News and Notes


 

 


Tucker Arensberg Healthcare Law Briefs

 

November 10, 2005

  • 2006 MCARE Surcharge

  • Malpractice Cases Not Reported

  • Stark DHS Includes Nuclear Medicine

 

October 17, 2005

  • P4P News:  Any Impact?

  • OIG Proposes E-Prescribing Safe Harbor

  • Stark and E-Prescribing

October 11, 2005

  • Asset Protection Announcement

  • OIG Reiterates Support Of Gain Sharing Arrangements

  • California Court Rules PPO May Exclude Providers

  • P4P Advocates Support Additional Reimbursement

September 23, 2005

  • Ohio Physician Recovers $6,000 From Malpractice Lawyer

  • CMS Announces EHR Beta-Test

  • HHS Appoints Blue-Ribbon Panel On Healthcare Information Project

September 8, 2005

  • CMS Issues Stark Advisory Opinion Stating That Stock Interest In Non-Profit Practice Organization Is Not A Stark Financial Interest

  • HGSA Issues Medlearn Matters For NPPS

August 15, 2005

  • New "Incident To" Rules Effective July 25, 2005

  • CMS Will Not Process Non-HIPAA Compliant Medicare Claims Past 10/01/2005

  • CMS Proposes Rules To Permit Requests For Waiver Of Medicare Exclusions

August 3, 2005 - Special Alert

  • CMS PROPOSES 2006 PHYSICIAN FEE

August 1, 2005

  • IMMUNITY FOR EMPLOYMENT REFERENCES

July 18, 2005

  • Tennessee Supreme Court Bans Restrictive Covenants

  • Highmark Defines Concurrent Care Reimbursement Policies

July 1, 2005

  • PAY FOR PERFORMANCE (P4P)

June 13, 2005

  • Medical Staff Members Not Liable For Harm To Patients

  • Retirement Plan Update

  • Medicare Physician Fee Schedule Increase

May 23, 2005

  • Does HCQIA Immunity Protect Physicians Who Complain About Malpractice Testimony?

  • Where Do Interpreters Stand Now?

May 9, 2005

  • Top Compliance Enforcement Initiatives

  • Antitrust Enforcement Moves East

  • JCAHO -- The Latest Medical Staff By-Laws Requirements

April 15, 2005

  • Pennsylvania IRA Update

 

March 18, 2005

  • Pennsylvania Superior Court Limits Restrictive Covenant to Actual Market Area

 

February 18, 2005

  • JCAHO Releases Professional Liability Report

  • Medicare Pay-For-Performance Demonstration Project

  • OIG Approves Cardiology Gain Sharing Arrangements

 

January 14, 2005

  • Malpractice Reform

  • OIG Anti-Kickback Advisory Opinions

  • Highmark Announces Policy Restricting Concierge Medical Practices
     

November 12, 2004

  • PHYSICIAN FEE SCHEDULE FINAL RULE

 

October 29, 2004

  • IRS NEWS:

    - IRS Release Annual Changes in Retirement Plan Limits for Calendar Year 2005

    - Non-Profit Hospital's Participation in LLC Imaging Venture does not Jeopardize Tax-Exempt Status

     

  • HIPAA NEWS:
    - New York State Court Limits Defendant Hospital's Access to Treating Physicians
    - IRS Exempts Itself From HIPAA
    - Rush Limbaugh's Medical Records Properly Seized

October 19, 2004

  • Pennsylvania Supreme Court Adopts New Rules for Reducing Jury Damages Awards in Malpractice Cases

  • CMS Announces Coding To Increase Payment for Cancer Treatment

  • GAO Issues Report On Medicare Physician Payments (GAO-05-85)

October 11, 2004

  • PENNSYLVANIA BLUE SHIELD REVISES AUDIT PROCESS

September 21, 2004

  • STATE BAR ASSOCIATION MALPRACTICE TASK FORCE

August 27, 2004

  • Information Technology: Stark, Other Anti-Fraud Laws Block Advancement On Health Care IT, GAO Says

  • First HIPAA Conviction: Identity Theft

  • Antitrust: Federal Court Dismisses Residents' Claims, Says Congressional Exemption Bars Suits

