Michael Cassidy was recently appointed as counsel for the Allegheny County Medical Society (ACMS). More information can be found at the below link.
September 2014
Pennsylvania Superior Court Rejects Peer Review Confidential for “Business Records”
By Michael Cassidy on
Posted in Credentialing and Peer Review
In Kates v. Doylestown Hospital, the Pennsylvania Superior Court, in a non-precedential decision, held back the Pennsylvania Peer Review Protection Act does not provide confidentiality protection for certain records, stating:
Peer review necessarily involves evaluating the quality of care provided by medical professionals or evaluating the qualifications of medical care providers. 0045cept for those
…
Face-to-Face Medicare Reimbursement Requirements for Home Health Certification
By Michael Cassidy on
Posted in Medicare & Reimbursement
CMS has announced its concern regarding the level of compliance for documenting the face-to-face elements necessary for home health care certification.
Attached is an educational piece published by Novitas Solutions on its Part B website.
It lists the qualification criteria for home health benefits:
- Be confined to a home;
- Under the care of a physician;
…
Hospital Recovers Income Guarantee Payments from Suspended Physician
By Michael Cassidy on
It should come as no surprise there are cases in which hospitals seek to and actually do recover income guarantee payments made to physicians whom, either through termination of employment or loss of hospital privileges, fail to fulfill the repayment requirements existing in most of those contractual arrangements.
They typical hospital guarantee arrangement provides advances…