Duane Morris LLP blogs

Don’t Just Pay the RAC

Duane Morris Health Law reimbursement payment medicare hofstra rac | Health Law | Wednesday November 16, 2011 | By Patricia S. Hofstra

Medicare Recovery Audit Contractors (RACs) mine data using automated systems to detect and recover improper Medicare payments.   RAC audits pick up billing and coding errors and deny claims based on those errors.   In many instances, the service...

Final ACO Rule – Some Highlights For Physicians

Duane Morris Health Law ftc medicare_fee_for_service_program aco acos shared_savings_models medicare cms shared_savings final_rule antitrust weiner emr minimum_savings_rate aco's dept._of_justice aco_final_rule | Health Law | Friday November 04, 2011 | By William L. Weiner

Two weeks ago, the Centers for Medicare and Medicaid Services (“CMS”) issued the final rule (“Final Rule”) for accountable care organizations (“ACO’s”).   CMS released the Final Rule after receiving more than 1,300 comments to the proposed regulations...

OIG’s 2012 Work Plan For Nursing Facilities: Same...

Duane Morris Health Law cms oig work_plan nursing_home ppaca workplan_2012_oig_enforcement medicare long_term_care bilimoria | Health Law | Tuesday October 18, 2011 | By Neville M. Bilimoria

Recently, the United States Department of Health and Human Services Office of Inspector General (“OIG”) published its Work Plan for fiscal year 2012 (“Work Plan”) and delineated focus points for nursing facilities and new enforcement in 2012.   The Work...

House GOP Budget Plan: Bad News for Providers

Duane Morris Health Law house_gop gop_budget_plan medicaid gop_plan aca medicare weiner | Health Law | Thursday June 09, 2011 | By William L. Weiner

Earlier this week, I attended a breakfast meeting, featuring my local congressman who is a   Republican.   He devoted the majority of his remarks to the current budget debate taking place in Washington, and to defending the House GOP plan that,...

Expansion of CMS Never Events: They’re Not Just F...

Duane Morris Health Law health_care_reform cms hospitals ppaca oppc never_events nursing_homes hac bilimoria physicians medicaid medicare reimbursement health_care hcac payment | Health Law | Thursday June 02, 2011 | By Neville M. Bilimoria

Expansion of CMS Never Events:  They’re Not Just For Medicare Or Just For Hospitals Anymore In 2005 when “Never Events” were proposed for hospitals through the Deficit Reduction Act, no one knew what the overall effect would be on hospitals or...

Medicare Shared Savings Program----Beware of Greek...

Duane Morris Health Law aco accountable savings hospitals medicare shared care goldman | Health Law | Friday May 20, 2011 | By C. Mitchell Goldman

Beware of Greeks bearing gifts.   Not an original thought and yet it so aptly applies to the proposed regulations CMS has issued recently concerning the Medicare Shared Savings Demonstration Program. Why?  Any program which included the...


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