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Tag Archives: Medicare
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
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
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
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
March 2016 Newsletter
Please visit this page for the March 2016 installment of Broad and Cassel’s “Health Law Update.”
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 AHCA, Broad and Cassel, CAP, CMS, corrective action plan, Florida, fraud and abuse, health care, health law, Health Law Practice Group, healthcare, liability, Medicare, physicians, regulatory
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 CMS, compliance, fraud, fraud and abuse, Health Law Practice Group, HHS, liability, malpractice, Medicaid, Medicare, OIG, providers, tax liability, TRICARE, waste
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
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 Consuegra, Florida, guardianships, health law, Health Law Practice Group, healthcare, HIPAA, hospitals, Medicaid, Medicare, relicensure
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
