The Centers for Medicare & Medicaid Services (CMS) has finalized the 60-day overpayment rule. I have attached the article I prepared for ACMS Legal Bulletin here.
2016
Has There Been Actual Medicare Reform?
By Michael Cassidy on
Posted in Medicare & Reimbursement
Mike was published in this month’s Allegheny County Medical Society Bulletin regarding the Medicare reform. You can find the article here.
Tucker Arensberg’s Michael Cassidy Named a Top Author by JD Supra
By Michael Cassidy on
Posted in Uncategorized
The law firm of Tucker Arensberg, P.C. is pleased to announce Michael Cassidy has been named a Top Author by JD Supra. Mike is the founder and frequent contributor to the Med Law Blog (www.medlawblog.com). This award recognizes the top authors being read by executives, in-house counsel, media and other professionals across the JD Supra…
Final 60 Day Overpayment Rule
By Michael Cassidy on
Posted in Compliance
CMS has issued the final regulations to implement that section of the Affordable Care Act amending the Social Security Act to provide that retention of identified overpayment could be a false claim and be subject to both the False Claims Act (FCA) and the Civil Money Penalty Act (CMP).
ACA § 6402(a) established new Social…
Progress on Medicare Payment Reform
By Michael Cassidy on
Posted in Medicare & Reimbursement
HHS is gearing up to design and implement a revised Medicare payment system. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has designated a merit based incentive payment system (MIPS) as a goal. CMS is tasked to design a value based payment system based upon quality, resource use, clinical practice improvement, and meaningful…
10 Significant Physician Contracting Mistakes
By Michael Cassidy on
1. Failure to Begin with the End in Mind. The most important provisions of your employment contract will be the provisions governing your termination rights, for two reasons. First, if the relationship goes well, chances are the contract will never be read again. However, if there is a dispute, both parties will be reading…
Physician Practices Face Anti-Trust Risks, Too
By Michael Cassidy on
Posted in Compliance
On December 18, 2015, the Federal Trade Commission (FTC) announced a settlement with Keystone Orthopaedic Associates Specialists and Orthopaedic Associates of Reading, LTD, which were two of six orthopedic practices in Berks County, Pennsylvania that merged in 2011.
The FTC initiated the Complaint because they believe the merger of the practices eliminated competition among orthopedists…
FTC and Pennsylvania Challenge Penn State Hershey’s Planned Merger with PinnacleHealth System
By Michael Cassidy on
Posted in Uncategorized
BNA has reported the planned merger of Penn State Hershey Medical Center with PinnacleHealth System will be challenged in federal court by federal and state officials.
The Federal Trade Commission and Pennsylvania’s attorney general said they will join together to seek an injunction delaying consummation of the deal. The FTC voted 4-0 to file the…