Medical Malpractice Litigation
You are a hardworking surgeon who is committed to providing quality care to all of your patients, including your Medicare beneficiaries. Because you are so busy, you routinely dictate your pre-operative and post-operative...more
On July 8, 2013, the Centers for Medicare & Medicaid Services (CMS) released a pre-publication version of the 2014 Medicare Physician Fee Schedule and the 2014 Medicare Hospital Outpatient Prospective Payment System Notices...more
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
On June 27, 2013, the Centers for Medicare & Medicaid Services (CMS) released its proposed Calendar Year 2014 rate update to the Home Health Prospective Payment System. In addition to reducing reimbursement rates, CMS is...more
Proactive self-audits help providers identify potential problems -
The Federal Government is using every tool available to fight health care fraud and recover overpayments from health care providers. According to the...more
On June 25, the Senate Finance Committee held a hearing to address the Medicare Recovery Audit Contractor (RAC) Program. Committee members expressed concern that the RAC program creates unreasonable administrative burdens...more
Recent news agencies in the Chicago areas have reported that area physicians and health clinic owners are among defendants charged in health care fraud schemes to defraud the Medicare program and/or private health insurers of...more
In This Issue:
- FTC Hospital Merger Investigation Highlights Cost of Health Care
- Survey Finds Doctors Warming to Health Information Exchanges
- Health Insurance Markets Seeing More Competition from New...more
On May 17, 2013, the U.S. District Court for the Northern District of Georgia issued an order that joins an unsettling line of decisions suggesting that before filling prescriptions, pharmacies must serve as the arbiters of...more
On February 4, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to reform Medicare regulations that CMS views as unnecessary, obsolete, and/or excessively burdensome on hospitals and health care...more
Eligible professionals (EPs) who participated in the 2012 EHR Incentive Program must attest by February 28, 2013, to receive their Medicare incentive payments. ...more
Sometimes the deck is stacked against you. No matter what you do and how hard you try, you will lose.
In the healthcare area, hospitals, doctors and other service providers have to feel the frustration when it comes...more
In This Issue:
- THE DW HEALTHCARE TEAM IS GROWING:
With the addition of six new healthcare attorneys, the DW Healthcare Team has expanded its expertise and its depth...
- RECOVERY OF LOST PROFESSIONAL...more
The Medicare program shares in the costs for approved nursing and allied health education programs operated by hospitals, a matter which has become a recent focus in Medicare audits of hospitals operating such programs....more
The owner of a Long Island medical supply company was convicted last week on charges of a $10.7 million Medicare fraud and wrongful disclosure of private medical information under the Health Insurance Portability and...more
Originally published in BNA’s Health Care Daily Report, 158 HCDR, 08/16/2012.
A federal trial judge Aug. 8 unsealed a qui tam whistleblower’s lawsuit alleging that New Mexico based Deming Hospital Corp. submitted...more
The Supreme Court’s recent decision upholding the Patient Protection and Affordable Care Act underscores the need to deliver and make accessible quality healthcare to patients throughout the United States in an efficient and...more
In this issue:
- A Sign of the Times: Nonpayment of Resident Accounts, Transfer/Discharge and Related Issues
- Responding to an Audit? Be Prepared!
- Ken’s Quote of the Month
An excerpt from...more
Recently, a federal appeals court in In re Lemington Home for the Aged revived claims brought by unsecured creditors against the directors and officers (D&Os) of the insolvent Lemington Home for the Aged when it reversed a...more