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The health care industry appears to have not seriously considered the possibility that Donald Trump would be elected President. While Mr. Trump campaigned on “repeal and replace” the Affordable Care Act (aka “Obamacare”), it is anything but clear what comes next. This edition of the Health Law Bulletin will at…
The Medicare Access and CHIP Reauthorization Act (MACRA) makes two major changes in how Medicare will pay physicians and other clinicians. First, it implemented the so-called “Doc Fix.” That is, MACRA ended the flawed and much-maligned Sustainable Growth Rate (SGR) formula for determining Medicare payments and the annual ritual of…
Miller Health Law Group was selected as a 2017 “Tier One” “Best Law Firm” in Health Care Law by U.S. News and World Report – Best Lawyers®. The U.S. News – Best Lawyers® “Best Law Firms” rankings are based on a rigorous evaluation process that includes the collection of client…
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repeals the Medicare Sustainable Growth Rate (SGR) methodology for updates to the Physician Fee Schedule (PFS) and replaces it with a new approach to payment called the Quality Payment Program that rewards the delivery of high-quality patient care through two…
September 23, 2016: Following a two-day preliminary hearing, a Kern County Superior Court Judge dismissed all charges against a physician accused by the California Attorney General of Medi-Cal and Medicare fraud and related theft and tax offenses. Led by Steven Goldsobel, the firm fought a more than two-year long battle…
Federal Register, Volume 80 Issue 220 (Monday, November 16, 2015) Code of Federal Regulations Title 42: Public Health (Excerpted) View Article
Super Lawyers has selected Jeremy N. Miller of Miller Health Law Group as one of its 2016 Southern California Super Lawyers. Jeremy has made this list every year for the past 11 years. Super Lawyers is a rating service of outstanding lawyers from more than 70 practice areas who have…
Consider the following scenarios involving medically necessary services for Medicare or Medicaid patients: (1) a medical group learns that its outside billing service has incorrectly used the physician’s office site of service code when billing Medicare for hospital consults; (2) an imaging center finds out it did not have adequate…
In a meeting with nearly two dozen leaders representing consumers, insurers, providers, and business leaders, Health and Human Services Secretary Sylvia M. Burwell today announced measurable goals and a timeline to move the Medicare program, and the health care system at large, toward paying providers based on the quality, rather…
Super Lawyers has selected Jeremy N. Miller of Miller Health Law Group as one of its 2015 Southern California Super Lawyers. Jeremy has made this list every year for the past 10 years. Super Lawyers is a rating service of outstanding lawyers from more than 70 practice areas who have…
Miller Health Law Group was selected as a 2015 “Tier One” “Best Law Firm” in Health Care Law by U.S. News and World Report – Best Lawyers®. The U.S. News – Best Lawyers® “Best Law Firms” rankings are based on a rigorous evaluation process that includes the collection of client…
Shared Savings Program Proposed Rule reflects focus on primary care and improved incentives for participation, quality, and efficiency. Read the full press release here.
Miller Health Law Group was selected as a 2014 “Tier One” “Best Law Firm” in Health Care Law by U.S. News and World Report – Best Lawyers®. The U.S. News – Best Lawyers® “Best Law Firms” rankings are based on a rigorous evaluation process that includes the collection of client…
January 24, 2013 On January 17, 2013, the U.S. Department of Health and Human Services (“HHS”) released the long-awaited final HIPAA Privacy and Security Rules (the “Final Rules”) The Final Rules are effective March 26, 2013. Covered entities and business associates will have until September 23, 2013, to come into…
This morning the United States Supreme Court issued its long-awaited decision on the constitutionality of the Patient Protection and Affordable Care Act (the “Act”). In a 5 – 4 decision, with Chief Justice Roberts writing for the majority, the Court upheld the constitutionality of the controversial individual mandate and, thus,…