2010

Congress approves Medicare physician payment fix

The House of Representatives passed legislation this morning that averts a 24.9 percent Medicare payment cut to physicians that was scheduled to take effect on Jan. 1.  The measure passed the Senate Wednesday evening by unanimous consent. To pay for the legislation, the bill changes policy regarding overpayments

Contributed by Paul J. Welk

pwelk@tuckerlaw.com, 412.594.5536

On December 7, the House of Representatives passed S. 3987, the Red Flag Program Clarification Act of 2010. The Red Flags Rule requires financial institutions and creditors to develop and implement a written identity theft program.  This legislation would exempt physical therapists and other health care providers from the

Frengell v. InterCare Community Health Network demonstrates the counterintuitive nature of certain peer review actions.

Dr. Frengell’s employment was terminated following the inappropriate prescription of narcotics. InterCare reported Dr. Frengell to the National Practitioners’ Data Bank, although the report was not required and the court concluded, and InterCare admitted, that it had not provided any

On November 30, 2010 the U.S. Senate passed the Red Flag Program Act of 2010 (Senate Bill 3987 available at http://thomas.loc.gov/) which seeks to exempt certain health care providers from the Red Flags Rule.  The bill will next be considered by the House.  Please check back for future updates on this legislation.

On November 15, 2010, the Internal Revenue Service, the Department of Labor, and the Department of Health and Human Services jointly issued an amendment to the interim final rules relating to status as a grandfathered plan under the Patient Protection and Affordable Care Act. With the amendment, insured group health plans are now able to

MGMA has reported that the House has approved the Senate bill delaying the 23% SGR Medicare decrease  to the Medicare Physician Fee Schedule for one month. If signed by President Obama, this will apply only to the month of December, and will not address the mandatory SGR cuts for next year which, without further action, will be