Congress approves Medicare physician payment fix

The House of Representatives passed legislation this morning that averts a 24.9 percent Medicare payment cut to physicians that was scheduled to take effect on Jan. 1.  The measure passed the Senate Wednesday evening by unanimous consent. To pay for the legislation, the bill changes policy regarding overpayments

MGMA reported today:

Senate passes a 1-year Medicare physician payment patch; House to act next

The Senate passed today by unanimous consent legislation preventing a 24.9 percent cut in Medicare physician payments. The Medicare and Medicaid Extenders Act of 2010 (H.R. 4944) extends the current Medicare payment rates through Dec. 31, 2011. This one-year

Contributed by Paul J. Welk

pwelk@tuckerlaw.com, 412.594.5536

On December 7, the House of Representatives passed S. 3987, the Red Flag Program Clarification Act of 2010. The Red Flags Rule requires financial institutions and creditors to develop and implement a written identity theft program.  This legislation would exempt physical therapists and other health care providers from the

Frengell v. InterCare Community Health Network demonstrates the counterintuitive nature of certain peer review actions.

Dr. Frengell’s employment was terminated following the inappropriate prescription of narcotics. InterCare reported Dr. Frengell to the National Practitioners’ Data Bank, although the report was not required and the court concluded, and InterCare admitted, that it had not provided any

On November 15, 2010, the Internal Revenue Service, the Department of Labor, and the Department of Health and Human Services jointly issued an amendment to the interim final rules relating to status as a grandfathered plan under the Patient Protection and Affordable Care Act. With the amendment, insured group health plans are now able to

MGMA has reported that the House has approved the Senate bill delaying the 23% SGR Medicare decrease  to the Medicare Physician Fee Schedule for one month. If signed by President Obama, this will apply only to the month of December, and will not address the mandatory SGR cuts for next year which, without further action, will be

Senate Acts to Avert Medicare Physician Fee Cut
By Nora Colangelo and Jacqueline Finnegan*

On November 18, 2010, the Senate approved a bill that would postpone the scheduled 23% Medicare physician payment cut scheduled to take effect on December 1, 2010, for one month. If approved by the House of Representatives and signed into law

In Pierson v. Orlando Health, the U.S. District Court for the Middle District of Florida granted a motion for summary judgment for the hospital on the basis that the hospital was immune from any liability from damages under the immunity provisions of the Health Care Quality Improvement Act (HCQIA). 

Dr. Pierson had argued that