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Courting Disaster ( January 2007 )
Our neo-con friends are at it again, all for our own good, mind you. Before we all chip in to send them thanks, let's take a moment to reflect on the next "best thing" they wish to visit upon us. -
Is Your Hospital Compliance Program in Compliance? OIG's Draft Supplemental Compliance Program Guidance for Hospitals ( July 2004 )
On June 8, 2004, the Department of Health and Human Services' Office of Inspector General published the "OIG Draft Supplemental Compliance Program Guidance for Hospitals." As the name suggests, this guidance document is intended to supplement the OIG's 1998 Compliance Program Guidance to: (a) address recent changes in hospital payment systems, regulations, and industry practices; (b) focus on particular risk areas; and (c) provide guidance for evaluating existing hospital compliance programs. -
CMS Loosens Restrictions on Medicare Billing Reassignment of Physician Fees ( March 2004 )
Medicare now permits an entity to submit Medicare bills and receive payment for services furnished by a physician with whom it has a contract, regardless of where the services are furnished or whether an employer-employee relationship exists. This new rule greatly enhances flexibility for hospital-physician contracting. -
The 2003 Medicare Prescription Drug, "Improvement" And Modernization Act Provides Increased Revenue Opportunities ( December 2003 )
Signed into law on Dec. 8, 2003, the Medicare Prescription Drug, Improvement and Modernization Act, P.L. 108-173 (the "Act"), with close to 200 major sections, has been called the largest overhaul to the Medicare Program since its inception. The Act not only creates a historic prescription drug benefit, but makes significant payment changes to Medicare Part A and Part B, and Medicaid. Congress has hailed the Act as correcting existing payment "inequities." -
Anti-Kickback Act Safe Harbor Provisions Finalized ( December 2000 )
This article reviews the finalized safe harbor provisions of the Federal Anti-Kickback Act that were published by the Office of Inspector General (OIG) on November 19, 1999. -
Expert Medical Reports Required By Article 4590i must Refer To Each Defendant ( November 2000 )
The San Antonio Court of Appeals in Morrill v. Third Coast Emergency Physicians, P.A., (Opinion delivered October 1. -
Prospective Payment System Final Rule Benefits Device, Pharmaceutical, and Biological Industries ( October 2000 )
On April 7, 2000, the Health Care Financing Administration (HCFA) published its final regulation (65 FR 18,434 et s. -
Hospital Liability for Failing to Comply with the Federal Emergency Medical Treatment and Labor Act in Florida ( August 2000 )
Introduction In response to a number of widely reported horror stories about emergency rooms turning away . -
Hospitals: Have You Checked Your Potential Outlier Payments Under the Hospital Outpatient Prospective Payment System? ( July 2000 )
The hospital outpatient prospective payment system ("HOPPS") provides for outlier payments to protect hospitals aga. -
Arent Fox Alerts ( January 2000 )
This article reviews some of the key provisions of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999.