Tag Archives: Medicare

Firm Client Tops Nation in Medicare Savings

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

Posted in ACO | Tagged , , , , , , , , , , , , , ,

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

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

Posted in Mike Segal, Regulatory | Tagged , , , , , , , , ,

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

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

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

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

Posted in Benton Curtis, Fraud/Abuse | Tagged , , , , , , , , , , , , , ,

March 2016 Newsletter

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

Aside | Posted on by | Tagged , , , , , , , , ,

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

Posted in Compliance, Fraud/Abuse, Mike Bittman | Tagged , , , , , , , , , , , , , ,

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

Posted in Reform, Regulatory, Stephen Siegel | Tagged , , , , , , , , , , , , , , , , , ,

Jenny Consuegra Joins Broad and Cassel’s Miami Office

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

Posted in Practice News | Tagged , , , , , , , , , ,