On December 10, 2013, Minnesota Congressman Erik Paulsen introduced a bill into the House of Representatives that he believes will streamline and enhance the U.S. healthcare delivery system. The bill, entitled the “Diagnostic Imaging Utilization Act of 2013” directs Medicare to develop a system whereby physicians ordering advanced imaging (“AI”)…
Articles Posted in HLP News and Events
CMS Releases final Medicare Physician Fee Schedule for Calendar Year 2014
The Centers for Medicare and Medicaid Services (“CMS”) has released the final version of its 2014 Medicare Physician Fee Schedule (“MPFS”) that determines physician reimbursement for services furnished to Medicare beneficiaries. In addition to adjusting the various formulas that are used to determine payment amounts, the MPFS includes a number…
OIG Publishes Favorable Advisory Opinion on Charitable Organization’s Patient Assistance Program for Patients Suffering from a Rare Genetic Disorder
On December 2, 2013, the Office of Inspector General (“OIG”) published an advisory opinion in which it considered whether a charitable organization’s (the “Requestor”) proposal to provide monetary assistance, including Medicare premium assistance, to financially needy patients suffering from a rare genetic disorder (the “Disorder”) violated the Anti-Kickback Statute (“AKS”)…
OIG Releases Its Strategic Plan for 2014 – 2018
On November 21, 2013, the Office of Inspector General (“OIG”) published its Strategic Plan for 2014-2018. The Plan outlines the OIG’s vision for achieving its mission to protect the Department of Health and Human Services (“DHHS”) through a number of goals and priorities. The OIG intends to use the Plan…
OIG Issues Unfavorable Advisory Opinion On Proposed Relationship Between a Psychiatry Group and an Anesthesia Group
On November 12, 2013, the Office of Inspector General (the “OIG”) released an unfavorable Advisory Opinion in response to an anesthesiology practice’s (the “Requestor”) inquiry. Specifically, the OIG found that a psychiatry group’s (the “Psychiatry Group”) proposal to pay the Requestor a per-diem rate for anesthesia services while keeping any…
OIG Released Report on the Prevalence and Use of Spinal Fusion Devices Supplied by Physician-Owned Distributors
On Wednesday, October 23, 2013, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services released a report detailing its findings from a study it completed on the prevalence and use of devices supplied by physician owned distributors (“PODs”). The report, issued in response to…
Michigan Attorney General Announces Proposal to Strengthen State Oversight of Compounding Pharmacies
Michigan Attorney General Bill Schuette along with Steve Arwood, Director of the Michigan Department of Licensing and Regulatory Affairs, and State Senator Joe Hune, recently announced their plan to collaborate on a bill designed to strengthen Michigan’s regulation and oversight of compounding pharmacies. Compounding pharmacies have been under increased scrutiny…
Healthy Growth: The Health Law Partners Has Rapidly Become One Of The Industry’s Premier Health Care Law Firms
Abby Pendleton, Esq., Adrienne Dresevic, Esq., Carey Kalmowitz, Esq., Robert Iwrey, Esq., and Jessica Gustafson, Esq. were named Attorneys of The Month by Attorney At Law Magazine and were featured on the front page and on page 16 in, “Healthy Growth: The Health Law Partners Has Rapidly Become One Of…
Answers to the Questionable PSG Billing Report Released by the OIG
Sleep testing is clearly on the Office of Inspector General’s radar. A recently released report by the agency identified nearly $17 million in questionable billing for PSG services. A lawyer analyzes the OIG’s report and provides recommendations you can implement today. In a report issued last week, the Office of…
OIG Issues Advisory Opinion Allowing Non-Profit to Bill Medicaid While Providing the Same Services for Free to Uninsured or Underinsured Children
On October 15, 2013, the Office of Inspector General for the U.S. Department of Human Services (“OIG”) issued an Advisory Opinion favorable to a non-profit health services organization’s (“Requestor’s”) proposal to provide free dental screenings and services to uninsured children while billing Medicaid for the same services provided to children…