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CMS’ Center for Medicare & Medicaid Innovation (CMMI) announced today that it is extending the deadline for Model 1 of the Bundled Payments for Care Improvement initiative. The new deadline to submit a Model 1 Letter of Intent is October 6, 2011, and the deadline to submit the Model 1…
On March 31, 2011, the Centers for Medicare and Medicaid Services released its long awaited proposed rules for Medicare Accountable Care Organizations. The draft rules, which are 429 pages long, implement Section 3022 of the Patient Protection and Affordable Care Act establishing the Medicare Shared Savings Program. The regulations are…
On April 27, 2011, the United States Supreme Court issued an important decision that should cause every employer who does not already bind its employees to mandatory arbitration of employment disputes to consider doing so. Those employers who already require arbitration need to revise their arbitration agreements in light of…
The Centers for Medicare and Medicaid Services (CMS) has just released the long-awaited proposed regulations for Medicare Accountable Care Organizations. (CLICK HERE to view the regulations.) CMS and the Office of Inspector General have also issued (CLICK HERE) proposed waivers for ACOs from the Stark Law, Anti-Kickback Statute, and Civil…
Virtually every medical practice has employees, whether other physicians, nurses or office staff. While physicians rightly fear being sued for medical malpractice, or for a HIPAA violation, the reality is that your practice is more likely to be sued by a disgruntled current or former employee. However, unlike malpractice suits,…
Providers of advanced diagnostic imaging services, such as magnetic resonance imaging (MRI), computed tomography (CT) and positron emission tomography (PET), need to be aware of two important developments. One is the disclosure notice to comply with the Stark Law; the other is the deadline to become accredited in order to…
National Health Care Reform The Patient Protection and Affordable Care Act (“PPACA”) and the Health Care and Education Reconciliation Act of 2010 are now the law of the land. While many of the provisions of this landmark legislation will be implemented over the next few years, there are several aspects…
On December 8, 2003, President Bush signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (the “Act”). The centerpiece of the Act, which has been characterized as the most significant reform of the Medicare program since its creation, is greatly expanded Medicare prescription drug coverage under…
A package of legislation intended to “reform” the California workers’ compensation system and reduce the insurance premiums and costs paid by California employers, went into effect January 1, 2004. While many observers question how much employers will actually save, the new law will clearly have a significant impact upon healthcare…
As you may be aware, HIPAA compliance is now unavoidable, and key compliance deadlines are very near. Two federal court lawsuits that sought to invalidate the Department of Health and Human Services’ (“HHS”) privacy regulations under HIPAA have been dismissed and modifications to the privacy regulations proposed by the Bush…
On September 25, 2000, the Office of Inspector General (“OIG”) of the Department of Health and Human Services issued its final guidelines (“Final Guidelines”) to aid individual physicians and small group practices to design voluntary compliance programs. The Final Guidelines set forth seven components of an effective compliance program. The…