As many people are discussing methods to improve healthcare, the Centers for Medicare & Medicaid Services (CMS) is giving stakeholders an opportunity to send in their thoughts on this topic.
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Billing & Reimbursement
CMS Introduces New Education Initiative for Chronic Care Management
By Fox Rothschild LLP on
The Centers for Medicare & Medicaid Services (“CMS”) recently introduced a new education initiative for Chronic Care Management (“CCM”) patients and providers. The initiative, called Connected Care, is intended to…
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Health Law Alert – Medicare Quality Payment Program
By Edward J. Cyran on
We recently issued a Health Law Alert on the Medicare Quality Payment Program, focusing specifically on what physicians and their medical practices need to know to be in compliance with…
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Are You Ready for the New Medicare Quality Payment Program? (Part 2): Basics of the MIPS and How to Qualify in 2017
By Edward J. Cyran on
The Medicare incentive programs with which you and your medical practice are familiar will soon be no more. As of January 1, 2017, these programs (including the Electronic Health Records…
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Are You Ready for the New Medicare Quality Payment Program? (New Blog Series)
By Edward J. Cyran on
You may have heard that a transformation of Medicare’s physician payment program is in the works. However, you may not know that the structure of the new program, called the…
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What is the Medicare Quality Payment Program and How May It Affect My Practice?
By Edward J. Cyran on
There are big changes coming to the Medicare incentive programs as we know them. Beginning on January 1, 2017, the new Quality Payment Program (the “Program”) will replace…
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Nursing Home Fraud Scam Results in Conviction for “King of Nursing Homes”
By Edward J. Cyran on
Called by some the “King of Nursing Homes” for his many low-income nursing home patients in northeast Illinois, Dr. Venkateswara Kuchipudi was recently convicted for referring patients to Sacred Heart…
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CMS Finally Makes Reasonable Changes to 60-Day Overpayment Rule
By Edward J. Cyran on
The Affordable Care Act (ACA) requires Medicare providers to return overpayments within 60 days of the date they are identified in order to avoid liability under the False Claims Act. …
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Understanding Medicare Overpayments
By Todd Rodriguez on
Under the federal Affordable Care Act, physicians and other providers have only 60 days to refund overpayments to the Medicare program before they face potential liability under the False Claims…
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Offering Discounts (or Waivers) of Coinsurance/Copayments to Patients as an Out-of-Network Provider
By Edward J. Cyran on
Commercial payors are actively looking for ways to reduce payments to out-of-network providers. One area of focus is discounts and waivers of patient copayments and deductibles by out-of-network providers. In…
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