  • Overtime Regulations: Violations Likely to Exist

August 6, 2004

  • Hospitals May Be Liable for Non-Employee Physicians     

  • EEOC Files Suit For Partnership Denial

  • Blue's Cash Surpluses Become Public

July 23, 2004

  • Specialty Hospitals Revitalize Con Debate

  • CMS Clarifies Incident-To Billing

  • Feds Plan New HIPAA Rules for Fall

July 8, 2004

  • Pennsylvania Malpractice Reform Tabled

  • Tucker Attorney Reappointed to PBA Malpractice Reform Task Force

  • Fraud And Abuse Developments

  • Compliance Guidance Issued

June 11, 2004

  • West Virginia Supreme Court Decides Exclusive Contract Case on Tortured Logic

  • HIPAA Compliance Alert

May 28, 2004

  • MCARE Reporting Obligations

  • California Court Enforces Nurse Staffing Ratios

  • Compliance Developments

April 16, 2004

  • MALPRACTICE UPDATE

    • Federal Tort Reform

    • Pennsylvania Tort Reform

    • Asset Protection Program
       

April 2, 2004

  • Concierge Medicine: OIG Says No Tipping

 

March 19, 2004

  • CREDENTIALING NEWS:  Exclusive Credentialing Developments

 

March 5, 2004

  • CMS FINALIZES REASSIGNMENT RULES

 

February 17, 2004

  • Credentialing Litigation News

  • Malpractice Insurance News

  • Medicare Act Expands Reassignment

 

January 30, 2004

  • Revocation of Surgical Privileges Does Not Constitute Age Discrimination

  • Malpractice Study Finds Premiums Lower in States With Damage Caps

  • CMS Publishes National Provider Identifier Number Regulations

  • Mcare Abatement Application Deadline

  • Attorney Michael A. Cassidy Publishes Credentialing Article in AHLA Health Lawyers News

 

 

January 16, 2004

  • Treasury, IRS Detail Requirements Governing Health Savings Accounts

  • CMS for Fourth Time Delays Stark Rule Compensation Provision

  • Health Spending in U.S. Hits $1.6 Trillion, With Government Paying Nearly One-Half

 

January 2, 2004

  • Mcare Update: Healthcare Provider Retention Program

    • 100% Abatement for Certain Providers

    • Payment of Mcare Assessments

    • Practice Pledge/Retention

    • Exclusions

 

December 19, 2003

  • OIG Posts FY 2003 Semiannual Report

  • HHS Announces New Web Site to Streamline Grants Process

  • Mcare Abatement Decided

 

December 4, 2003

  • Tucker Arensberg Attorney Receives Healthcare Lawyer of the Year Award

  • Medicare Update

  • 2,800 Privacy Complaints

  • U.S. Supreme Court to Hear ERISA Preemption Cases

  • Federal District Court Grants Physician Access to Peer Review Records

November 17, 2003

  • U.S. Supreme Court Denies Review of Federal Appeals Court HIPAA Ruling

  • Federal Court Allows Retaliation Claim by Physician Whistleblower

  • Government Collects Record $2.1 Billion in False Claims Act Recoveries in FY 2003

  • Federal Judge Orders Rx Depot Shuttered

  • Final Phase II Stark Regulation Sent to Office of Management and Budget

October 20, 2003

  • Service-Line Joint Ventures

  • Guidance Regarding Interpretation Requirements

  • Third Circuit Decision States Doctor/Shareholders Not Employees for Title VII

  • U.S. Supreme Court Stays Out of Healthcare Cases

 

October 2, 2003

  • NLRB Ruling Allows Residents, Fellows of Illinois Hospital to Collectively Bargain

  • Fraud and Abuse: University of Washington Professor Sentenced for Health Care Billing Fraud

  • CMS Announces Web-Based Manual

  • Court Decision Provides Some Relief on False Claim Cases 

  • OIG Posts 2004 Work Plan

 

 

September 24, 2003

 

  • CMS announces it will accept HIPAA non-compliant electronic transactions after October 16, 2001.

 

 

September 19, 2003

  • HIPAA-Compliant Claims Submitted To Medicare Low, as Deadline Looms

  • PMSLIC Seeks to Increase Primary Base Rate for Medical Malpractice Insurance Premiums

 

 

September 5, 2003

  • GAO Finds No Simple Answer to Malpractice-Access Problem

  • Medical Malpractice Lawsuits Filed in Philadelphia Decrease  

  • Healthcare Reform Ideas  

  • Mcare Hospital Surcharges 

 

August 22, 2003

  • Medicare Electronic Claims Submission by 10/15/03

  • Medicare 2004 Proposed Physician Fee Schedule

  • Payment Reform for Part B Drugs

  • MCARE Fund Lacks Money to Cover Claims

 

 

August 11, 2003

  • Don't Overlook Worker's Comp. Business

  • Texas: New Medical Errors Reports Law For Providers

  • Medicare Physician Payment Reductions Proposed in CMS Rule

 

 

July 25, 2003

  • HHS Demonstration Project Will Pay Quality Performance Bonuses To Hospitals.

