December 31, 2012 – Fiscal Cliff
This blog is not intended to address all the issues surrounding the fiscal cliff but just to comment that as of today, December 31, 2012, there is not a resolution of the problem. As set forth in a recent AP article, this creates potential reduction in payments to health care providers in various ways. In […]
Sustainable Growth Rate: Here We Go Again!
As you can see from CMS’ notice CMS intends to process bills after January 1, 2013 at the lower Medicare reimbursement rate if the issue is not resolved prior to that date. Does this mean administration expects that a resolution of the issue will not be retroactive? Regrettably, resolving the Sustainable Growth Rate issue for […]
December 17, 2012 Regulatory Developments
Here are the most recent health care related regulatory developments as published in the New Jersey Register on December 17, 2012: On December 17, 2012 at 44 N.J.R. 3019, the Department of Banking and Insurance published notice of its adoption of amendments to its regulations governing company action level events in connection with capital and […]
Physician Payment Rates
As we discussed in many prior blogs [(1) http://www.njhealthcareblog.com/2012/11/post-election-update-regarding-the-affordable-care-act/; (2) http://www.njhealthcareblog.com/2012/08/update-on-sustainable-growth-rate/; (3) http://www.njhealthcareblog.com/2012/02/no-valentine-to-physicians-from-congress-as-sgr-issue-remains-unresolved/; (4) http://www.njhealthcareblog.com/2011/12/imminent-withholding-of-medicare-physician-payments-appears-likely/; (5) http://www.njhealthcareblog.com/2011/12/still-no-action-on-sustainable-growth-rate-fix/; (6) http://www.njhealthcareblog.com/2011/11/update-of-sustainable-growth-rate/; (7) http://www.njhealthcareblog.com/2011/10/healthcare-reform-developments/; (8) http://www.njhealthcareblog.com/2011/10/sustainable-growth-rate-sgr/; (9) http://www.njhealthcareblog.com/2011/07/another-round-of-potential-physician-reimbursement-redutions/; (10) http://www.njhealthcareblog.com/2011/05/sustainable-growth-rate/; (11) http://www.njhealthcareblog.com/2011/05/medicare-balance-billing/; (12) http://www.njhealthcareblog.com/2011/04/the-confluence-of-the-sustainable-growth-rate-and-the-deficit/; and (13) http://www.njhealthcareblog.com/2010/10/blog-%E2%80%93-medicare-trust-fund-solvent-thru-2029-maybe/], if it is not addressed, the Sustainable Growth Rate will result in physician compensation being substantially reduced on January 1, 2013. […]
December 3, 2012 Regulatory Developments
Here are the most recent health care related regulatory developments as published in the New Jersey Register on December 3, 2012: On December 3, 2012 at 44 N.J.R. 3009, the Department of Health published notice that it is permitting the moratorium on the licensure of new adult day health service facilities and pediatric medical day […]
November 19, 2012 Regulatory Developments
Here are the most recent health care related regulatory developments as published in the New Jersey Register on November 19, 2012: On November 19, 2012 at 44 N.J.R. 2941, the Department of Human Services published notice of its proposal of a new rule intended to ensure Medicaid program compliance with various components of the Patient […]
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