In the August 12, 2021 MLN Connects News, CMS announced resumption of TPE Program.
UPMC Finally Settles Data Breach Lawsuit for $2.7 Million
UPMC’s employment records were hacked by criminals in 2014. A civil class action lawsuit was filed on behalf of approximately 66,000 employees, and criminal cases were filed by federal prosecutors against a number of individuals and 4 have already pled guilty in connection with the hacking of the UPMC human resources data and using some…
CMS has Published the 2022 Medicare Physician Fee Schedule Proposed Rule
The 2022 Medicare Physician Fee Schedule was proposed and published by CMS on Friday, July 23, 2021. Here is the link: https://www.govinfo.gov/content/pkg/FR-2021-07-23/pdf/2021-14973.pdf
Ongoing Federal Telehealth Fraud Enforcement
In previous Med Law Blog posts, we have featured examples of increased enforcement in the telehealth area, including the recent creation of the National Rapid Response Strike Force, announced by the Department of Justice on September 30, 2020, and OIG Takedowns in the DME and telehealth arenas.
Now, the OIG work plan includes at least…
Medical Practices Face Liability for COVID Accelerated and Advance Payments and PPP Loans
Medical practices are now beginning to encounter Medicare payment claw backs by CMS for COVID Accelerated and Advanced Payments (CAAP) and Department of Justice (DOJ) prosecution for Paycheck Protection Program (PPP) abuses.
Please check the following links below for additional information.
- Justice Department Takes Action Against COVID-19 Fraud: Justice Department Takes Action Against COVID-19 Fraud
…
Correction: 2021 Medicare Conversion Factor
The correct Medicare conversion factor for 2021 is $34.8931. I apologize for the math error.
2021 Medicare Physician Fee Schedule changes
Click here to read the article on the 2021 Medicare Physician Fee changes which appeared in the March 2021 edition of the Allegheny County Medical Society Bulletin.
Proposed HIPAA Changes Intended to “Empower Patients” and “Improve Coordination of Care”
On December 10, 2020, the Department of Health and Human Services (HHS) and the Office of Civil Rights (OCR) collaborated on announcing proposed HIPAA changes, intended to “empower patients” and “improve coordination of care”.
That’s encouraging, although one would have thought that to be unnecessary by now. HIPAA was enacted in 1996. It is a…
2021 Pennsylvania Medical Record Fees
The Pennsylvania Department of Health has announced “Amendments to Charge for Medical Records”. Attached is the link for a copy of the notice.
2021 Medicare Fee Schedule Conversion Factor Reduction Reversed
CY 2021 Physician Fee Schedule Update
On December 27, 2020, the Consolidated Appropriations Act modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS):
- Provided a 3.75% increase in MPFS payments for CY 2021
- Suspended the 2% payment adjustment (sequestration) through March 31, 2021
- Reinstated the 1.0 floor on the work Geographic Practice Cost
…