News & Analysis as of

Healthcare Surgery

Health Care Compliance Association (HCCA)

Overlapping surgeries: Time for a compliance checkup?

Overlapping surgeries is a practice that has been used for many years by healthcare providers (such as hospitals and surgical centers). This practice generally refers to situations where one lead attending surgeon is...more

Snell & Wilmer

Arizona Emergency Declaration Impacting Medical Surgeries During the Pandemic: What Arizona Healthcare Organizations and...

Snell & Wilmer on

On March 19, Governor Doug Ducey issued an executive order delaying “all nonessential or elective surgeries, including elective dental surgeries, that utilize personal protective equipment or ventilators” with the purpose of...more

Faegre Drinker Biddle & Reath LLP

OIG Wants CMS to Take a Scalpel to Surgery Costs

The Office of Inspector General (OIG) of Health & Human Services is recommending that CMS make a major reduction to the amount it pays hospitals for certain kinds of surgery. ...more

Cozen O'Connor

Pennsylvania Federal Court Reiterates EMTALA’s Inapplicability to Transfers of “Admitted Patients”

Cozen O'Connor on

On February 23, 2015, the District Court in Baney v. Fick held that a patient’s complications arising from elective surgery do not fall under the purview of the Emergency Medical Treatment and Labor Act, 42 U.S.C. § 1395dd,...more

Tucker Arensberg, P.C.

Global Surgery and 2015 Medicare Physician Fee Schedule

Tucker Arensberg, P.C. on

On July 21, 2014, I posted the proposed Medicare Physician Fee Schedule, and described the intent by CMS to eliminate global surgery. On November 13, 2014, CMS issued the final 2015 Medicare Physician Fee Schedule, and...more

Tucker Arensberg, P.C.

CMS Designates Global Surgery as “Potentially Misvalued Services”

Tucker Arensberg, P.C. on

In the recently proposed 2015 Physician Fee Schedule, CMS devoted significant resources to discussing potentially misvalued services, which I believe is code for places where CMS would like to reduce reimbursement. One of the...more

Perkins Coie

Medicare Appeals Panel Invalidates National Coverage Determination Prohibiting Coverage for Gender Reassignment Surgery

Perkins Coie on

On May 30, 2014, the Departmental Appeals Board (DAB) issued a decision invalidating the long-standing National Coverage Determination (NCD) prohibiting Medicare payment for transsexual surgery (now known as gender...more

Patrick Malone & Associates P.C. | DC Injury...

Getting the Best Medical Care: a Newsletter from Patrick Malone - September 2013

In This Issue: - Introduction - The Facts About Drug Therapy - Spinal Injections Don't Measure Up - Surgery as a Last Resort - Watchful Waiting Can Be Your Friend - Introduction: Back pain is...more

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