Tag Archives: Medicare

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

Posted on December 4, 2017 by

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

Posted in Regulatory | Tagged , , , , ,

Firm Client Tops Nation in Medicare Savings

Posted on November 17, 2017 by

Broad and Cassel client, Palm Beach Accountable Care Organization, tops the nation in Medicare savings, as detailed in the article below from the Palm Beach Post:  A doctor group based in Palm Beach County leads the country in saving taxpayers … Continue reading →

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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 →

Posted in Care Delivery, Clinical Integration, Paul DeMuro | Tagged , , , , , , , , , , , ,

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 →

Posted in Compliance, Fraud/Abuse, Stephen Siegel | Tagged , , , , , , , , , , , ,

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.”

Aside | Posted on March 29, 2016 by | Tagged , , , , , , , , ,

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 →

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

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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