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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Medicare
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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OIG Issues Advisory Opinion on Transportation Aid and Lodging Benefits
By Edward J. Cyran on
In a recent Advisory Opinion (No. 16-02), the OIG concluded that it would not seek sanctions against a state-run hospital (the “Hospital”) under the federal anti-kickback statute or the civil…
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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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The Switch to ICD-10
By Edward J. Cyran on
The long-anticipated implementation of ICD-10 coding finally began this past Thursday, October 1, 2015. As of that date, government and commercial payors ceased to accept claims under the old coding…
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First Court Decision on the Medicare/Medicaid 60-day Overpayment Rule
By Edward J. Cyran on
You may have heard some years ago that the Affordable Care Act established a “60-day overpayment rule” that requires a provider to report and return any overpayment from a federal…
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