Mutual Matters

eClinicalWorks Agrees to Pay $155 Million to Settle False Claims Act Allegations

Posted by Scott R. Grubman, Esq. on Jul 20, 2017 1:00:00 PM

Written by, Scott R. Grubman, Esq., Gregory A. Tanner, Esq., Chilivis, Cochran, Larkins & Bever, LLP

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Topics: Legal and Regulatory

Nationwide Health Care Fraud Sweep Targets Opioid Providers

Posted by Emma Cecil on Jul 14, 2017 2:49:55 PM

On July 13, the Department of Justice (“DOJ”) announced charges against 412 individuals, including 115 doctors, nurses, and other licensed medical professionals, for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings to health care programs.

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Topics: Legal and Regulatory

Time to start reporting measures for the MACRA Quality Payment Program

Posted by Bill Kanich, MD on Jul 12, 2017 1:00:00 PM

The clock is ticking on the initial reporting period for MACRA; the actions you take now will determine your Medicare reimbursement rates in 2019. If you plan to participate in MIPS, failure to take any action will result in a 4% negative adjustment to your Medicare reimbursement in 2019.  An overview of MACRA and its potential impact on your practice can be found here.

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Topics: Legal and Regulatory

Georgia medical marijuana expansion now in effect

Posted by Carrie Lowe, J.D. on Jul 7, 2017 3:15:37 PM

 

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Topics: Legal and Regulatory

Medical Liability Reform Legislation Passes House of Representatives

Posted by Nichole Lydon on Jun 30, 2017 3:54:02 PM


On June 28, 2017, the U.S. House of Representatives passed the Protecting Access to Care Act (H.R. 1215).  This comprehensive medical liability reform bill includes traditional reforms such as unlimited compensation for economic losses, a flexible cap on non-economic damages, limits on attorney’s contingency fees, periodic payment of future damages, and a modified statute of limitations.  It also includes supplemental reforms such as an apology protection, expert witness standards, a certificate of merit requirement, and a required 90-day cooling-off period. 

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Topics: Legal and Regulatory

New VA Laws on the Prescribing of Opioids & Buprenorphine

Posted by Hancock, Daniel, Johnson & Nagle, PC on Jun 22, 2017 1:30:00 PM

On February 16, 2017 the Virginia Board of Medicine (“The Board”) adopted regulations entitled “Governing Opioid Prescribing for Pain and Prescribing of Buprenorphine.” The regulations were adopted under the Board’s emergency authority given that State Health Commissioner Marissa Levine declared on November 20, 2016 an opioid addiction crisis as a public health emergency. The regulations quickly advanced through the approval process by the Virginia Attorney General’s Office, the Virginia Department of Planning and Budget and were signed by the Governor on March 13, 2017. The regulations became effective March 15, 2017.

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Topics: Healthcare Industry, Legal and Regulatory

GA Prescription Drug Monitoring Program Provisions Overview

Posted by Medical Association of Georgia on Jun 20, 2017 1:30:00 PM

 

MagMutual and the Medical Association of Georgia (MAG) are encouraging all Georgia physicians to review the following summary of H.B. 249, an omnibus bill by Rep. Kevin Tanner (R-Dawsonville) that Gov. Nathan Deal signed into law on May 4. The bill is designed to address opioid abuse in the state. Note that the bill’s provisions will go into effect at different times.

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Topics: Healthcare Industry, Legal and Regulatory

Kentucky Now Requires Reporting of Dense Breast Tissue

Posted by Carrie Lowe, J.D. on Jun 15, 2017 1:30:00 PM

Kentucky governor, Matt Bevin, recently signed HB 78 into law, requiring Kentucky mammography providers to report dense breast tissue to patients through the mammogram report.  The law will become effective in July of 2017. 

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Topics: Legal and Regulatory

Medicaid Fraud Control Units Report Nearly $2 Billion in Recoveries

Posted by Scott R. Grubman, Esq. on May 25, 2017 1:05:00 PM

On March 6, 2017, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) published data regarding the enforcement activities of Medicaid Fraud Control Units (MFCUs) across the country during fiscal year 2016.

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Topics: Healthcare Industry, Legal and Regulatory

MACRA is here – and what you don’t know can hurt you!

Posted by Guest Writer on May 19, 2017 2:00:00 PM

If you participate in Medicare Part B and if you don’t take action before October 2nd you will receive a 4% negative payment adjustment in 2019.

What is MACRA?

The Medicare Access and CHIP Reauthorization Act (MACRA) repealed the Sustainable Growth Rate methodology used to update physician fee schedule reimbursement and replaced it with a new reimbursement model, the Quality Payment Program (QPP).  Through MACRA physicians will fall into one of two tracks:

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Topics: Healthcare Industry, Legal and Regulatory

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Sharing Insight on Mutual Matters

Here we share some basic insights on matters that are important to physicians, hospitals and healthcare professionals.

Topics include:

  • MACRA
  • Legislative updates that affect healthcare professionals
  • Patient safety guidance
  • Practice and hospital management advice
  • and more.