Topic: Medicare

Home Health Agencies Get More Time to Prepare for New Medicare Rules

Home health agencies (HHAs) can breathe a sigh of relief now that the Centers for Medicare & Medicaid Services (CMS) have published a Final Rule delaying the effective date of the revised Medicare Conditions of Participation (CoP) published earlier this year. The effective date is now January 13, 2018. CMS issued a proposed rule in…

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Thinking of Becoming a Concierge Practice? Some Legal Issues to Consider

Many primary care physicians are transitioning their practices to a “concierge” model, sometimes called “Direct Primary Care” or “Retainer” practice. In a concierge practice, patients pay a fixed annual or monthly fee to receive certain non-medical services in addition to the usual professional services rendered by physicians. Concierge services include such “extras” as same-day or…

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CT Hospitals Have New Patient Disclosure Requirements Beginning in 2017

Beginning January 28, 2017, Connecticut hospitals must start notifying patients who schedule certain non-emergency diagnoses or procedures of their right to request related cost and quality information. This new requirement applies to patients whose diagnoses and procedures are included in the annual report issued jointly by the Connecticut Insurance Department (CID) and Department of Public…

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Hospitals, Physician Practices and Clinics are Reminded to Post New Non-Discrimination Notice

Hospitals, physician practices and other health care providers that receive federal financial assistance, which includes receiving reimbursement from Medicare Parts A, C and D and/or Medicaid, are reminded to post new non-discrimination notices required under the Patient Protection and Affordable Care Act (the “ACA”). Background While the prohibition on discrimination has been in effect since…

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Final Rule Clarifies Requirements for Reporting and Returning Medicare Overpayments

Medicare Part A and B providers and suppliers should take note of new regulations recently issued by the Centers for Medicare & Medicaid Services that implement the Affordable Care Act’s 60-day rule on reporting and returning overpayments (Section 1128J(d) of the Social Security Act). The new rules take effect on March 14, 2016. Background Since…

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