By Daniels Porco & Lusardi, LLP | Published April 18, 2016 | Posted in Health Care Law | Tagged Tags: Health Care Law | Comments Off on Medicare To Pay Primary Care Doctors Up Front Incentive And Monthly Management Bucks $$$.
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⟨ Medicare To Pay Primary Care Doctors Up Front Incentive And Monthly Management Bucks $$$.
On April 11, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to, in its words “transform and improve how primary care is delivered and paid for in America”. The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented on January 1, 2017 in up to 20 regions. It will Read More
Read MoreWhat Are Your Rights If Your Mental Health Or Addiction Treatment Claims Are Denied By Your Insurance Company?
Has your insurance company denied coverage or reimbursement of you or your family member’s mental health or substance abuse service claims? In light of the recent New York Attorney General settlements with insurance companies for violations of the federal and New York state mental health parity laws, insurance companies need to take a hard look Read More
Read MorePhysicians Must Beware Upcoding And False Billing Practices
Most individuals who endure the years of schooling and training it takes to become a full-fledged medical doctor do so because they want to help people. As with many professionals, despite all of their professional training, physicians are often ill-prepared for many of the realities that come with the job. Along with the physical, mental Read More
Read MoreCourt Lifting Of Stark Law Ban On Per Click Fees May Lead To Sub Under Arrangements Between Physicia
The Stark Law prohibits a physician who has a “financial relationship” with a provider of designated health services[i] (“DHS Entity”) from referring Medicare patients to that DHS Entity. It also bars DHS Entities from receiving Medicare payments based on these prohibited referrals. Under Stark, a physician has a “financial relationship” with a DHS Entity if Read More
Read MoreHealth Care Highlights Solid October Jobs Growth
The health care industry in New York and the rest of the country is undergoing something of a renaissance. Some call it good. Others call it bad. Regardless of what side of the fence you might be on, the one thing that is certain is that the economic trend in health care is in flux. Read More
Read MoreMedicare Will Soon Pay Docs To Discuss End Of Life
The 2010 Patient Protection and Affordable Care Act (Obamacare) encourages a “medical home” model of care, which aims to improve patient access and quality of care through increased communication between physicians and patients and increased care coordination, while simultaneously reducing costs. In an effort to jump start this model, starting in 2016, Medicare will pay Read More
Read MoreNew York Patient Caregivers Law Signed Into Law
New York Hospitals, clinics and practices and the doctors, nurses and support personnel they employ, can find that the environment in which they operate changes quickly. Under an amendment to the New York Public Health Law enacted this week, starting in April of 2016, NY hospitals will be required to allow patients over the age Read More
Read MoreNew York Caregiver Law May Raise Legal Questions For Some
The law is a dynamic thing. With perhaps only a few exceptions there is no such thing as a one-and-done piece of legislation. This can be particularly true for rules and regulations that cover health care delivery in New York. Hospitals, clinics and practices and the doctors, nurses and support personnel they employ, can find Read More
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