Lee Kim, Tucker Arensberg attorney and Chair of the mHIMSS Legal/Policy Taskforce, will be a panelist at the American Conference Institute’s Legal and Business Guide to mHealth and Wireless Medical Technology in Washington, D.C. on April 30, 2013. Her panel will cover securing mobile devices, networks, data in the “cloud” and cybercrime.
OIG KO’s PODs: Physician Owned Distributorships
The OIG has issued a Special Fraud Alert, dated March 26, 2013, describing specific attributes and practices of Physician Owned Distributorships (PODs) believed to produce substantial fraud and abuse risk and pose dangers to patient safety.
PODs are physician owned entities that derive revenue from selling or arranging for the sale of implantable medical…
National Commission on Payment Reform Recommends 5 Year Transition Model
The Society of General Internal Medicine convened the National Commission on Payment Reform to formulate a recommendation for healthcare payment reform. This Commission released its Report in March 2013. Although we have attached the report, here are the 12 fundamental recommendations.
1. Over time, payers should largely eliminate stand-alone fee-for-service payment to medical practices because of …
Two New Federal Policy Documents on Critical Infrastructure Protection
Contributed by Lee Kim, Esq.
412.594.3915
The White House released two documents on February 12th related to critical infrastructure protection and cybersecurity: the Presidential Policy Directive #21 on Critical Infrastructure and Resilience (PPD-21) which replaces the Homeland Security Presidential Directive (HSPD-7) which previously served as the policy basis for the national critical infrastructure protection…
Final HIPAA omnibus rule published
Contributed by Lee Kim, Esq.
412-594-3915
The final HIPAA Omnibus Rule has been published and addresses privacy, security, enforcement, and breach notification.
California Issues Guidance on Mobile Privacy
Contributed by Lee Kim, Esq.
412.594.3915
All commercial website and online service providers need to comply with the requirements of the California Online Privacy Protection Act. California recently issued guidance on how mobile application developers and others can comply with those requirements at the design stage in its guide entitled, "Privacy On the Go…
AMA Adopts Principles for Physician Employment
n November, 2012, the American Medical Association adopted new guiding principles for physicians entering into employment and contractual arrangements. According to one AMA Board Member, “The Principles for Physician Employment provide a broad framework to help guide physicians and their employers as they collaborate to provide safe, high quality, and cost-effective patient care.”…
Continue Reading AMA Adopts Principles for Physician Employment
CMS Implements 0% Medicare Payment Update: Hold Claims for 10 Day
The American Taxpayer Relief Act of 2012 includes the Physician Update Fix, which essentially provides a 0% Medicare change for 2013. The Centers for Medicare & Medicaid Services (CMS) is currently revising the 2013 Medicare Physician Fee Schedule (MPFS) to reflect the new law’s requirements as well as technical corrections identified since publication of the final…
Pennsylvania Medical Records Fees for 2013
The Pennsylvania Department of Health has issued its medical records fees for 2013. The announcement is attached; it provides as follows:
Not to Exceed
Amount charged per page for pages 1-20 $ 1.42
Amount charged per page for pages 21-60 $ 1.05
Amount charged per …
OIG Advisory Opinion No. 12-17
The OIG recently issued an interesting advisory opinion related to a hospital based hospice agency’s intent to establish a volunteer program to provide non-skilled services to terminally ill patients who do not qualify for hospice care. Read the full text of the OIG opinion here: https://oig.hhs.gov/fraud/docs/advisoryopinions/2012/AdvOpn12-17.pdf…
Continue Reading OIG Advisory Opinion No. 12-17