The federal No Surprises Act is now in effect, and it is changing how medical practices, ambulatory surgery centers, and hospitals interact with patients and health insurers. See our initial Fox Rothschild Alert here and stay tuned to the Health Care Law Matters Blog for more information, including our Part II Alert on what physicians
Proposed Amendments to False Claims Act Would Tilt the Playing Field
This post is a courtesy of Fox Rothschild attorney William H. Maruca, Esq., and was first published as an Alert on Fox’s website.
A bipartisan bill introduced this summer would impact residential and behavioral health facilities and other health care providers sued under the federal False Claims Act (FCA), making defense of these actions
Costs for COVID Tests – The Buck Stops Where?
Widespread testing for the novel Coronavirus is generally recognized as an important tool in combating the spread of the virus. The World Health Organization is an advocate for broad testing, so as to better locate incidents of infection for purposes of isolation, caring, and tracking.
However, the cumulative cost for such testing is significant. In
THE ABC’S OF THE S.I.U.: What Providers Need to Know
Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order. Yet, not all requests should be treated the same. When a request for documentation is propounded by the “Special Investigation Unit” (S.I.U.) of an insurance company,
Medicare and OCR Relax Telehealth Rules Under Medicare and HIPAA
Fellow Fox Rothschild LLP attorneys Margaret J. Davino, Salvatore J. Russo and Nawa A. Lodin generously contributed this post.
On March 17, 2020, the Centers for Medicare & Medicaid Services (CMS) broadened access to Medicare telehealth services to allow Medicare patients to receive more services from their doctors without travel to a health care
Time for New Jersey Medical Practices to Update Certain Patient Disclosures and Comply with the Surprise Medical Billing Law
The New Jersey Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act (the “Law”), New Jersey’s “surprise” medical billing law, went into effect on August 30, 2018. Among other things, it requires licensed health care professionals in New Jersey (including, but not limited to, physicians, physician assistants and nurse practitioners) that bill health benefits plans
New Anti-Kickback Law Targets Opioid Crisis
On October 24, 2018, Congress enacted a new anti-kickback law that applies to many commercial health insurance plans, as well as Medicare and Medicaid. The law, known as the “Eliminating Kickbacks in Recovery Act of 2018” (the “Law”), was passed as part of the SUPPORT for Patients and Communities Act, which generally targets the national
New Jersey Law Mandates New Patient Disclosures Regarding Insurance
The New Jersey Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act takes effect today, August 30, 2018, and requires all licensed health care professionals in New Jersey (including physicians, nurse practitioners and physician assistants, among others) who bill health benefits plans issued or delivered in New Jersey to provide certain disclosures to patients
Proposed Changes to the Medicare Physician Fee Schedule and Quality Payment Program in 2019
CMS recently issued its proposed changes to the 2019 Medicare Physician Fee Schedule, which include a controversial change to the reimbursement rates for Level 2-5 evaluation and management (E/M) services and some notable changes to the Quality Payment Program. This post highlights some key aspects of the Proposed Rule that will affect medical practices.
CMS
New VA MISSION Act Designed to Increase Veteran Access to Private Doctors
This is the second installment in a new series on the Physician Law Blog entitled “Small Doses” designed to provide you with quick updates on meaningful issues. We will continue to provide you with detailed updates on significant topics which we think are worth your time to read. The purpose of “Small Doses” is to