Edward Cyran

Fox Rothschild LLP

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Latest Posts › Medicare

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Georgia Nurse Pleads Guilty To Telemedicine Fraud Scheme

A nationwide telemedicine kickback scheme led to fraudulent Medicare reimbursements for durable medical equipment and genetic testing. The full Department of Justice press release can be found here... ...more

6/25/2021 / Department of Health and Human Services (HHS) , Department of Justice (DOJ) , Health Care Providers , Healthcare Fraud , Kickbacks , Medicaid , Medicare , Telemedicine

NJ Medical Practices Must Update Patient Disclosures To Comply With Out-Of-Network Billing Law

The New Jersey Department of Banking and Insurance (DOBI) has issued an 18-page Bulletin on implementation of the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act by health care...more

2/1/2019 / Disclosure Requirements , Health Care Providers , Healthcare Facilities , Medicare , Out of Network Provider , Physicians

Proposed Changes To The Medicare Physician Fee Schedule And Quality Payment Program In 2019

CMS recently issued its proposed changes to the 2019 Medicare Physician Fee Schedule, which include a controversial change to the reimbursement rates for Level 2-5 evaluation and management (E/M) services and some notable...more

8/14/2018 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Health Care Providers , Medicare , Physician Fee Schedule , Physicians

Small Doses: CMS Updates Reportable List Of Adverse Actions

This is the first installment in a new series on the Physician Law Blog entitled “Small Doses” designed to provide you with quick updates on meaningful issues. We will continue to provide you with detailed updates on...more

7/13/2018 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Physicians

CMS Announces New Initiatives For Innovating Patient Care

Last month, CMS Administrator Seema Verma announced several initiatives to innovate the delivery of patient care at the ground level. In collaboration with the Trump Administration and other federal agencies, CMS is taking...more

4/19/2018 / Centers for Medicare & Medicaid Services (CMS) , Electronic Health Record Incentives , Health Care Providers , Medicare , MIPS , Physicians

CMS Provides Advice On Electronic Laboratory Alerts

CMS recently issued an Advisory Opinion suggesting that physicians who refer diagnostic tests reimbursable under Medicare to a laboratory may, under certain circumstances, receive electronic pop-up notifications in the...more

12/1/2017 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Physicians

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