“The New Frontier: How Accountable Care Organizations (ACOs) May Impact Your Business,” October 12, 2011 This education program will focus on issues to consider when deciding whether to participate in an ACO. Medicaid, Medicare and private insurance companies all have different ideas of what constitutes an ACO. For more information and to RSVP, please click […]
OIG Issues Advisory Opinion 11-11 Regarding Discounts
The HHS Office of Inspector General has published Advisory Opinion 11-11, which deals with a financial relationship between an entity furnishing supplies, equipment and other items to a skilled nursing facility. In order to enhance its likelihood of becoming the successful bidder in response to the skilled nursing facility’s RFP, the medical supplier offered to […]
Beth Christian Elected Chair of the Health & Hospital Law Section
Beth Christian of our Health Care Department has been elected Chairman of the New Jersey Bar Association’s Health and Hospital Law Section. This election is clearly a recognition by her peers of her contributions in the legal field of Health Care. Beth joined us in January of 1990. Prior to that, Beth spent a number […]
MEDICAL LOSS RATIO
At the presentation given by Frank Ciesla, Sharlene Hunt and Beth Christian at the New Jersey Medical Society’s Annual Meeting on Friday, May 13, 2011, in New Brunswick, we discussed the potential impact on fees paid by third party payors to providers in light of the medical loss ratio limitations set forth in the Patient […]
Hospitals Fire Employees Over Privacy Violation
The StarTribune in Minneapolis St. Paul has reported that two related hospitals in Minnesota fired 32 employees for violating patient privacy when they accessed medical records of patients hospitalized as the result of a massive drug overdose at a party in the area. According to the news story, because the drug overdose story was so […]
Medical Society of New Jersey Annual Meeting
Frank Ciesla, Sharlene Hunt, and Beth Christian will speak at the Annual Meeting of the Medical Society of New Jersey on May 13, 2011 at 1:30 p.m. The topic that they will be discussing is “Interpreting the Language in your Payor Contracts”. Please feel free to stop by Salon CD on the second floor if […]
The Confluence of the Sustainable Growth Rate and the Deficit
Last Thursday, the Commissioners of the Medical Advisory Commission recommended that the Sustainable Growth Rate (“SGR”) formula be scrapped and that the 300 plus billion dollars (the cost of getting rid of the SGR) be written off. This suggestion appears to be based upon the fact that Congress has been unable or unwilling to come […]
“Before The OIG Comes Knocking”
Changes made to the federal laws over the past year and a half have greatly increased the exposure of medical practices under the federal False Claims Act. As part of these changes, it is now a violation of the False Claims Act to retain an overpayment received from the Medicare or Medicaid program, and physicians […]
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