By Daniels Porco & Lusardi, LLP | Published March 11, 2016 | Posted in Health Care Lawsuits | Tagged Tags: Health Care Lawsuits | Comments Off on Attempts To Gain Insight Into Billing Practices Of Individual Doctors And Hospitals Thwarted
Attempts To Gain Insight Into Billing Practices Of Individual Doctors And Hospitals Thwarted
Within recent decades, there’s been growing concern about the rising costs of health care and the lack of transparency on the parts of physicians, hospitals and insurance providers with regard to those costs. While some states have taken steps to compel health care providers, facilities and private insurance companies to provide detailed information related to Read More
Read MoreIs Your Health Care Organization HIPPA-Compliant?
Increasingly in industries, workplaces and households around the world, privacy is becoming a longed-for relic of the past. While one’s right to privacy was previously assumed; from an individual’s personal identifying information to a bank’s list of security codes— in today’s digital age information is easily and readily discovered and shared. When it comes to Read More
Read MorePhysicians Must Beware Upcoding And False Billing Practices
Most individuals who endure the years of schooling and training it takes to become a full-fledged medical doctor do so because they want to help people. As with many professionals, despite all of their professional training, physicians are often ill-prepared for many of the realities that come with the job. Along with the physical, mental Read More
Read MoreUnder Medicare, Preauthorization Now Required For Durable Medical Equipment
For individuals who are age 65 and older or who are permanently disabled, Medicare provides vital health insurance coverage to help pay for doctor visits, medical procedures, hospital stays, physical therapy, prescription drugs and medical equipment. According to The Henry J. Kaiser Family Foundation, during 2014, Medicare spending totaled $597 billion and accounted for 14 Read More
Read MoreHow HIPAA Applies To Patients With Mental Health Conditions
According to the National Alliance on Mental Illness, annually, 20 percent of the U.S. adult population “experiences mental illness.” Whether a mental health condition like depression is related to a specific event or is a genetic and chronic condition; mental health conditions are disabling and can also be difficult to treat. For an individual who Read More
Read MoreCourt Lifting Of Stark Law Ban On Per Click Fees May Lead To Sub Under Arrangements Between Physicia
The Stark Law prohibits a physician who has a “financial relationship” with a provider of designated health services[i] (“DHS Entity”) from referring Medicare patients to that DHS Entity. It also bars DHS Entities from receiving Medicare payments based on these prohibited referrals. Under Stark, a physician has a “financial relationship” with a DHS Entity if Read More
Read MoreBasis Of Many Health Care Fraud Suits To Be Examined By Scotus
An announcement by the Supreme Court could be good news for health care providers. It might not. What legal observers seem to agree on is that regardless of the outcome, it should give providers a better understanding of when they run the risk of violating the federal False Claims Act. For those who may be Read More
Read MoreImportant Changes Made To “Incident To” Billing In CMS 2016 Revisions To Physician Fee Schedule
Medicare pays practitioners for “incident to” services at the applicable Medicare payment rate as if the practitioner personally furnished the service. For example, if billed by a physician, they are paid at 100 percent of the fee schedule amount, and if billed by a nurse practitioner or clinical nurse specialist, they are paid at 85 Read More
Read MoreIn Topsy-Turvy Health Care Environment, Compliance Can Be Tricky
Business transactions in the health care field are moving at a record pace in 2015. Analysts say the driving forces behind the robust merger and acquisition activity are many. Low interest rates get some of the credit. But the desire for scale is important, too. As a recent report in The New York Times observed, Read More
Read MoreHealth Care Highlights Solid October Jobs Growth
The health care industry in New York and the rest of the country is undergoing something of a renaissance. Some call it good. Others call it bad. Regardless of what side of the fence you might be on, the one thing that is certain is that the economic trend in health care is in flux. Read More
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