In Kandel v. The Nebraska Medical Center, Dr. Kandel sought an injunction against the Medical Center for reporting Dr. Kandel to the National Practitioner Data Bank after surrendering his medical staff privileges while being under an investigation. The Nebraska Trial Court granted a Motion for Summary Judgment by the hospital and the Nebraska Appeals
Legal News
Stark Imaging Self Disclosure Rules
By Michael Cassidy on
Posted in Fraud - Stark, Legal News
The 2011 Medicare Physician Fee Schedule adds an additional requirement to the in-office ancillary services exception of the Stark Rules. New Section 411.355(b)(7) requires that providers of MRI, CT and PET services must provide a written notice to the patient at the time of the referral, advising that the patient may receive the same services from…
The 2011 Limits for Qualified Retirement Plans
By Michael Cassidy on
Posted in Legal News
As they do every year, the Internal Revenue Service released the dollar limits that apply to qualified retirement plans. There are three separate charts below that list the limits for 2011. The three charts are separated to identify the limits for: (1) defined contribution plans, (2) defined benefit plans, and (3) both defined contribution and defined benefit…
W-2 Healthcare Coverage Reporting Requirement Suspended for 2011
By Michael Cassidy on
Posted in Legal News
Contributed by Jo-Anne Mineweaser
jmineweaser@tuckerlaw.com, 412.594.3920
The Patient Protection and Affordable Care Act (PPACA) requires employers to report the aggregate cost of healthcare coverage provided to their employees on Form W-2. The aggregate cost is to be determined in the same way that the “applicable premium” is determined under the COBRA rules. This requirement…
The New American Health Care System: Reform, Revolution, or Missed Opportunity?
By Michael Cassidy on
Posted in Legal News
This symposium, sponsored by the University of Pennsylvania Law Review, is taking place at Penn Law School in Philadelphia from Oct. 28-30. There is no cost to attend, but registration is requested in advance. There is up to 12.5 hours of CLE credit available for this seminar.
For more information or to register, please click here.
U.S. Justice Department Challenges Most Favored Nations’ Clause of Michigan Blue Cross/Blue Shield Hospital Contracts
By Michael Cassidy on
Posted in Legal News
The Department of Justice has filed a civil anti-trust lawsuit against BlueCross/Blue Shield of Michigan alleging that the Most Favored Nations’ Clause (MFN) in their hospital contracts prevent other insurers from entering the market place and discourage discounts, resulting in higher prices for Michigan health care consumers. The state of Michigan has joined the lawsuit. MFNs generally…
HHS Memorandum on Amendments to the HIPAA opt-out provision (formerly section 2721(b)(2) of the Public Health Service Act) made by the Affordable Care Act
By Michael Cassidy on
Posted in Legal News
HHS has issued a memorandum on amendments to the HIPAA opt-out provision (formerly section 2721(b)(2) of the Public Health Service Act) made by the Affordable Care Act. More information is available at: http://www.hhs.gov/ociio/regulations/opt_out_memo.pdf.
What Every Business Should Know About Healthcare Reform Webinar
By Michael Cassidy on
Posted in Legal News
What Every Business should know about Healthcare Reform
Thursday, October 14, 2010
8:30 a.m. – 10:30 a.m.
Pittsburgh Athletic Association
4215 Fifth Ave
Pittsburgh, PA 15213
Complimentary Breakfast & Parking
RSVP by October 10 to:
Susan Zelenak at 724-322-0116 or susan.zelenak@pnc.com
The impact of healthcare reform on businesses is quickly becoming a major topic of
…
Health Care Banking Issues Seminar
By Michael Cassidy on
Posted in Legal News
Michael Cassidy is presenting today on Healthcare Banking Issues at the new Fairmont in downtown Pittsburgh for the PNCBank Healthcare Business Banking Group . The presentation is from 8:30 – 9:30 am and includes information on how this new act impacts the banking industry.
Legal and Practical Issues of Billing and Collection Practices
By Michael Cassidy on
Posted in Legal News
Contributed by Michael Cassidy & Donna Kell
mcassidy@tuckerlaw.com, djk@kellgroup.com
An overlooked byproduct of health care reform and the general economic recession is the “multiplier” effect of larger deductibles and co-pays and the reduced ability of patients to make those payments, resulting in more collection problems and the perhaps unintended creation of consumer financing issues. This…