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On January 9, 2018, the Centers for Medicare and Medicaid Services announced a new voluntary bundled payment model called the Bundled Payments for Care Improvement Advanced. Click HERE to review CMS’ announcement.
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…
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…
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…
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…
On March 26, 2004, the Centers for Medicare & Medicaid Services (“CMS”) issued the long-awaited Phase II Stark regulations (the “Phase II Regulations”). The Phase II Regulations, which become effective on July 26, 2004, address important issues not covered in the Phase I Regulations (which were issued in January 2001)….