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…
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,…