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CMS

Changes to the Clinical Laboratory Fee Schedule

By Jeremy Belanger Prior Standards Pursuant to the Section 216(a) Protecting Access to Medicare Act, which amended Section 1834A of […]

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CMS Proposes One Rate for E/M Code Levels 2 through 5 and Documentation Reduction

By Erica Chapman On Friday, July 27th the Federal Register will publish proposed rule changes to the CMS Part B […]

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CMS Signals a Desire to Modernize Stark Law and the Draconian Compliance Provisions that may Prevent Innovative Medical Delivery Advances

By Ronald W. Chapman Stark Law, as originally enacted in 1989, is designed to prevent self-referrals between physicians or groups […]

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New Codes for Telehealth Visits, Including Virtual Check-In and Remote Patient Monitoring

By Erica Chapman The proposed rules for 2019 seek to add additional codes for telehealth services which were previously bundled […]

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$712 million Medicare Fraud Takedown – Largest Medicare Fraud Case in History Names 73 from Florida and 16 from Michigan

Yesterday the Department of Justice (DOJ) announced a $712 million Medicare Fraud takedown by the Medicare Fraud Strike Force. It […]

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U.S. Court of Appeals Keeps the CMS RAC Program in Limbo

By Ronald W. Chapman Bad news for the CMS “recovery audit contractor” (RAC) program started in 2008, but potentially good […]

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How Regulation Affects Quality, Cost, Autonomy and Access to Health Care

  by Ronald W. Chapman The United States spends more on health care than any other country and yet ranks […]

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Dangers of Health Care Fraud Statute 456.0635

Dangers that every Florida health professional should be aware of. Background In 2009 the Florida legislature passed a bill creating […]

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CMS Proposed Rules will Lead to an Increase of Investigations for Medicare and Medicaid Fraud

Posted by Ronald W. Chapman, II On January 6, 2014 The Department of Health and Human Services, Centers for Medicare […]

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Temporary Medicaid Reimbursement Increase has Physicians on the Fence

Posted by Ron Chapman The federal health care law will temporarily increase Medicaid reimbursements for physicians by 64% on January […]

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Medicare Fraud Detection System Increases Likelihood of Medicare Fraud Investigations

Posted by Ron Chapman Last month the government opened a $3.6 million anti-fraud command center in another effort to reduce […]

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