Tag Archives: Medicare

Adjusting Group Practice Compensation in a World Turning Value-Based (Part I of II)

Posted on May 9, 2017 by

By: Mike Segal     Payors are beginning to take steps to transform from reimbursement based on medical services rendered, or “fee for service” medicine, to payment for attaining quality measures without regard to volume, which is often called “value based” … Continue reading →

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The Evolving Role of Pharmacists in the Transformation to Payment for Quality and Cost-Effectiveness and the Attendant Legal Hurdles

Posted on October 21, 2016 by

By: Paul DeMuro, Ph.D., J.D., M.B.A., CPA, and Yesenia Prados, Pharm.D The traditional role of pharmacists When one thinks of pharmacists, one typically thinks of the individual in the retail pharmacy who fills his or her prescription that was “written” … Continue reading →

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Supreme Court Upholds the False Claims Act Implied Certification Theory

Posted on July 5, 2016 by

By: Stephen Siegel The following article was published in the July 2016 edition of South Florida Hospital News and Healthcare Report. TREBLE DAMAGES PLUS A PENALTY of as much as $11,000 per claim; that is the exposure a physician, hospital … Continue reading →

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Going on the Offensive with Combatting Fraud

Posted on May 5, 2016 by

By: Benton Curtis So often today we read press clippings from across the country on how the Department of Justice continues to crack down on health care fraud, be it in the criminal or civil arena. But this barrage of … Continue reading →

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March 2016 Newsletter

Please visit this page for the March 2016 installment of Broad and Cassel’s “Health Law Update.”

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

Posted on February 3, 2016 by

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 →

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

Posted on January 14, 2016 by

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

Posted on December 2, 2015 by

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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Jenny Consuegra Joins Broad and Cassel’s Miami Office

Posted on November 9, 2015 by

We are pleased to announce the addition of Jenny Consuegra to the Miami office as an associate in the Health Law Practice Group. Prior to joining Broad and Cassel, Consuegra was an associate at Dresnick, Rodriguez & Perry in Miami. … Continue reading →

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CMS Steps Up Medicare Revocation Actions

Posted on October 12, 2015 by

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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