Tag Archives: CMS

Have you seen CMS’ 32 measures under consideration for value based programs in 2018?

Visit this link for information directly from the Centers for Medicare & Medicaid Services.

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Physicians – Dissatisfaction, Change, and Dealing With Both

By: Stephen H. Siegel November, when physicians, other healthcare professionals, and their businesses frequently begin planning for the upcoming year. It is also time to look inward/backward and consider those goals not achieved, surprises (pleasant and unpleasant), disappointments, and unanticipated … Continue reading

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CMS Announces New Flexibility with MACRA

By: Mike Segal It is now quite clear that the Medicare Access and CHIP Reauthorization Act, or MACRA, enacted into law in 2015, will have a telling effect on how Medicare reimburses for physician services. In April 2016, the Centers … Continue reading

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Mount Sinai Affiliated Hospitals to Pay $3 Million Settlement for Delaying Medicaid Overpayments

By: Fred Segal On August 24, 2016, the US Attorney for the Southern District of New York, in conjunction with the US Department of Health and Human Services, Office of the Inspector General (OIG) announced that it settled a whistleblower … Continue reading

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Broad and Cassel Represents Three of the Top Ten ACOs in the Country

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How to fight medical errors and optimize treatment plans with Medication Therapy Management programs

The Advisory Board Company interviewed Of Counsel Paul R. DeMuro to discuss the challenges facing Medication Therapy Management (“MTM”) and the role it can play in improving health care. Dr. Stephanie Gernant, Assistant Professor of Pharmacy Practice with Nova Southeastern … Continue reading

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The Domino Effect: Tougher Medicare Regulations Have Far Reaching Implications for Florida Physicians

By: Elizabeth P. Perez Recent changes in federal regulations may expose Medicare and Medicaid providers, particularly physicians, to tougher sanctions. Last year, the Centers for Medicare & Medicaid Services (“CMS”) published a rule that expands its authority to revoke a … Continue reading

Posted in Fraud/Abuse, Regulatory | Tagged , , , , , , , , , , , , , ,

6 ways health care providers can reduce fraud, waste and abuse risks in 2016

By: Michael Bittman Health care providers such as hospitals and doctors face a variety of legal risks: malpractice, tax, and fraud, waste and abuse. Recent cases have shown that fraud, waste and abuse exposure can dwarf the risk of malpractice … Continue reading

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Do Not Expect the Pace of Change to Slow in 2016

By: Stephen Siegel This year  has been a challenging one for healthcare providers. Just to recall, a few of the challenges in 2015 were: the final implementation of ICD-10; two multi-million dollar Civil False Claims settlements involving physician-hospital relationships in … Continue reading

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CMS Steps Up Medicare Revocation Actions

By: Anne Branan The Centers for Medicare and Medicaid Services (“CMS”) published a final rule, effective February 3, 2015, that drastically expanded CMS’s ability to revoke a provider’s Medicare billing privileges (“Final Rule”). This Final Rule has proved to be … Continue reading

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