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Health System Reform: An Implementation Checklist for Hospitals

In the months since the Patient Protection and Affordable Care Act was enacted, hospital and health system senior management have been inundated with advisories, articles, and seminars summarizing the provisions of the health care reform law and its cadre of new requirements. But until now, very little...

The National Nursing Shortage: Is Mandatory Nurse-to-Patient Staffing Ratio Legislation the Solution?

By Jason Greis and Lara Duda The authors state: “Many states face shortages of registered nurses ("RNs" or "nurses") and other health care professionals. Such shortages will only be exacerbated as some seventy-eight million Baby Boomers retire and begin placing additional...

AHLA's Guide To Healthcare Legal Forms, Agreements, And Policies, First Edition with CD-ROM

Collected from expert health law attorneys and members of AHLA, this resource is designed to meet the needs of health law attorneys who must regularly create such documents for their clients. Conveniently organized by topic in a looseleaf format, AHLA’s Guide to Healthcare Legal Forms, Agreements...

Healthcare Spotlight Podcast: Bankruptcy Judge Cecelia Morris, Southern District of New York, Discusses the Medical Bankruptcy Fairness Act and Her Congressional Testimony

On this edition, Hon. Cecelia G. Morris, United States Bankruptcy Judge for the Southern District of New York, discusses H.R. 901, the "Medical Bankruptcy Fairness Act." Judge Morris explains the changes the Act would make to the Bankruptcy Code and talks about her recent testimony before the...

U.S. Sues Michigan Blue Cross Blue Shield

WASHINGTON, D.C. - (AP) The Justice Department alleged Monday in a lawsuit that Michigan Blue Cross Blue Shield is discouraging competition by engaging in practices that raise hospital prices, conduct an assistant attorney general vowed to challenge anywhere else it is found in the United States. The...

Registration Opens for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs

By Foley & Lardner LLP Legal News Alert: Health Care On January 3, 2011, CMS opened registration for the Medicare EHR Incentive Program, and several states opened registration for the Medicaid EHR Incentive Program, including Alaska, Iowa, Kentucky, Louisiana, Michigan, Mississippi, North Carolina...

'Patient Dumping' = Medical Deportation

"Francisco Martinez wasn't happy about the free trip back to Mexico offered to him by a social worker at the University of Texas Medical Branch. Martinez, 37, of Bacliff, broke his back Aug. 17 after falling off a ladder while working on the roof of a bait shop where he was employed. UTMB...

New Jersey Bans Medical Providers From Charging Claimants for Work-Related Medical Expenses

New Jersey, like many states, has had an ongoing problem with physicians and hospitals that balance bill injured workers for work-related care. This problem has become more acute in the age of managed care reductions where medical providers dispute the amount they are paid and then send invoices to injured...

Barnes & Thornburg LLP: OIG Work Plan 2014: Takeaways for Hospitals

By Gayland Hethcoat With the release of its work plan for fiscal year 2014 on Jan. 31, 2013, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) has provided insight on the agency’s current enforcement priorities in Medicare, Medicaid, and other HHS programs...

Barnes & Thornburg LLP: President Obama Signs Bill Extending Physician Medicare Rates And Delaying ICD-10 And RAC Audits Under The 2-Midnights Rule

By Nita Garg On April 1, President Obama signed the Protecting Access to Medicare Act of 2014. This legislation extends current Medicare physician reimbursement rates and delays implementation of the ICD-10 code for a full year. Previously, hospitals were to be ICD-10 compliant by October 1, 2014;...

Steptoe & Johnson PLLC: Physicians in Whistleblower Suits Need Not Exhaust Peer Review Remedies

A recent decision of the California Supreme Court removed a long-standing procedural limitation on physician suits against hospitals arising from peer review actions. In the recent decision, the California Supreme Court held that a physician need not exhaust hospital-based or judicial remedies before...

Steptoe & Johnson PLLC: CMS Final IPPS Rule Effective Oct. 1, 2014

By Jami K. Suver, Of Counsel In August 2014, the Centers for Medicare and Medicaid Services (CMS) issued a final inpatient prospective payment system (IPPS) rule for fiscal year 2015, applicable to inpatient stays at general acute care and long-term care hospitals (LTCH). The rule applies to discharges...

DLA Piper: Bankruptcy Sales for Distressed Hospitals: 4 Questions to Ask Before You Begin

By Thomas R. Califano , Rachel Nanes and Daniel G. Egan Over the last several years, a wide range of healthcare companies, among them hospitals, home health agencies and continuing care facilities, have faced financial distress as a result of declining revenues, high operating costs, reduction in...

Norton Rose Fulbright: CMS Offers Settlement Of Inpatient RAC Denials

By Mark Faccenda On August 29, 2014, the Centers for Medicare and Medicaid Services (“ CMS ”) announced that certain providers with pending appeals of specified inpatient-status claims denied by Medicare contractors may elect to receive partial payment on those claims in exchange for the...

State Net Capitol Journal: California Ponders Health Insurance Rate Regulation

By Rich Ehisen | Note: On Nov. 4, 46 states will hold legislative elections, while 36 will elect or retain a governor. Meanwhile, 41 states will also weigh in on a wide range of ballot measures addressing some of the most controversial issues of the year, including abortion, marijuana use and the...

DLA Piper: Ebola And Infectious Disease Control – Key Points For Hospitals And Health Systems

By Lara Compton and Joshua Kaye Dr. David Relman, a professor of infectious disease, microbiology and immunology at Stanford University's medical school, was quoted recently saying of the Ebola virus: “As best we can tell right now, it is quite possible that every major city will see at...