A presentation explaining basic information about Recovery Audit Contractors (RACs) was published by The Centers for Medicare and Medicaid Services (CMS) on their website. The presentation describes RACs as a way to identify and resolve past improper payments, as well as provide reason to avoid future improper payments. Any entity that bills fee-for-service programs is […]
The Centers for Medicare and Medicaid Services (CMS) posted a new FAQ regarding Recovery Audit Contractors (RACs) on their website. The FAQ inquires what claim dates CMS uses to determine RAC medical record request limits for a fiscal year. CMS responded that they originally intended to use a designated calendar year’s claims to create limits […]
Medicare trust funds are expected to deplete sooner than projected last year, according to a report released by Medicare trustees. While their 2008 report estimated that funds would run out in 2019, this year’s report predicts that funds will exhaust in 2017. The current economic recession, an increasing need to address the public health crisis, […]
On May 12, 2009, Robert S. Iwrey, Esq. will present to members of the Oakland County Medical Society and Oakland County Bar Association. Mr. Iwrey, one of the founding shareholders of The Health Law Partners, P.C., will co-present with Virginia Trzaskoma, the Assistant Attorney General of the State of Michigan. They will discuss the interaction […]
Michigan Governor Jennifer Granholm ordered decreases in the payment of Medicaid providers as part of the state’s budget cuts seeking to eliminate this year’s expected deficit. These cuts are in spite of the fact that the number of Michigan Medicaid patients is growing. While this growth draws more federal funding, the finances are not being […]
The Health Information Technology for Economic and Clinical Health (HITECH) Act, passed as a part of the American Recovery and Reinvestment Act of 2009 (ARRA) (i.e., the Stimulus Bill), requires the development of regulations requiring certain covered entities to provide thorough notification in the cases where there has been a breach of unsecured protected health […]
The Michigan Medicaid False Claims Act (FCA) has been found by the Department of Health and Human Services (HHS) Office of Inspector General (OIG), which has the authority to make this determination, to meet the requirements of the Deficit Reduction Act (DRA). Section 6031 of the DRA creates a financial incentive for States to enact […]
“Red Flag Rules” enforcement has been delayed by the Federal Trade Commission (“FTC”) until August 1, 2009. On the eve of the scheduled May 1, 2009 enforcement date for the Red Flag Rules, the FTC announced that it is delaying the enforcement date until August 1, 2009. The purpose of this extension is to give […]
The Office of the Inspector General (the “OIG”) posted new Advisory Opinion 09-03 on April 30, 2009, which concerns an arrangement whereby three municipalities reciprocally waive the otherwise applicable cost-sharing obligations of individuals residing within each other’s borders when providing backup emergency medical services transportation. Based on the facts presented, the OIG concluded that: (i) […]
The new Secretary of the Department of Health and Human Services (“HHS”) has been confirmed. On Tuesday, April 28, 2009, by a vote of 65-31, the Senate confirmed Kansas governor Kathleen Sebelius as the new Secretary of HHS. Just hours later, in an Oval Office ceremony, Sebelius was sworn in. As stated by the HHS […]
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