http://www.attorneygeneral.gov/press.aspx?id=7909
Included is the link to the PA Attorney General announcement on the UPMC – Highmark Consent Decree. I will be adding mu=y summary and comments later today.
Mike Cassidy
Michael Cassidy
AMA Issues New Telemedicine Policy
By Michael Cassidy on
Posted in Telehealth & Telemedicine
Last week, the American Medical Association (AMA) issued a new report regarding coverage of and payment for telemedicine (CMS Report 7-A-14). The report recognizes the telemedicine is a “key innovation in support of health bill reform, being used in initiatives to improve access to care, care coordination and quality, as well as reduce…
St. Clair Hospital named Truven Top 100
By Michael Cassidy on
Posted in Uncategorized
Interesting in our Pittsburgh area that is renowned for the quality of its healthcare that St. Clair Hospital in Mt. Lebanon , PA is the only Truven Top 100, and for the 3rd year running.
Ohio Court Reiterates Peer Review Privilege Applies Only to Formal Peer Review Actions
By Michael Cassidy on
Posted in Credentialing and Peer Review
A Hospital in Ohio tried to prevent access to a patient incident report on the basis of Peer Review Privilege. The Hospital claimed that, since the incident report was reviewed by the Hospital Peer Review Committee, the report was then privileged.
In Ridenour v. Glenbeigh Hospital, the Ohio Appellate Court stated that the Ohio …
New CMS Rules Reduce Role of Medical Staff
By Michael Cassidy on
Posted in Credentialing and Peer Review
The American Health Lawyers Association Regulatory Accreditation and Payment Practice Group (RAPPG) has issued an email alert regarding the issuance of a final rule by CMS intending to streamline Medicare regulatory requirements. Two aspects of that rule which are a great concern to physicians are:
- Allowing hospital systems with more than one hospital to use
…
CMS Cancels ICD-10 Testing
By Michael Cassidy on
Posted in Compliance
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Medical Staff Application Release Bars Physician Credentialing Claim
By Michael Cassidy on
Posted in Credentialing and Peer Review
In Copeland v. MidMichigan Regional Medical Center, a Michigan State Appellate Court affirmed a trial court’s grant of summary judgment in favor of the Hospital, based upon both HCQIA immunity and a general release signed by the physician as part of the initial medical staff application process.
These releases are almost universally included in …
New York Federal Court Takes Different Stance on Medical Staff Bylaws
By Michael Cassidy on
Posted in Credentialing and Peer Review
On April 14, MedLaw Blog posted a comment about Villare v. Beebe Medical Center, a case in which a Delaware trial court granted summary judgment on the basis that the medical staff bylaws were held not to constitute a contract between the hospital and the individual physicians in Delaware. Villare sited a New York …
Medical Staff Bylaws Are Not Contracts in Delaware
By Michael Cassidy on
Posted in Credentialing and Peer Review
One of the fundamental issues in credentialing disputes is whether the Medical Staff Bylaws constitute contracts between the Hospital and the individual physicians. If the Medical Staff Bylaws do constitute a contract, then the due process provisions contained in the Bylaws are guaranteed to the physician, regardless of the Health Care Quality Immunity Act (HCQIA).…
CMS Releases 2012 Physician Payment Data; WSJ Allocates by Specialty
By Michael Cassidy on
Posted in Medicare & Reimbursement
http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html
http://online.wsj.com/news/articles/SB10001424052702303456104579490043350808268?mod=djemalertNEWS
The 2 links above should connect you to the total physician payment information by individual and specialty.