Highmark Launches Accountable Care Alliance
Attached is the press release;
https://www.highmark.com/hmk2/newsroom/pressreleases/2013/pr071813.shtml
More to come when the details are evaluaited.
July 2013
Peer Review “Interference” Alleged as Tortious Interference with Contract
By Michael Cassidy on
Posted in Credentialing and Peer Review
Peer Review “Interference” Alleged as Tortious Interference with Contract
Many sham peer review cases are based upon breach of contract in states in which the medical staff bylaws are treated as contracts between the hospital and/or medical staff and the individual physicians. Typically, the cause of actions is based upon some failure to provide the…
CMS Proposes 2014 Medicare Physician Fee Schedule; SGR Reduction Projected @ 24.4%
By Michael Cassidy on
Posted in Medicare & Reimbursement
CMS has issued the poroposed Medicare Physician Fee Schedule. Without Congressional intervention, the SGR will mandate a 24.4% decrease. CMS sent its calcuations to the Medare Payment Advisory Commission.
CMS has also issued a Fact Sheet Summary:
DME Face-to-Face Delayed Until October 1, 2013
By Michael Cassidy on
Posted in Medicare & Reimbursement
Additional Time to Establish Protocols for Newly Required Face-to-Face Encounters for DME
Due to concerns that some providers and suppliers may need additional time to establish operational protocols necessary to comply with face-to-face encounter requirements mandated by the Affordable Care Act (ACA) for certain items of Durable Medical Equipment (DME), CMS will start actively enforcing…