Monthly Archives: May 2010

Houses Passes SGR Medicare Fix But Senate Adjourns For Holiday

The AMA issued the following news release regarding the Medicare Sustainable Growth Rate Medicare physician fee cuts scheduled to go into effect on JUne 1, 2010. Congress failed to address this year’s Medicare physician payment cut before the June 1 deadline next week. Although the U.S. House of Representatives passed legislation at the last minute to … Continue Reading

Medicare SGR Developments

The U.S. House of Representatives is expected to consider legislation to block the pending 21.2 percent cut to physician Medicare payments soon. The cuts will take effect June 1 unless final legislation is signed into law before then. The proposed bill, H.R. 4213, “The American Jobs and Closing Tax Loopholes Act of 2010” also includes numerous other … Continue Reading

Discovery of Peer Review Materials

Two recent decisions emphasize the ongoing battle for discovery of peer review information in negligence cases, and confirm that confidentiality is alive and well, but no longer automatic.  In Shell v. Sudan, the United States District Court for the District of Nebraska ordered that deposition questions regarding a hospital risk analysis tool were not precluded … Continue Reading

Draft HIPAA Security Standards from HHS

The U.S. Department of Health and Human Services ("HHS") has issued draft guidance on HIPAA Security Standards as it pertains to risk analysis.  The aim is to assist organizations in identifying and implementing the most effective and appropriate administrative, physical, and technical safeguards to security electronic protected health information (also known as "ePHI"). While the draft … Continue Reading

IRS Announces 2011 HSA Limits

Contributed by Jon Grossman & Jo-Anne Mineweaser / The Internal Revenue Service (IRS) announced the 2011 inflation adjusted amounts for health savings accounts (HSAs) in Revenue Procedure 2010-22.   Annual contribution limits for calendar year 2011 are unchanged from 2010 amounts: Deductions for an individual with self-only coverage under a high deductible health plan: $3,050 … Continue Reading

Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months

The Patient Protection and Affordable Care Act (PPACA) Section 6404 establishes a maximum period for submission of Medicare Claims of not more than 12 months. As a result of the PPACA, Medicare has announced that claims with dates of service on or after January 1, 2010, received later than 1 calendar year beyond the date of … Continue Reading

Medicare HHA Pay for Performance Demonstration Yields $15 Million

CMS announced that it is sharing more than $15 million in savings with 166 Home Health Agencies (HHAs) based on their performance during the first year of the 2-year Medicare Home Health Pay For Performance (HHP4P) demonstration. The demonstration project began in January, 2008 and ended December, 2009. The results for calendar year 2008 produced $15.4 million … Continue Reading