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Recent Posts
- Stephen Siegel Presents at South Florida Health Care Summit
- Jamie Gelfman Named to Health Law Executive Council, Selected for Leadership Broward
- Frank Rainer Hosts Online Seminar on Direct Primary Care
- Department of Justice Raises Penalties for False Claim and Anti-Kickback Violations
- Mike Bittman, co-chair of Broad and Cassel’s Healthcare Practice Group, weighs in on the Amazon, JPMorgan, Berkshire healthcare partnership for Becker’s Hospital Review
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Tag Archives: Medicare
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.
Posted in Regulatory
Tagged Broad and Cassel, CMS, Florida, health law, Medicaid, Medicare
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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 accountable care, ACO, Broad and Cassel, Broad and Cassel Health Law Practice Group, Florida, health care, health law, healthcare, Medicare, Medicare savings, patient care, physicians, primary care, quality, savings
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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 APM, Broad and Cassel, Broad and Cassel Health Law Practice Group, health care, health law, MACRA, Medicare, Medicare Access and CHIP Reauthorization Act, MIPS, value-based
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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 ACO, Broad and Cassel, Florida, Florida health care, health law, healthcare, MACRA, Medicare, Medication Therapy Management, MTM, pharmaceuticals, pharmacists, pharmacy
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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 billing, Broad and Cassel Health Law Practice Group, compliance, False Claims Act, FCA, fraud, health law, healthcare, Medicaid, Medicare, South Florida Hospital News, Supreme Court, Whistleblower
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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 Broad and Cassel, data analytics, DOJ, Florida, Florida health law, fraud, health care benefit programs, health care fraud, health law, Health Law Practice Group, managed care organizations, Medicare, prosecution, providers, TRICARE
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Please visit this page for the March 2016 installment of Broad and Cassel’s “Health Law Update.”
March 29, 2016
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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 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
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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
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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
Posted in Reform, Regulatory, Stephen Siegel
Tagged ACO, billing practices, Broad and Cassel, CMS, False Claims Act, Florida, health law, Health Law Practice Group, healthcare, HIPAA-HITECH, home health, ICD-10, Medicare, MSSP, Office of Civil Rights, OIG, OIG Work Plan, reform, regulations
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