Christopher P. Dean

Christopher P. Dean

Ober|Kaler

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No Sanctions for Basic Life Support Service Provider

The Office of Inspector General (OIG) recently issued Advisory Opinion 14-09 [PDF] and concluded that a town that uses tax revenues to cover out-of-pocket expenses owed for basic life support (BLS) emergency ambulance...more

11/25/2014 - Advisory Opinions Ambulance Providers Anti-Kickback Statute CMP Law Cost-Sharing HHS OIG Tax Revenues

Veterans Access, Choice, and Accountability Act May Result in More Patients for Medicare Providers

The President signed the Veterans Access, Choice, and Accountability Act of 2014 [PDF] on August 7, 2014 (the “Act”). Ordinarily, the Department of Veterans Affairs (VA) provides medical care to veterans at Veterans Health...more

8/25/2014 - Department of Veterans Affairs Healthcare Medicare Veterans Veterans Administration VEVRAA

Jury Verdict Against Millennium Provides Insight on Definition of Remuneration

Ameritox won the latest volley of an ongoing legal battle with Millennium when a federal jury in Florida awarded it $14.75 million on June 16, 2014. Ameritox persuaded the jury that Millennium’s free point of care test (POCT)...more

7/9/2014 - Anti-Kickback Statute Kickbacks Medicaid Medicare Remuneration Stark Law

OIG Revisits Clinical Laboratory Electronic Data Transmission Fees

Prior Opinion Rescinded and Negative Opinion Issued - The Office of Inspector General (OIG) recently issued a negative advisory opinion about an arrangement that offered relief of a $1 electronic data transmission fee...more

4/24/2014 - Advisory Opinions EHR Electronic Data Transmissions Fees Healthcare OIG Physicians

CMS Proposes Enhanced Role for Non-Physician Practitioners in Rural Health Clinics

Recognizing the difficulty many rural health clinics (RHCs) face when recruiting health care practitioners, CMS recently proposed to change its interpretation of the Rural Health Clinic Services Act and allow RHCs to contract...more

11/7/2013 - CMS Healthcare Independent Contractors Medicare Rural Health Care Providers

OIG Not Asleep at the Switch: Reviews Polysomnography Services from 2011

The OIG recently released its review of polysomnography services (sleep studies) provided in both hospital-based outpatient settings and non-hospital settings. Medicare pays for sleep studies to diagnose obstructive sleep...more

10/28/2013 - Medical Research Medicare OIG

CMS Proposes FQHC Prospective Payment System

On September 23, 2013, CMS published a proposed rule to overhaul the payment methodology for federally qualified health centers (FQHCs). The proposed rule will change FQHC reimbursement from an all inclusive rate (AIR),...more

10/18/2013 - Affordable Care Act CMS FQHC Healthcare Payment Plans

CMS Expands MSP Recovery Portal

Earlier in 2013 the President signed into law the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the “Smart Act”) requiring CMS to establish a web portal for beneficiaries, their attorneys, and authorized...more

10/4/2013 - CMS Medicare Medicare Secondary Payer Act SMART Act

Complex Chronic Care Management Reimbursement for 2015 Included in Proposed 2014 Physician Fee Schedule

The proposed 2014 Medicare Physician Fee Schedule [PDF] included reimbursement for case management to be made available in 2015 for physicians who treat patients with two or more complex conditions. The proposed rule would...more

7/25/2013 - CMS Electronic Medical Records Healthcare Home Health Care Medicare Physician Medicare Reimbursements Physician Payments Physicians

OIG Self-Disclosure Protocol 2.0: Evolution Continues with Online Application

The OIG continued its Self-Disclosure Protocol (SDP) evolution this year when it announced that its voluntary SDP application was available online at the Self-Disclosure Protocol home page. The new online application is the...more

7/22/2013 - Compliance Enforcement OIG Policy Violations Provider Self-Disclosure Protocol

DME Face-to-Face Encounter Final Rule Effective October 1, 2013

The 2013 Final Physician Fee Schedule included final regulations for the durable medical equipment (DME) face-to-face encounter requirement for Medicare and Medicaid beneficiaries....more

7/12/2013 - Durable Medical Equipment Healthcare Healthcare Professionals Medicaid Medicare Physicians

Changes to Medicare Secondary Payer Conditional Payment Rules

Health care providers routinely treat Medicare beneficiaries who are injured from an accident or an employment injury. If another payment source like a personal injury no fault policy, workers’ compensation insurance policy,...more

1/24/2013 - Medicare Medicare Secondary Payer Act

Aid and Attendance Benefit: A Useful Benefit to Veterans in Nursing Homes

Veterans, their spouses and their parents who are admitted to long term care facilities may be eligible for a long-standing program called the Aid and Attendance Pension benefit (the “Aid and Attendance Benefit”). The Aid and...more

11/13/2012

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