In 2015, the Medicare Access and CHIP Reauthorization Act was passed, and by 2019, healthcare providers will begin to see its impacts on Medicare payments. It replaces Medicare’s current reimbursement schedule—which was based on a sustainable growth rate (SGR)...
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Medicare’s Hospital Readmission Reduction Program
Established as part of the Affordable Care Act (ACA), Medicare’s Hospital Readmission Reduction Program (HRRP) attempts to create an incentive for hospitals to cut down the number of readmissions they have for various types of acute care. As of 2017, these types of...
Health Care Business Law Webcast with Trey Scott
Register now for July 24th Health Care Business Law Video Webcast with Trey Scott The National Business Institute, an organization for continuing legal education for professionals, is presenting a full-day live video webcast on Monday, July 24th on Health Care...
Revision of the Stark Law Self-Referral Disclosure Protocol (SDRP)
The procedure for voluntary self-disclosure of actual or potential Stark Law (federal physician self-referral law) violations has changed. As of June 1st, 2017, those providers wishing to make a Stark Law self-referral disclosure must submit all relevant information...
Hospitals and Healthcare Providers at High Risk for Ransomware
Due to their high vulnerability level, healthcare providers are frequent targets for ransomware attacks. Lives depend on hospitals and healthcare personnel being able to access vital patient data whenever it is needed. As such, hackers have targeted hospitals and...
Medicare Hospice CAP Demands and Appeals
Medicare Hospice CAP Demands and Appeals Beginning in 1982, Medicare began offering a hospice benefit to covered individuals needing end of life palliative care. Provisions for Medicare hospice reimbursement were set out in Hospice Statute of 1982. Under the system,...
About Medicare, Medicaid, Regulatory
The United States spends about $2.6 trillion annually on health care (17.5 percent of GDP) and with the reform initiatives under the Affordable Care Act (ACA), the number of Americans covered and the amount spent will grow dramatically, potentially leading to even...
Stark Legislation
Provisions included by Congress Congress included a provision in the Omnibus Budget Reconciliation Act of 1989 (OBRA 1989) which barred self-referrals for clinical laboratory services under the Medicare program, effective January 1, 1992. This provision is known as...
Know the HIPAA facts with HIPAA Breach Attorney
Health Insurance Portability and Accountability Act Protected health information or PHI The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule provides Federal privacy protections for individually identifiable health information, called...
Understanding Litigation
Understanding Litigation Litigation involves a series of steps that may lead to a court trial An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute. When a person begins a...