Health Law Attorney Blog

Published on: April 7, 2011 | by The Health Law Partners

The HLP and Decision Health Announce Upcoming June Conference in Las Vegas, Nevada: “Physician-Hospital Alignment Strategies 2011”

Join Carey Kalmowitz, Esq. of The Health Law Partners, P.C. in Las Vegas, Nevada for a conference that will answer all of your questions regarding the growing movement towards greater physician-hospital alignment. Declining reimbursement, uncertainty over health care reform, increased competition, the need to access capital and the overall economy are all combining to drive […]

Continue Reading →

Published on: April 6, 2011 | by The Health Law Partners

Joel Kahn, M.D. is Named to Two New Medical Director Positions at DMC

Dr. Joel Kahn has been named Detroit Medical Center’s (DMC) Medical Director of Wellness and Medical Director of Preventive Cardiology and Cardiac Rehabilitation. Dr. Kahn plans to develop a clinic for preventive cardiology as well as reopening a cardiac rehabilitation program for DMC. Continue Reading →

Continue Reading →

Published on: April 5, 2011 | by The Health Law Partners

Model Legislation for Balance Billing Adopted by NCOIL

The National Conference of Insurance Legislators (NCOIL) adopted model legislation to restrict out-of-network balance billing by physicians. The stated purpose of the model-legislation is “to provide transparency, accountability, and disclosure by healthcare facilities, facility-based providers, and health benefit plans regarding billing practices, notice of network benefits, and financial responsibilities in the delivery of non-emergency medical […]

Continue Reading →

Published on: April 4, 2011 | by The Health Law Partners

Face-to-Face Encounter Requirement for Hospice and Home Health Providers Effective NOW

Effective April 1, 2011, hospice and home health providers will be required to comply with the face-to-face rule for purposes of verification of a patient’s eligibility for Medicare home health services and of recertification for Medicare hospice services. Enforcement of this requirement was delayed from January 1, 2011, in order to allow home health and […]

Continue Reading →

Published on: April 1, 2011 | by The Health Law Partners

Alan G. Gilchrist, Esq. Joins The HLP to Lead Civil False Claims and Criminal Defense Practice Group

The Health Law Partners, P.C. (“The HLP”) is pleased to announce that Alan G. Gilchrist, Esq., has joined the firm as a partner. The HLP is excited to welcome Gilchrist to our growing team of lawyers specializing in health care law. Gilchrist will chair the firm’s Civil False Claims and White Collar Criminal defense practice […]

Continue Reading →

Published on: April 1, 2011 | by The Health Law Partners

The Highly Anticipated ACO Guidance Has Been Issued!

On Thursday, March 31, 2011, the Centers for Medicare & Medicaid Services (“CMS”) provided the health care community with some much needed guidance by publishing its Proposed Rule regarding the Medicare Shared Savings Program (the “Shared Savings Program”) and its Accountable Care Organizations (“ACOs”). There is a sixty (60) day public comment period with respect […]

Continue Reading →

Published on: March 31, 2011 | by The Health Law Partners

ACO Proposed Regulations Issued

Today, CMS issued the long-awaited proposed regulations for accountable care organizations (ACOs). The regulations may be found here. Continue Reading →

Continue Reading →

Published on: March 25, 2011 | by The Health Law Partners

OIG Views Favorably Complimentary Transportation Services in Adv. Op. 11-02

In the Office of Inspector General’s (OIG) Advisory Opinion 11-02, the OIG examined a proposed arrangement in which the Requestor–a non-profit, tax-exempt corporation that operates an outpatient acute care hospital–would provide complimentary transportation services to patients and their families at physicians’ offices located on, or contiguous to, the Requestor’s campus (Physicians) to the Requestor’s acute […]

Continue Reading →

Published on: March 21, 2011 | by The Health Law Partners

5th and 9th Circuits Rule the HHS Hospice Cap Invalid

Following a December challenge in the Northern District of Texas, the ninth circuit (Los Angeles Haven Hospice, Inc. v. Sebelius, No. 09-56391 (9th Cir. Mar. 15, 2011)) and the fifth circuit (Lion Health Servs. V. Sebelius, No. 10-10414 (5th Cir. Mar. 11, 2011)) have both ruled that the hospice cap regulation (42 CFR 418.309(b)) is […]

Continue Reading →

Published on: March 19, 2011 | by The Health Law Partners

Advocacy Groups Pushing to Delay Face-to-Face Rule

Section 6407 of the Patient Protection and Affordable Care Act requires a face-to-face encounter for home health and hospice patients to qualify for Medicare coverage. On March 12, 13 prominent medical societies and advocacy groups sent a letter to the Centers for Medicare and Medicaid Services (CMS) requesting a postponement until, at least, July 1 […]

Continue Reading →