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
Continue Reading New Jersey Law Mandates New Patient Disclosures Regarding Insurance
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
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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
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(Ride)Sharing is Caring
The transportation landscape in America has evolved and these developments are now impacting health care. With about 75 percent of the U.S. population living in a county with access to
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CMS Announces New Initiatives for Innovating Patient Care
Last month, CMS Administrator Seema Verma announced several initiatives to innovate the delivery of patient care at the ground level. In collaboration with the Trump Administration and other federal agencies,
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MACRA Update: Attestation Regarding Your EHR System
[For more information on CMS’s new Quality Payment Program and what physicians need to report in 2017, please see our prior blog posts here and here.]
CMS recently issued
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CMS Predicts that Physicians participating in Advanced APMs in 2017 will receive a 5% Incentive Payment in 2019
Under CMS’s new Quality Payment Program, which will adjust Medicare Part B payments starting in 2019 based on data from this year, physicians and other eligible clinicians must qualify for
Continue Reading CMS Predicts that Physicians participating in Advanced APMs in 2017 will receive a 5% Incentive Payment in 2019
More Small Physician Practices May Become Exempt from MACRA
On June 20, 2017, The Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule which would exempt a greater number of small practices from complying with the Medicare
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CMS Suggests Five Ways for Healthcare Providers to Prepare for New Medicare Cards
The Medicare Access and CHIP Reauthorization Act of 2015 requires Centers for Medicare and Medicaid Services (“CMS”) to remove Social Security Numbers (“SSNs”) from all Medicare cards. Physicians currently use
Continue Reading CMS Suggests Five Ways for Healthcare Providers to Prepare for New Medicare Cards
New York man sentenced to 10 years in prison for involvement in $26 million “billing mill”
Earlier this month, a New York man was sentenced to 10 years in prison for allegedly operating a $26 million scheme to defraud Medicare and Medicaid. The defendant allegedly established
Continue Reading New York man sentenced to 10 years in prison for involvement in $26 million “billing mill”