Despite the Department of Health and Human Services’ intent to make Medicare healthcare cost data more transparent for the healthcare consumer, according to a recent report by the U.S. Government
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Todd Rodriguez
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CMS Issues FY2015 Medicare Physician Fee Schedule
By Todd Rodriguez on
Last week, the Centers for Medicare and Medicaid Services (CMS) issued the final Physician Fee Schedule for Fiscal Year 2015. The annual Physician Fee Schedule includes various policy and…
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Office of Inspector General Releases Work Plan for FY 2015
By Todd Rodriguez on
Each year, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) publishes a Work Plan for the coming fiscal year which summarizes new and ongoing…
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Tips for Evaluating Provider Network Arrangements
By Todd Rodriguez on
In response to the development of alternative payment systems, provider networks are forming at a frenetic pace. If you are like most of my physician clients, you have been or…
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Bill Limits Physician Dispensing Under Pennsylvania Workers’ Compensation Program
By Todd Rodriguez on
Physicians in Pennsylvania who have been dispensing and billing for prescription drugs under the Pennsylvania Workers’ Compensation program will be disappointed to learn that House Bill 1846 (which already passed…
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Does Your Practice Need a Disruptive Physician Policy?
By Todd Rodriguez on
One of the most challenging problems I encounter in representing physician practice is disruptive physician behavior. This type of behavior usually manifests in a host of unpleasant ways such as…
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Physician Employment Agreements: For Cause or Not-For-Cause
By Todd Rodriguez on
As a health care attorney, I am called upon quite frequently to draft and/or review . One of the recurring discussions I have with physicians about such arrangements revolves around…
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Physicians Can Review and Correct Reported Data under the Sunshine Act
By Todd Rodriguez on
Many physicians recently received a notice from the Centers for Medicare and Medicaid Services (CMS) notifying them of the opportunity to register with the CMS “Open Payments” system and review…
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Pennsylvania gets Federal Approval for Medicaid Expansion
By Todd Rodriguez on
The Centers for Medicare and Medicaid Services (CMS) has agreed to permit Pennsylvania to expand its Medicaid program under the federal Affordable Care Act to cover low income adults whose…
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It’s Official (at least for now): ICD-10 Implementation Date is Now October 1, 2015
By Todd Rodriguez on
According to a final rule published by the Centers for Medicare and Medicaid Services on August 4, 2014, providers will be required to use the International Classification of Diseases, 10th…
Continue Reading It’s Official (at least for now): ICD-10 Implementation Date is Now October 1, 2015