Mike Cassidy was published in this month’s ACMS Bulletin. Find the article here.
Med Law Blog
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.
Latest from Med Law Blog - Page 8
Congress Extends Telehealth Coverage
The President and Congress extended Medicare telehealth coverage in the Consolidated Appropriations Act, which also included additional Ukrainian relief.
On Tuesday, March 15, 2022, President Biden signed the Consolidated Appropriations Act, 2022 (“2022 CAA”). This new law includes several provisions…
Highmark Fraud Waste and Abuse Results
Highmark Health issued a Press Release on February 7, 2022 announcing that it’s Financial Investigations and Provider Review (FIPR) department generated more than $245 million in savings related to fraud waste and abuse in 2021, the majority of which was…
2022 Medicare Rules for Facility-Based Split/Shared Visits
There has been much discussion and controversy over the new CMS position on billing for split/shared services in facility settings.
As originally proposed, and starting in January 2022, if the service was shared among providers (such as physicians and physician…
2022 Federal Compliance Enforcement Outlook
There is almost universal agreement regarding predictions for 2022 federal enforcement in the following areas:
…
“Stark” Rules: Navigating Physician Leases and Subleases
Under the Federal Ethics in Patient Referrals Act (more commonly known as “Stark”), if a physician[1] has a financial relationship with an entity, the physician may not refer patients to the entity for medical services payable by Medicare unless…
CMS Policy Summary: 2022 Medicare Physician Fee Schedule, Telehealth Originating Site Facility Fee and Services List, and Physician Assistant Billing
In MLN Matters article MM 12159, CMS has published summaries of the following:
- Updates to payment policies and Medicare payment rates for services provided by physicians and non-physician practitioners (NPP)
- Updates to Medicare telehealth services and telehealth originating site
…
Cassidy Presenting at CTeL Digital Health Summit
Mike Cassidy will be one of the panelists discussing “The Myths About Telehealth: Telefraud vs. Telemedicine Fraud” at the virtual CTeL Digital Health Summit on Thursday, December 16, 2021.
PECOS Multi-Factor Authentication Requirement Delayed
CMS has announced a delay to implementation of PECOS Multi-Factor Authentication in the MLN Connects publication on Thursday, December 9, 2021: 2021-12-09-MLNC | CMS. This is a link to the publication and in the link you will find links…
Will AI Work for Diagnostic Medicine?
A recent Wall Street Journal article in their “The Future of Everything” commentary stream discusses the use of artificial intelligence (AI) to “tap the treasure trove of information locked in electronic health records to treat people in real…