Articles and Blogs

On April 26, 2012, Corporate Communications at National Government Services, Inc. issued the following statement: “Recently, the Region B Medicare Recovery Audit Contractor (RAC), CGI Federal, announced that ‘Based on a technical error discovered, CGI finds the Rituximab edit, an automated take back, was disallowed in error. Therefore, CGI reverses the original decision on... READ MORE

In a speech delivered at an educational conference on April 19, Lois Lerner, Director of the Exempt Organizations Division at the Internal Revenue Service (“IRS”), reported the preliminary findings from an analysis of governance practices of exempt organizations and signaled that good governance will continue to be a focal point for the IRS.  The... READ MORE

On April 17, 2012, the Department of Health and Human Services (“HHS”) announced that it had reached a settlement with Phoenix Cardiac Surgery, P.C. (the “Practice”) arising from potential violations of the Privacy and Security Rules under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).  This is the first Resolution Agreement under... READ MORE

Part 1 of 2 It seems like yesterday, but we are two years into the “health care reform” era.  The Affordable Care Act (“ACA”) became law in March of 2010.  The primary goals of the ACA are three-fold:  increase coverage, reduce the cost of care and improve the quality of care.  Few argue the... READ MORE

In Freilich v. Upper Chesapeake Health System1, the Maryland Court of Appeals examined allegations of retaliatory peer review action against a physician who accused the Hospital of providing poor patient care.  Dr. Freilich is a nephrologist with a history of disruptive and abusive conduct towards patients and the nursing staff at two different hospitals... READ MORE

On March 14, 2012, the Centers for Medicare and Medicaid Services (“CMS”) published a final rule finalizing proposed revisions to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (“DMEPOS”) supplier standards (“Final Rule”).  An article summarizing the April 4, 2011 proposed rule can be found here.   READ MORE

On March 28, 2012, Wisconsin Governor Scott Walker signed 2011 Senate Bill 421 (the “Bill”) into law.  The Bill expands the ability of Wisconsin-licensed physician assistants (“PAs”) to authorize certain medical actions by generally allowing PAs to act on behalf of patients’ and the public’s health in situations that were previously limited to physicians... READ MORE

April 16, 2012 is National Health Care Decisions Day. The goal of the day is to encourage Americans to think and talk about their health care goals and communicate their health care decisions by executing advance health care directives. Across the United States, health care providers, professionals, chaplains, attorneys and others will focus attention... READ MORE

On March 16, 2012, CMS published the long-awaited Supplemental Security Income (SSI) ratios used in computing Medicare Disproportionate Share Hospital (DSH) payments for Federal Fiscal Years (FFYs) 2006, 2007, 2008 and 2009. This should finally end the cost report settlement moratorium implemented by CMS in July 2008 and lead to a flood of Notices... READ MORE

This installment of Hall Render’s Health Law Broadcast series on health care reform is designed to provide you with the insight, analysis and practical suggestions with respect to the various reform initiatives that will affect your organization.  The Centers for Medicare and Medicaid Services (“CMS”) recently posted on its website two Self-Referral Disclosure Protocol... READ MORE