Lawrence Vernaglia

Lawrence Vernaglia

Foley & Lardner LLP

Contact  |  View Bio  |  RSS

Latest Publications

Share:

Is Provider-Based Reimbursement Going Away?

We get this question every year: will Medicare, Medicaid or other payors continue to recognize hospital-level facility fee reimbursement for hospital outpatient departments meeting the provider-based designation criteria at...more

11/14/2014 - Healthcare Facilities Hospitals Medicaid Medicare OIG Reimbursements Work Plans

2014 Telemedicine Survey Executive Summary

Technology has influenced nearly every sector of the economy, and the health care industry is following suit. Among telemedicine’s many benefits are the potential to exponentially expand a provider’s geographic footprint, use...more

11/12/2014 - Healthcare Mobile Devices Telemedicine

Medicare’s 60-Day Proposed Refund Rule Imposes Significant Liability on Providers

As part of the Affordable Care Act, Congress outlined the process for providers to return Medicare and Medicaid overpayments. In 2012, CMS proposed the 60-day Refund Rule, as it is commonly known, requiring Medicare providers...more

4/17/2014 - Affordable Care Act CMS Look-Back Measurement Period Medicaid Medicare Overpayment Refunds Reimbursements

CMS Releases Medicare Part B Supplier Billing and Payment Data

Potential for Increase in Whistleblower Litigation - On April 8, 2014, The Centers for Medicare & Medicaid Services (CMS) released, with tremendous fanfare, hundreds of thousands of points of billing data regarding...more

4/11/2014 - CMS False Claims Act Medicare Medicare Part B Whistleblowers

CMS Releases Information on Success of Shared Savings Programs: Early Results Mixed and Inconclusive

On January 30, 2014, CMS released results on the Medicare Shared Savings Program (“MSSP”) and the Pioneer Accountable Care Organization Program (“Pioneer ACO Program”) for 2012, the initial performance year of each program....more

2/6/2014 - ACOs CMS Healthcare Medicare Medicare Shared Savings Program

Win, Lose, and Push: CMS Announces First Year Results on the Pioneer ACO Program

On July 16, 2013, CMS announced results from the first performance year of the Pioneer Accountable Care Organization (ACO) Model. In the release, CMS reported that the Pioneer ACO participants held Medicare cost increases...more

7/30/2013 - ACOs Affordable Care Act CMS Healthcare Medicare Medicare Shared Savings Program Shared Savings Program

HHS Issues Final Omnibus HIPAA/HITECH Rule

On January 17, 2013, the Office for Civil Rights of the U.S. Department of Health and Human Services (HHS) issued the long-awaited omnibus final rule (the Rule) implementing changes in current regulations under the Health...more

1/24/2013 - Business Associates Data Breach Data Protection Disclosure Requirements Enforcement Fundraisers GINA HHS HIPAA HIPAA Omnibus Rule HITECH Marketing OCR PHI Privacy Policy

7 Results
|
View per page
Page: of 1