News and Notes
  Meeting the Challenge of Health Law

What's Inside
  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  
     
   
   
   
   
   
   
 
 
 
   

 

 

 


 

Healthcare Law Briefs

*READ PAST ISSUES OF THE HEALTHCARE LAW BRIEFS

1. Revocation of Surgical Privileges Does Not Constitute Age Discrimination

The Sixth Circuit rejected a surgeon's claim that revocation of clinical privileges constituted age discrimination because membership on the medical staff did not entitle the physician to employment based discrimination protections.  (Shah v. Deaconess Hospital, 6th. Cir. No. 02-3033, 1/14/04)

 

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2. Malpractice Study Finds Premiums Lower in States With Damage Caps

A study published in the January issue of the health policy journal, Health Affairs, concludes that premiums are about 17% lower in the 24 states with some form of damage caps, although it also concludes that the absence of caps does not fully explain premium differences.  http://www.healthaffairs.org.

 

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3. CMS Publishes National Provider Identifier Number Regulations

On January 23, 2004, CMS issued the final rule for the establishment of a national identification number system, to be administered by the National Provider System, to assign unique National Provider Identifiers (NPIs) to all health care providers, which must then be used by health plans and employers to process healthcare transactions.  Providers may begin applying for NPIs no earlier than 5/23/05 and must have an NPI to use for all covered healthcare transactions with health plans and clearinghouses by 5/23/07.  Small health plans have one additional year for compliance, i.e. 5/23/08.

 

National Provider System (NPS) is the name of the system to be managed by HHS, similar to the National Practitioner Data Bank (NPDB).  The system is the culmination of a study initiated in 1993 by CMS (then the Health Care Financing Administration - HCFA) and then mandated by Congress in the Administrative Simplification provisions of HIPAA in 1996.  The NPI will be a ten character numeric identifier meeting the national standards for healthcare transactions by the Workgroup for Electronic Data Interchange (WEDI) and the American National Standards Institute (ANSI). 

 

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4. Mcare Abatement Application Deadline

The deadline for filing applications for abatement of the 2003 Mcare assessment is postmarked by February 12, 2004 or received by February 15, 2004, plus the prior online submission.  For information:  http://ww.mcare.state.pc.us.

 

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

 

Mike Cassidy published "Confidentiality of Peer Review Records: Fact Or Fiction?" in the American Health Lawyers Association's January 2004 Health Lawyers News.

To read the article, please click here.

 

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>For more information about the topics presented in this newsletter please contact one of the Healthcare Attorneys:

Read the December 2003 issue of our HEALTHCARE NEWSLETTER.

 

Tucker Arensberg, P.C.

1500 One PPG Place  Pittsburgh, PA 15222   412/566-1212

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