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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,…
Noteworthy speeches in 2011: On October 13, 2011, Michael Thornhill spoke on Physician Incentive Plans for the Los Angeles County Bar Association’s 8th Annual Healthcare Law Compliance Symposium, in Los Angeles, California. On September 27, 2011, Jeremy Miller gave an Update on Health Reform for the Inland Empire Medical Group…
The Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA) provide the federal government with new tools and funding to prevent, root out and punish fraud and abuse by providers and suppliers. Read Jeremy Miller’s entire article here: “Fraud Busters,” Los…
Physicians were facing daunting challenges before the passage last March of the Patient Protection and Affordable Care Act: declining reimbursement, rising overhead, increasingly burdensome government regulation, and a severe recession. Health care “reform” will likely only exacerbate these pressures. As a result, many physicians are in a state of high…
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…
The Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152), which became law in late March 2010; contain a number of provisions that will affect employers in the short and long term. Three areas of great interest (and concern)…
National Health Care Reform — Key Provisions for Providers The Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (collectively, the “Health Care Reform Law”) are now the law of the land. The controversial legislation, the most important for the health care…
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…
Applying for a Medicare provider number can be a daunting process. Medicare has very strict rules which, if not followed, can cause the issuance of your number to be delayed or even denied and prevent you from billing and collecting for the services you render to your Medicare patients. To…
Noteworthy speeches in 2010: On December 11, 2010, Jeremy Miller spoke on Stark and Fraud and Abuse Compliance for the NORCAP 2010 Educational Forum in San Francisco, California. On October 20, 2010, Jeremy Miller spoke on health reform for the Inland Empire Chapter of the California Society of CPAs. On…
“Employment Agreements and Other Working Relationships,” Representing Physicians Handbook, Second Edition, American Health Lawyers Association