incident-to billing rules consistently confound many physicians. [read post]
30 Jun 2011, 11:10 am
On June 29, 2011, the New Jersey Senate voted to pass Senate Bill No. 2780, which would amend existing New Jersey health care facility licensure statutes to require that one-room surgical practices operating in New Jersey obtain state licensure. [read post]
30 May 2012, 8:11 am
Health care fraud and abuse enforcement activity is at an all-time high yet many physicians and other providers lack a basic understanding of the key healthcare fraud and abuse statutes that apply to them. [read post]
4 May 2016, 5:44 am
In a recent Advisory Opinion (No. 16-02), the OIG concluded that it would not seek sanctions against a state-run hospital (the “Hospital”) under the federal anti-kickback statute or the civil monetary penalty law for two arrangements under which the Hospital provides transportation aid and short-term lodging to pregnant women covered by federal health care programs. [read post]
19 Nov 2016, 8:51 am
You may have heard that a transformation of Medicare’s physician payment program is in the works. [read post]
4 Mar 2010, 10:21 am
On Tuesday night, President Obama signed into law the “Temporary Extension Act of 2010” - a bill extending various benefits to unemployed Americans. [read post]
25 Oct 2012, 11:44 am
As administrative burdens and costs associated with the practice of medicine continue to grow, many physicians are wondering out loud whether now is the time to make the leap to cash-only concierge medicine. [read post]
18 Nov 2014, 10:23 am
Despite the Department of Health and Human Services’ intent to make Medicare healthcare cost data more transparent for the healthcare consumer, according to a recent report by the U.S. [read post]
22 Dec 2013, 8:23 am
In recent months I have had a number of physician clients contact me to tell me that they have unexpectedly been dropped from one or more Medicare Advantage plans with which they have participated with no issue for, in some case, years. [read post]
31 Dec 2015, 10:22 am
Earlier this month, the Centers for Medicare and Medicaid Services released a new tool designed to give providers and consumers insight into Medicare drug spending. [read post]
26 Sep 2014, 10:55 am
As a health care attorney, I am called upon quite frequently to draft and/or review . [read post]
30 Nov 2012, 6:16 pm
The term "concierge medicine" conjures images of exclusivity, special treatment and high cost. [read post]
The Obama Prescription For Health Care Begins To Take Shape: Doctors Get Ready to Tighten Your Belts
26 Feb 2009, 5:53 am
President Obama's prescription for health reform is beginning to take shape and the early prognosis is that physicians will be on the losing end. [read post]
