The Med Law Blog, published by Tucker Arensberg, PC, focuses on legal issues intersecting with healthcare and medical practice. It covers regulatory updates such as CMS payment rules, physician fee schedules, and telehealth policies. The blog addresses healthcare fraud enforcement, including False Claims Act developments and government initiatives targeting improper billing and abuse. It also discusses legislative changes affecting healthcare business structures, such as restrictions on corporate practice of medicine. Additionally, the blog highlights innovations in Medicare program models aimed at reducing waste and improving care through technology and data analytics. The content is relevant for healthcare providers, compliance officers, and legal professionals navigating healthcare law and policy.
The final “2023 Omnibus Bill” which is the spending bill passed by Congress and signed by President Biden at the end of 2022, provides partial relief from the scheduled Medicare Physician Fee Schedule Conversion Factor cuts.
As previously reported, the…
Both the federal government and the Pennsylvania state government are taking steps to reform the prior authorization process. Take a look at the Pennsylvania Insurance Department press release that was issued November 3, 2022, touting the passage and signing of…
Please click the link to view the Medicare Physician Fee Schedule Final Rule Summary for 2023.
The US Office of Inspector General (OIG) released another in a series of Special Fraud Alerts on July 20, 2022, this one directed to potentially fraudulent telehealth, telemedicine, and telemarketing service fraud schemes, collectively referred to as “Telemedicine Companies”. The…
On July 7, 2022, CMS released its proposed Medicare Physician Fee Schedule for 2023, which proposes physician fee schedule reductions via the Medicare Conversion Factor.
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Mike Cassidy recently wrote an article entitled, “Private Equity Deals Offer Both Potential Significant Return and Significant Challenges” in the Legal Summary section of the July 2022 Allegheny County Medical Society (ACMS) Bulletin. The ACMS Bulletin is the Allegheny County…
Jeremy Farrell and Rebecca Moran recently wrote an article entitled, “Pregnancy-Related Protections for New Physicians” in the Legal Summary section of the June 2022 Allegheny County Medical Society (ACMS) Bulletin. The ACMS Bulletin is the Allegheny County Medical Society’s signature…
Attached is the link to the new CMS webpage “Ending Surprise Medical Bills”.
The Cyber Incident Reporting for Critical Infrastructure Act (CIRCIA), was passed as part of the consolidated Budget Act for 2022, which also included the telehealth provisions I posted about last week.
The definition of “covered entity” in the Act is…
HHS sent notices to noncompliant physicians and facilities on March 10, 2022 giving them 30 days to return funds paid to healthcare providers who have not complied with the agency’s reporting requirements. Attach is the PDF from HRSA (Health Resources…
