On July 27, 2018, the Centers for Medicare & Medicaid Services (CMS) published its proposed annual update to the Medicare Physician Fee Schedule, which proposes changes to the E/M coding and documentation process that CMS...more
8/1/2018
/ Centers for Medicare & Medicaid Services (CMS) ,
Coding ,
HCPCS ,
Health Care Providers ,
Health Information Technologies ,
Medicare ,
Physician Fee Schedule ,
Physicians ,
Proposed Rules ,
Public Comment ,
Regulatory Agenda
On July 27, 2018, the Centers for Medicare & Medicaid Services (CMS) published its proposed annual update to the Medicare Physician Fee Schedule, which includes proposals that would give a big boost to telehealth services...more
7/30/2018
/ Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Health Care Providers ,
Hospitals ,
Medicare ,
Patients ,
Physician Fee Schedule ,
Physicians ,
Proposed Rules ,
Public Comment ,
Telehealth
Uncertain. What better word to describe a year in which a new administration came to power and began to chart a new course for health policy, the fate of the Affordable Care Act (ACA) hung in the balance, and courts grappled...more
1/25/2018
/ Affordable Care Act ,
Alternative Payment Models (APM) ,
Cooperative Compliance Regime ,
Department of Justice (DOJ) ,
Electronic Health Record Incentives ,
False Claims Act (FCA) ,
Health Insurance ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare Reform ,
Hospital Mergers ,
Meaningful Use ,
OIG ,
Prescription Drug Coverage ,
Repeal ,
Section 340B ,
Stark Law ,
Trump Administration ,
Universal Health Services Inc v United States ex rel Escobar
On August 15, 2017, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that would significantly roll back two of CMS’s mandatory alternative payment models. The Proposed Rule would make continued...more
With 2015 in the books, we are pleased to reflect on some of the major developments over the past year in the field of health law. The year was marked by changes in Medicare payment models—from government pronouncements...more
1/7/2016
/ Affordable Care Act ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Individual Accountability ,
King v Burwell ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
NC Board of Dental Examiners v FTC ,
Overpayment ,
PHI ,
SCOTUS ,
Stark Law ,
Tuomey ,
Value-Based Payments ,
Yates Memorandum
On July 2, 2015, the United States Court of Appeals for the Fourth Circuit affirmed a $237 million judgment against Tuomey Healthcare System, Inc., in a federal False Claims Act (FCA) case arising out of violations of the...more
The Department of Justice and Florida’s Halifax Hospital Medical Center have reached a tentative $85 million settlement in a case alleging violations of the federal physician self-referral law (commonly known as the “Stark...more
On January 16, the Medicare Payment Advisory Committee (MedPAC) unanimously voted to recommend that Congress direct the Secretary of Health and Human Services to...more
A federal judge has ordered Idaho’s St. Luke’s Health System to divest Saltzer Medical Group, which it acquired in 2012. In an opinion issued in consolidated cases filed by the Federal Trade Commission and other Idaho health...more