The Medicare Anti-Markup provisions for diagnostic tests, which will be effective as of January 1, 2008, are intended to prevent physicians or other medical suppliers from purchasing either the professional component (PC) or technical component (TC) of any diagnostic test (excluding clinical laboratory tests subject to separate restrictions) and profiting or marking up the acquisition cost by billing globally in accordance with the fee schedule.Continue Reading The New Medicare Anti-Markup Diagnostistic Test Results
Michael Cassidy
USCIS Streamlines Readmissions for Certain H & L Nonimmigrants with Pending Permanent Residence Applications
By Michael Cassidy on
Posted in Legal News
Click on the link below for an update from the U.S. Citizenship and Immigration Services:
Medicare Physician Quality Reporting Initiative ( PQRI ) 2008 Quality Measures
By Michael Cassidy on
Posted in Medicare & Reimbursement
The 2008 Medicare Physician Fee Schedule (MPFS) Final Rule, effective for services on or after January 1, 2008, is on display in the Federal Register and will be published on November 27, 2007. The rule identifies 119 measures CMS has selected for eligible professionals to use to report quality-of-care information under the 2008 PQRI. The…
2008 Medicare Physician Fee Schedule Delays Stark Rules
By Michael Cassidy on
Posted in Fraud - Stark
2008 MEDICARE PHYSICIAN FEE SCHEDULE DELAYS STARK RULES
CMS announced in the 2008 Medicare Physician Fee Schedule final rule that the following proposed revisions will not be finalized until the future publication of a final rule:
§ burden of proof;
§ obstetrical malpractice insurance subsidies;
§ unit of service (per click);
§…
Highmark Announces ASC Accreditation Requirements
By Michael Cassidy on
Posted in Medicare & Reimbursement
HIGHMARK ANNOUNCES AMBULATORY SURGERY CENTER
ACCREDITATION REQUIREMENTS
In the October 2007 PRN, Highmark announced that, as of January 2008, it will require freestanding ambulatory surgery centers (ASC) to be accredited by one of three accrediting bodies, i.e., the Joint Commission, the Accreditation Association for Ambulatory Healthcare ("AAAHC"), or the American Association for Accreditation of Ambulatory…
MedMal Reports
By Michael Cassidy on
Posted in Legal News
Below is a link to a press release regarding a new custom valuation service for medical malpractice lawsuits, MedMal Reports:
Continue Reading MedMal Reports
HCQIA Immunity Denied to Hospital for Denial of Due Process
By Michael Cassidy on
Posted in Credentialing and Peer Review
HCQIA IMMUNITY DENIED FOR
HOSPITAL VIOLATIONS OF DUE PROCESS
In the case of Wilkey vs. The McCullough – Hyde Memorial Hospital , the United States District for the Southern District of Ohio denied the hospital’s request for summary judgment based upon immunity under the Health Care Quality Improvement Act because the hospital allegedly used an…
Medicare Final Rule Announces 2008 Physician Fees: Text of Press Release
By Michael Cassidy on
Posted in Medicare & Reimbursement
| For Immediate Release: | Thursday, November 01, 2007 |
| Contact: | CMS Office of Public Affairs 202-690-6145 |
MEDICARE FINAL RULE ANNOUNCES 2008 PHYSICIAN FEES AND REFORMS FOR ACCURATE PAYMENTS AND QUALITY
The Centers for Medicare & Medicaid Services (CMS) today issued a final physician payment rule designed to improve accuracy of Medicare payments and give physicians and health
…
2008 Medicare Physician Fee Schedule
By Michael Cassidy on
Posted in Medicare & Reimbursement
2008 Medicare Physician Fee Schedule
CMS has published the 2008 Medicare Physician Fee Schedule . The link to the press release and embedded links follows.
Peer Review Litigation Requires Exhaustion Of Administrative Remedies
By Michael Cassidy on
Posted in Credentialing and Peer Review
PEER REVIEW LITIGATION REQUIRES PRIOR
EXHAUSTION OF ADMINISTRATIVE REMEDIES
The Colorado Supreme Court decided that physicians must exhaust administrative remedies before seeking injunctive relief or monetary damages in court; in the case of Crow vs. Penrose-St. Francis Health Care System, the Court stated:
“Because the governing board has yet to reach its final decision…