This article written by Michael A. Cassidy appeared in the December 2020 Issue of the Allegheny County Medical Society Bulletin.
Potential Federal Action Regarding Surprise Billing
Recent reports indicate that House and Senate Committee leaders have apparently mutually agreed on a bipartisan arrangement for correcting or preventing surprise medical bills, although legislation has not yet been passed.
Attached is an outline of the “No Surprise Act”, which essentially deals with insured patients receiving unexpected bills for medical services.
Note…
Cybersecurity AKS Safe Harbor and Stark Exception
EHR Safe Harbor Permanent
The existing electronic health records items and services Safe Harbor in 42 CFR Section 1001.952(y) was amended by deleting the sunset provision, thereby making the protection permanent.
Cybersecurity Technology and Services
A new Safe Harbor for cybersecurity and technology services is added in 42 CFR Section 1001.952(jj) to facilitate improved cybersecurity. …
Sprint to Coordinated Care AKS Safe Harbors and Stark Exceptions Finalized
On December 2, 2020, the Department of Health and Human Services (HHS), the Office of Inspector General (OIG) and the Center for Medicare and Medicaid Services (CMS) will jointly publish the final regulations first proposed on October 17, 2019:
1. AKS Safe Harbors: https://public-inspection.federalregister.gov/2020-26072.pdf
2. Stark Exceptions: https://public-inspection.federalregister.gov/2020-26140.pdf
The regulations will become effective January 19,…
Mike Cassidy to Participate in CTeL 2020 Summit Keynote
The Center for Telehealth and e-Health Law (CTeL) is presenting its virtual 2020 Fall Summit on December 1st through December 4th. Mike Cassidy will participate in the Keynote Panel addressing the telehealth issues presented in the OIG’s September 2020 National Health Care Fraud and Opioid Takedown.
Wheeling Hospital Settles $50M False Claims Case with OIG
This article written by Michael A. Cassidy and Jerry J. Russo appeared in the October 2020 Issue of the Allegheny County Medical Society Bulletin.
Future of telehealth: Boom or back to business as usual?
This article written by Michael Cassidy appeared in the September issue of the Allegheny County Medical Society Bulletin.
Use this link to read the article.
Taskforce on Telehealth Policy Urges CMS to Retain Telehealth Changes
The Taskforce on Telehealth Policy (TTP) conveyed by NCQA, the Alliance for Connected Care, and the American Telemedicine Association (ATA) issued a report urging the retention of the new policies on telehealth issued by CMS during the COVID-19 Public Health Emergency (PHE). Use this link to view the report.
President Trump Issues Surprise Billing Executive Order
On September 24, 2020, President Trump issued an Executive Order encouraging Congress to restrict surprise billing and prevent third party payors from denying care to patients with pre-existing conditions. President Trump wants Congress to act prior to the end of the year, but obviously there is not much chance of that happening.
Orthopedic Practice Pays $1.5 Million for HIPAA Damages
Most medical practices view HIPAA compliance as maintaining appropriate documentation regarding patient notices and consents, and controlling access to the PHI within the office; that’s PRIVACY. Practices tend to forget the technology/security side of HIPAA, which requires maintaining, or reasonably attempting to maintain, secure EHR/IT systems; that’s SECURITY.
Athens Orthopedic Clinic PA agreed to pay…