  • FTC Consent Order Shuts Down Maine Hospital/Physician Network

  • FTC Settles Price-Fixing Charges Against St. Louis Doctors

  • Cancellation of the Automatic July 2003 Mass Adjustments 2003 Medicare Physician Fee Schedule

  • Delay in Outpatient Therapy Payment Caps

 

 

July 11, 2003

  • Circuit Court Affirms PRO Disclosure

  • HIPAA Enforcement Confusion

  • HHS Moves Forward on Electronic Medical Records

  • Study Links Higher Physician Supply to Limits on Non-Economic Damages

  • New Jersey to Establish Public Database of Physician Profiles

  • Provider Payments to Rise by $40 Million in Pennsylvania Blues Pact

 

 

June 20, 2003

  • Fraud and Abuse Updates 

  • OIG Advisory Opinion Allows Hospital/ Radiology Groups Open MRI Joint Venture 

  • CMS to Withdraw Proposal to Limit Physician Ownership in Specialty Hospitals

  • PA Emergency Department Regulations

  • California Physician Sues Blue Cross of California for Wrongful Plan Termination

  • State Peer Review Immunity is "Qualified"

 

 

May 29, 2003

  • U.S. Supreme Court Upholds Maine Rx

  • Joint and Several Liability Statute Threatened

  • Some Malpractice Relief:  NY Court Finds No Professional Duty to Non-Patient

  • AGH CRNAs Win Injunction Appeal

  • Tucker Arensberg Attorney Elected Vice Chair of Committee

  • House Bills Affect Medical Malpractice Cases and Physician Sanctions

 

 

May 7, 2003

  • Volume of State Disciplinary Action Increase

  • Supreme Court Ducks Clackamas

  • OIG Issues "Voluntary" Compliance Guidance for Pharmaceutical Companies

  • OIG Issues Advisory Regarding Suspect Joint Ventures

  • Tucker Arensberg Lawyer Moderates National Healthlaw Conference

  • CMS delays, again, effective date physician self-referral provision

  • Jury Awards $5 Million Against Hospital for Violating EMTALA

 

 

April 17, 2003

  • Pennsylvania Supreme Court Amends Venue Rules in Med-Mal Actions

  • Physicians Fleeing Pennsylvania and Its Malpractice Costs

  • New York High Court Confirms $140 Million Award

  • Telehealth Reimbursement

  • Pa. Malpractice Task Force Avoids Noneconomic Damage Issue

 

April 8, 2003

  • U.S. Supreme Court Upholds "Any Willing Provider" Statute

  • Updated CMS Quarterly Provider Update

  • HHS Publishes Draft Guidance on Medical Research

 

 

March 24, 2003

  • OIG "Publicizes" Enforcement Action

  • Operation Hardgear

  • Malpractice Insurance Crisis Fix Clears Legislature, Heads to Governor

  • Tucker Arensberg Attorney Will Act as Moderator for American Health Lawyers Association Teleconference

  • OIG Posts Final Compliance Program Guidance for Ambulance Suppliers

 

 

February 28, 2003

  • OIG Issues Advisory Opinion Questioning Hospital/Physician ASC Joint Venture

  • Federal Malpractice Reform Jeopardized

  • CMS Revises Physician Fee Schedule, Raising Rate by 1.6 Percent

  • Tucker Arensberg Attorney Publishes Article for American Health Lawyers Association

February 7, 2003

  • CMS Authorizes Interest Relating to Physician Fee Schedule Transition

  • OIG Letter Cautiously Supports Malpractice Premium Support by Hospital

  • Pennsylvania Governor Creates Cabinet Level Agency:  Office of Health Care Reform

  • PA Supreme Court Approves "Certificate of Merit" Court Rule

  • Greenwood Reintroduces Bill Placing Limits on Malpractice

 

 

January 10, 2003

  • PA Insurance Department Approves Highmark UCR, Premier Blue and Keystone Health Plan West (KHPW)

  • CMS Delays Physician Medicare Enrollment

  • Anthem Blue Cross/Blue Shield Slapped with $30 Million Punitive Damages for Denial of Care

  • Health Law Advisors Board Identifies Top Issues for 2003

  • 2003 Medicare Physician Fee Schedule

  • Rendell Proposes MCare "Amnesty"

 

 

 

 

 














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