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Efforts to Quash Healthcare Reform: Some Successful, Some Not-So-Successful

In light of recent campaign promises, Congressional Republicans have pushed to quash the Affordable Care Act, commonly known as the healthcare reform law or “Obamacare.” On January 20, the US House of Representatives voted 245-189 to repeal the Affordable Care Act while yesterday, Senate Democrats, by a 51-47 vote, defeated…

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CMS Launches Physician Compare Website

CMS announced on December 30th a new feature to enhance its Physician Directory tool, called Physician Compare, which expands and updates the existing Healthcare Provider Directory. The new site, www.medicare.gov/find-a-doctor, was mandated by the Patient Protection and Affordable Care Act. In the first phase of the roll-out, the categories of…

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January 3: EHR Registration Begins!

For over a year, the Health Law Attorney Blog has reported on many of the electronic health records (EHR) incentive payment updates (the most recent entry from July 13, 2010). Beginning today, eligible professionals, hospitals and critical access hospitals may begin registering for incentive payments for demonstrating meaningful use of…

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OIG Uneasy About Medicaid Ambulatory Transport Services

On December 28,2010, the Office of Inspector General (“OIG”) published Advisory Opinion 10-26, wherein the OIG concluded that an ambulance provider offering discounted rates to skilled nursing facilities (“SNFs”) could violate the Anti-Kickback Statute (“AKS”). In Advisory Opinion 10-26, Requestor is a nonprofit Medicare and Medicaid certified ambulance supplier providing…

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Stark In-Office Ancillary Services Exception Disclosure Requirements Effective January 1, 2011

Effective January 1, 2011, the new Stark In-Office Ancillary Services Exception (the “IOASE”) provisions will require physicians or group practices relying upon the IOASE (collectively, “Physician Practices”) to furnish the following notice/disclosure to patients receiving MRI, CT, and PET (as identified on the Stark CPT/HCPCS Code list): • Written notice…

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Hospice Recertification Requirements Under CMS 2011 Home Health Prospective Payment System

In its November 3, 2010 release of the final 2011 Home Health Prospective Payment System (“2011 HHPPS”), the Centers for Medicare and Medicaid Services (“CMS”) updated its hospice recertification requirement. Beginning January 1, 2011, the Affordable Care Act requires that physicians and non-physician practitioners attest to a beneficiary’s recertification for…

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CMS Released 2011 Final Home Health Prospective Payment System

On November 3, 2010, the Centers for Medicare and Medicaid Service (“CMS”) posted its final 2011 Home Health Prospective Payment System (“2011 HHPPS” or the “Final Rule”). According to CMS, “this final rule reflects CMS’ ongoing efforts to improve quality of care provided by home health agencies to Medicare beneficiaries.…