This proposed rule would update the revised Medicare Ambulatory Surgical Center (ASC) Payment System to implement applicable statutory requirements and changes arising from CMS’s continued experience with administrating that system. The proposed rule sets forth applicable relative payment weights and amounts for services furnished in ASCs, the specific HCPCS codes to which these proposed changes would
July 2009
CMS Releases Proposed 2010 Physician Fee Schedule and Projects 21.5% Decrease
By Michael Cassidy on
Posted in Medicare & Reimbursement
The Centers for Medicare and Medicaid services released its proposed Medicare Physician Fee Schedule for 2010. The press release and the entire 1,200 fee schedule are attached. CMS is projecting a 21.5% physician fee schedule decrease based upon the application of the sustainable growth rate (SGR) formula. Of course, Congress has intervened in each of the last five…
Georgia Supreme Court Rules Peer Review Information Not Always Confidential
By Michael Cassidy on
Posted in Credentialing and Peer Review
In Hospital Authority of Valdosta and Lowndes County v. Meeks, the Georgia Supreme Court ruled that information contained in a physician’s peer review file was not necessarily protected by the Georgia Peer Review Confidentiality Statute.
Although the holding is enticing from the physician perspective, the limitations contained in the opinion render the precedent potentially meaningless.…
Significant New False Claims Act Changes
By Michael Cassidy on
Posted in Compliance, Medicare & Reimbursement
President Obama signed the Fraud Enforcement and Recovery Act of 2009 on May 28, 2009, which is the effective date of the Act.
I am attaching a compared version identifying all the changes, but I would like to direct your attention to what I believe is the most significant change impacting typical healthcare providers.
Retentions …