Hospitals Violate Price Transparency Rule; CMS Proposes Increased Penalties
July 30, 2021 | Eric D. Fader | Hospitals | Legislation and Public Policy | Medicare and Medicaid
A new federal hospital price transparency rule that took effect on January 1, 2021, requires hospitals to post all prices for services online in an easily accessible format. However, a report recently released by PatientRightsAdvocate.org found that 94.4% of hospitals were not in compliance with the rule, because one or more price transparency requirements were …
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NY Department of Labor Issues Airborne Infectious Diseases Model and Standards for Worksites
July 29, 2021 | Brian S. Conneely | John K. Diviney | COVID-19 | Employer/Employee | Legislation and Public Policy
The New York Department of Labor has issued Model Safety Plans and Standards for airborne infectious diseases. All employers, regardless of size and with a worksite in New York, must adopt a safety plan by August 5, 2021, and must post, distribute and include the plan in their handbooks to all employees and new hires by September …
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Responding to Information Requests from Payors and Regulators
July 29, 2021 | Rivkin Rounds Staff | Electronic Health Records | Medicare and Medicaid | Private Insurers
On Thursday, August 12, in the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, firm partners Christopher J. Kutner and John Queenan will discuss how to construct the proper response to information requests from third-party payors and regulators.  The presentation will cover: • State and federal agency requests • Payor requests (Medicare, …
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Proposed Physician Fee Schedule Adds Coverage for Remote Therapeutic Monitoring
July 21, 2021 | Eric D. Fader | Electronic Health Records | Home Health | Legislation and Public Policy | Medical Devices and Wearables | Medicare and Medicaid | Telehealth
The proposed 2022 Medicare Physician Fee Schedule released on July 13 by the Centers for Medicare & Medicaid Services (CMS) includes a new category of CPT codes for “remote therapeutic monitoring” (RTM). The new codes are in addition to the set of codes introduced in 2019 for remote physiological monitoring, usually called remote patient monitoring …
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Proposed Physician Fee Schedule Includes Expanded Telehealth Reimbursement
July 15, 2021 | Eric D. Fader | Behavioral Health | Legislation and Public Policy | Medicare and Medicaid | Telehealth
The proposed 2022 Medicare Physician Fee Schedule, released on July 13 by the Centers for Medicare & Medicaid Services (CMS), includes expanded reimbursement for behavioral health services delivered by telehealth, including reimbursing providers for audio-only telephone calls. The proposed expansion would allow Medicare beneficiaries with mental health or substance abuse disorders to receive diagnosis, evaluation …
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NPDB Reporting Protected by Law in Some Cases, Gray Areas Problematic
July 8, 2021 | Rivkin Rounds Staff | Hospitals | Legislation and Public Policy | Litigation
An article in the July issue of Hospital Peer Review, “NPDB Reporting Protected by Law in Some Cases, Gray Areas Problematic,” discussed hospitals’ obligations to report doctors to the National Practitioner Data Bank (NPDB) and their protection against liability for doing so. Rivkin Radler’s Chris Kutner was quoted extensively in the article. “In the matters …
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Compounding the Fraud: Questionable Billing by Pharmacies
July 6, 2021 | Rivkin Rounds Staff | FDA | False Claims Act | Fraud and Abuse | Litigation | Medicare and Medicaid | Pharmaceuticals
Rivkin Radler partners Evan Krinick and Michael Sirignano authored an article, “Compounding the Fraud: Questionable Billing by Pharmacies,” in the July 6 issue of the New York Law Journal. The article discussed the U.S. Department of Justice’s continued concern over fraudulent claims for reimbursement to federal healthcare programs for compounded prescription drugs. …
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The Impact of Stark Law and AKS Changes on Compliance in Real Estate Transactions
July 6, 2021 | Rivkin Rounds Staff | Fraud and Abuse | Legislation and Public Policy | Medicare and Medicaid
On Wednesday, July 7, in the next installment of the firm’s Healthcare Compliance Lunch & Learn series, Rivkin Radler attorneys Benjamin P. Malerba and Ada Janocinska will discuss key compliance considerations under the federal Anti-Kickback Statute (AKS) and Stark Law as they relate to real estate transactions.  The presentation will provide: • An overview of …
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