The Centers for Medicare and Medicaid Services (CMS) has issued new proposed fraud and abuse rules in accordance with requirements of the Affordable Care Act (ACA) — first known as the Patient Protection and Affordable Care Act (PPACA).
Section 6501(a) of ACA added Social Security section 1866(j), and required CMS to establish screening procedures for…
The case of Wood v. Archbold Medical Center Inc., presents an interesting twist regarding HCQIA immunity. The holding basically provides that “professional review activity” is a lesser level of adverse activity and need not meet the due process standards of HCQIA in order for a hospital to retain HCQIA.
In Dr. Wood’s situation, there were…
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.
The ONC Certified HIT Product List (CHPL) provides a comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program.
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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
…
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.
Section 6409 of the Patient Protection and Affordable Care Act (PPACA) required CMS to develop a Medicare Self-Referral Disclosure Protocol (SRDP) to facilitate the resolution of potential Stark violations. The SRDP was published on September 23, 2010 with two caveats:
1. Despite the fact that potential violations or situations might violate more than just the Stark…
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…
New – Medicare Self-Referral Disclosure Protocol
CMS has published the self referral disclosre protocol required by ACA. Link and announcement below. Analysis will be posted next week.
Section 6409(a) of the Affordable Care Act (ACA) ACA requires the Secretary of the Department of Health and Human Services, in cooperation with the Inspector General of…
Contributed by Jo-Anne Mineweaser
jmineweaser@tuckerlaw.com, 412.594.3920
The Patient Protection and Affordable Care Act and subsequent regulations set forth new rules for group health plans regarding the processing of claims and appeals. These rules are effective for plan years beginning on or after September 23, 2010 (January 1, 2011 for calendar year plans) and apply…
