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MGMA Chief Calls for Further Delay of 5010 in Letter to HHS Secretary Print E-mail
Written by Jeffrey Herschler   
Monday, 13 February 2012 09:34

"The Medical Group Management Association (MGMA) requests that you take immediate action to address the payment disruption issues that have occurred as a result of the federally mandated transition to HIPAA Version 5010 electronic transactions on Jan. 1. Medical practices throughout the nation are experiencing significant challenges implementing these new transactions, a situation that has led to considerable cash flow problems for physicians and their practices. Problems are being reported with both Medicare Administrative Contractors (MACs) and commercial plans.  

Should the government not take the necessary steps, many practices face significantly delayed revenue, operational difficulties, a reduced ability to treat patients, staff layoffs, or even the prospect of closing their practice. As the transition to Version 5010 is a mandatory step toward ICD-10 implementation, this raises even more concerns, understanding the magnitude of ICD-10 is exponentially greater than Version 5010."

Click HERE to read the entire letter.
Med Mal Litigation Results in Questionable Justice Print E-mail
Written by Jeffrey Herschler   
Friday, 03 February 2012 11:12

According to author Philip K. Howard in his book LIFE WITHOUT LAWYERS - Restoring Responsibility in America:

"Overall, including settlements, about 25 percent of medical malpractice payments are made on claims, without merit..." 

He goes on to point out that "The error works in the other direction as well...25% of meritorious claims got nothing."

Mr. Howard, by the way, is an attorney.

Last Updated on Friday, 03 February 2012 11:15
AMA Writes to Speaker Boehner, Recommends a Stop to ICD-10 Implementation Print E-mail
Written by Jeffrey Herschler   
Friday, 03 February 2012 10:59

"The implementation...will create significant burdens on the practice of medicine with no direct benefit to individual patient care..."

James L. Madara, MD, Executive VP and CEO of the American Medical Association recently wrote a letter to John Boehner, Speaker of the House, urging him to "put a stop to the Health Insurance Portability and Accountability Act (HIPAA) required implementation of ICD-10". Citing the burden of coping with "with 68,000 codes - a fivefold increase from the current 13,000 codes" and issues in Canada involving "high risk for claims processing and payment disruptions" associated with ICD-10, he recommends a "call on stakeholders to assess an appropriate replacement for ICD-9." Dr. Madara estimates the cost of transitioning to the new coding system as between $83,290 to more than $2.7 million per healthcare practice.

Click HERE to read the letter.
Last Updated on Monday, 06 February 2012 07:49
Best Places to Work Print E-mail
Written by Jeffrey Herschler   
Thursday, 26 January 2012 00:00

Fortune Magazine recently released its list of Best Places to work for 2012. Several healthcare companies made the list including Miami based Baptist Health South Florida.  

 #9           CHG Healthcare Services
#35         Millennium: The Takeda Oncology Co.
#36         Southern Ohio Medical Center
#39         St. Jude Children's Research Hospital
#42         Baptist Health South Florida
#49         Children's Healthcare of Atlanta
#53         Methodist Hospital
#56         Scripps Health
#65         Atlantic Health
#68         Genentech
#71         Mayo Clinic
#80         Stryker
#87         The Everett Clinic
#88         OhioHealth
#96         Meridian Health

Feds Worked Hard During the Holiday Season Print E-mail
Written by Jeff Cohen, Esq. & Al Meyer Esq.   
Wednesday, 11 January 2012 06:37

2012 OIG Work Plan 

On November 10, 2011, the Office of the Inspector General of the Department of Health and Humans Services (the "OIG") issued their 2012 Work Plan.  The annual Work Plan is designed to give Medicare providers and suppliers notice and information on areas of potential abuse that the OIG intends to address with particular attention.  As we approach a new year, here are some areas that our clients and friends may wish to examine to avoid scrutiny by the OIG.

With regard to Medical Equipment Companies, the OIG has identified three areas where heightened scrutiny will be applied:

  • Enrollment Abuses
  • Payments for High Priced Equipment
  • Diabetic Testing Supplies

On the Physician side, OIG deems the following practices worthy of intense focus:

  • Place-of-Service Errors
  • Incident-To Services
  • E/M Services
  • Payments for Services Ordered or Referred by Excluded Providers
Click HERE to read more.     Comment on this story.

Mr. Cohen is the founder of the
Florida Healthcare Law Firm in Delray Beach.  Mr. Meyer is the firm's Compliance Specialist. 
Last Updated on Monday, 16 January 2012 12:55
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