Industry Insights Archive

Industry Insights Archive

Reminder: New ABN Form Use Required | 4 October 2013

In 2011, the Centers for Medicare & Medicaid Services (CMS) released an updated version of the Advance Beneficiary Notice of Noncoverage (ABN) (form C…

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Legislative Focus: H.R. 452 and H.R. 5 | 4 October 2013

Two critical national issues impacting physicians will be on the House or Senate floors in the next weeks in the form of H.R. 452 and H.R. 5. Below, w…

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Supreme Court Upholds Part of Affordable Care Act, Strikes Down Medicaid Portion | 4 October 2013

June 28, 2012 - Today, the United States Supreme Court upheld the constitutionality of a portion of the Patient Protection and Affordable Care Act of …

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HIPAA Version 5010: Enforcement Date Delayed Again | 4 October 2013

HIPAA 5010 Transition: What You Need To Know (A Lawyer's Perspective)           As lawyers for hospitals, physician practices, and health plans, we a…

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CMS Delays Place of Service (POS) Transmittal 2407 Until October, 2012 | 4 October 2013

In a showing of support to physicians, particularly pathologists and radiologists who do not have "face to face" patient encounters, the Centers for M…

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ICD-10 Coding Deadline Quickly Approaching | 4 October 2013

  Is Your Facility Ready for the October 1, 2013 ICD-10 Compliance Date? Did you know that if your facility does not implement the necessary changes…

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Place of Service Changes for Hospital-Based Pathologists (4/1/2012) | 19 March 2012

CMS has revised and clarified its national policy on Place of Service (POS) coding guidelines due to the Office of the Inspector General’s (OIG) findi…

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Call To Action: "Doc Fix" & TC Grandfather Expire This Month | 13 February 2012

As we have addressed in previous Alerts, both the Physician Payment Fix and the TC Grandfather Clause are set to expire at the end of this month (2/29…

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VICTORY!!! Pending Balance Billing Legislation Rejected by the FL Senate Health Regulation Committee | 26 January 2012

Thursday, January 26, 2011 - VICTORY!!! The Florida Senate Health Committee rejected by a 4-3 vote the proposed PCB 7186. According to FSP (Florida So…

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ALERT: Physician Payment "Fix" and TC Grandfather Clause Both Extended Through 2/29/2012 | 22 December 2011

ALERT: PHYSICIAN PAYMENT UPDATE & TC GRANDFATHER CLAUSE EXTENDED THROUGH 2/29/2012 On December 23, 2011, the Temporary Payroll Tax Cut Continuation A…

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Version 5010 Discretionary Enforcement Period Announced | 1 December 2011

Discretionary Period Announced for Version 5010 Compliance A discretionary 90-day enforcement period for all HIPAA covered entities impacted by the V…

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Health Reform—That was Then, What is Now? | 1 December 2011

The Challenges for Attorneys and Physicians Dealing with Health Reform Over the past year, we have reviewed components of the Patient Protection & Af…

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