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30 Sep 2008, 2:04 pm
For those of you who have not been watching your Stark radar screen closely, be aware that CMS recently made a number of substantial changes to the Stark self-referral regulations that may affect your practice arrangements. [read post]
2 Jul 2009, 7:42 am
On July 1, 2009 CMS released a display copy of the Proposed FY 2010 Medicare Physician Fee Schedule. [read post]
10 Nov 2010, 7:41 am
The United States Attorney’s Office for the District of Maryland has announced that St. [read post]
30 Oct 2012, 7:40 am
The Pennsylvania Insurance Department has announced that the Medical Care Availability and Reduction of Error (MCARE) Act annual assessment for calendar year 2013 will be 25% applied to the prevailing primary premium for each participating health care provider. [read post]
3 Jan 2013, 10:37 am
Now that the new year is upon us, today’s post will look at the Department of Health and Human Services’ Office of Inspector General (OIG), in particular, OIG’s priorities for 2013. [read post]
27 Feb 2013, 9:46 am
Over the last several years, hospitals have been acquiring specialty physician practices in response to a number of market forces. [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]
19 Feb 2009, 6:57 am
Now that Tom Daschle is out of the running for Secretary of HHS, there's been much buzz about who President Obama's next choice will be. [read post]
20 Nov 2018, 4:16 pm
On October 24, 2018, Congress enacted a new anti-kickback law that applies to many commercial health insurance plans, as well as Medicare and Medicaid. [read post]
9 Apr 2012, 8:41 am
Physicians who reassign their right to bill the Medicare program can still be liable for false claims submitted by the entities who obtained that reassignment, as discussed in a recent "Alert" issued by the Office of Inspector General (OIG). [read post]
31 Aug 2014, 8:50 pm
Many physicians recently received a notice from the Centers for Medicare and Medicaid Services (CMS) notifying them of the opportunity to register with the CMS “Open Payments” system and review financial data reported about them by drug and device manufacturers under the federal Physician Payments Sunshine Act (“Sunshine Act”). [read post]
23 Jun 2010, 11:23 am
As of this past Friday, things were looking good for at least a temporary fix to the impending 21% Medicare physician rate cuts. [read post]
24 Jan 2011, 1:48 pm
As proof that no fish is too small for the wide health care fraud nets being cast by government authorities, a Columbus, Ohio internist has pleaded guilty to health care fraud and tax evasion arising out of health care services billed out of his medical practice between 2005 and 2007. [read post]
30 Aug 2013, 12:09 pm
One of the ways the Medicare program and other payer plans are recovering overpayments and identifying billing fraud is through the regular use of data mining. [read post]
25 Jan 2016, 6:50 am
Previously on the Fox Rothschild Physician Law Blog, we reported on the July 2015 amendments to the PA Child Protective Services Law. [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]
5 Nov 2010, 9:03 am
Responding to input from medical school deans and residency program directors in a recent survey, the OIG has published a plain-English compliance summary for new physicians entitled Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse. [read post]
27 Mar 2015, 12:20 pm
According to usatoday.com, The U.S. [read post]
26 Feb 2013, 11:43 am
Earlier this month, the Centers for Medicare and Medicaid Services (CMS) released final regulations implementing the federal Physician Payment Sunshine Act contained in the Federal Accountable Care Act. [read post]
11 Dec 2007, 8:27 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on November 26, 2006 enacting Section 911 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. [read post]
