Both the federal government and the Pennsylvania state government are taking steps to reform the prior authorization process. Take a look at the Pennsylvania Insurance Department press release that was issued November 3, 2022, touting the passage and signing of Pennsylvania Act 146, which is described as creating a new and more effective process for
Articles
Medicare Physician Fee Schedule Final Rule Summary: CY 2023
By Michael Cassidy on
Posted in Articles, Medicare & Reimbursement
Please click the link to view the Medicare Physician Fee Schedule Final Rule Summary for 2023.
Telemedicine Special Fraud Alert
By Michael Cassidy on
Posted in Articles, Telehealth & Telemedicine
The US Office of Inspector General (OIG) released another in a series of Special Fraud Alerts on July 20, 2022, this one directed to potentially fraudulent telehealth, telemedicine, and telemarketing service fraud schemes, collectively referred to as “Telemedicine Companies”. The alert is based upon OIG’s perception that these Telemedicine Companies are engaged in schemes to…
Medicare Proposes 2023 Physician Pay Cuts
By Michael Cassidy on
Posted in Articles, Medicare & Reimbursement
On July 7, 2022, CMS released its proposed Medicare Physician Fee Schedule for 2023, which proposes physician fee schedule reductions via the Medicare Conversion Factor.
- The general Medicare conversion factor will be reduced by 4.4% from $34,61 to $33.08
- The anesthesia conversion factor will be reduced 3.9% from $21.56 to $20.72
The link is attached
Mike Cassidy Published in the Allegheny County Medical Society’s Signature Publication
By Michael Cassidy on
Posted in Articles
Mike Cassidy recently wrote an article entitled, “Private Equity Deals Offer Both Potential Significant Return and Significant Challenges” in the Legal Summary section of the July 2022 Allegheny County Medical Society (ACMS) Bulletin. The ACMS Bulletin is the Allegheny County Medical Society’s signature publication which reaches over 2,000 physicians in Southwestern Pennsylvania each…
Tucker Attorneys Jeremy Farrell and Rebecca Moran Published in the Allegheny County Medical Society’s Signature Publication
By Michael Cassidy on
Posted in Articles
Jeremy Farrell and Rebecca Moran recently wrote an article entitled, “Pregnancy-Related Protections for New Physicians” in the Legal Summary section of the June 2022 Allegheny County Medical Society (ACMS) Bulletin. The ACMS Bulletin is the Allegheny County Medical Society’s signature publication which reaches over 2,000 physicians in Southwestern Pennsylvania each month. Click here…
CMS Launches No Surprise Act Webpage with FAQs
By Michael Cassidy on
Posted in Articles
Attached is the link to the new CMS webpage “Ending Surprise Medical Bills”.
2022 Budget Bill Includes Mandatory Healthcare Cyber Incident Reporting
By Michael Cassidy on
Posted in Articles
The Cyber Incident Reporting for Critical Infrastructure Act (CIRCIA), was passed as part of the consolidated Budget Act for 2022, which also included the telehealth provisions I posted about last week.
The definition of “covered entity” in the Act is far greater than covered entity as defined by HIPAA. Covered entity as per CIRCIA includes…
HHS Requesting Physician COVID Relief Payback of $100 Million
By Michael Cassidy on
Posted in Articles
HHS sent notices to noncompliant physicians and facilities on March 10, 2022 giving them 30 days to return funds paid to healthcare providers who have not complied with the agency’s reporting requirements. Attach is the PDF from HRSA (Health Resources and Services Administration), which is the agency responsible for dispensing and collecting the grant money.
Employment Contract Issues for New (and maybe old) Physicians
By Michael Cassidy on
Mike Cassidy was published in this month’s ACMS Bulletin. Find the article here.