Meaningful Use Audits on the Rise

December 13, 2013

Medicare and Medicaid have increased their audits of providers who attested to “meaningful use” in order to receive payments under the Medicare and Medicaid Electronic Health Record Incentive Program (“EHR Incentive Program”). All physicians and hospitals that have attested to meaningful use under the EHR Incentive Program may be subject to a meaningful use audit. …

The Non-Profit Revitalization Act of 2013 – Groundbreaking Reform of New York’s Charities Laws

December 12, 2013

The Non-profit Revitalization Act of 2013 (the “Act”), a bill that reforms the laws governing charities in New York, was approved by the legislature and delivered to Governor Cuomo for signature on December 6, 2013. The Governor has until December 18, 2013 to sign the Act. If the bill is signed, most of its provisions …

GW Wins Injunction Against United Healthcare; Connecticut Physicians Gain Reprieve in Medicare Advantage Termination Dispute

December 9, 2013

On December 5, 2013, Judge Stefan R. Underhill of the United States District Court, District of Connecticut issued a preliminary injunction against United Healthcare significantly hampering the insurer’s efforts to terminate over 2,000 Connecticut physicians as participating providers in United’s Medicare Advantage plans. New York clients Click Here to read entire Legal Alert. New Jersey …

New York State Office of the Medicaid Inspector General (“OMIG”) Issues Audit Protocol for Assisted Living Programs

December 4, 2013

OMIG published an audit protocol for assisted living programs (“ALPs”) on November 22, 2013 to take immediate effect. The protocol provides guidance for ALP providers in complying with certain requirements under the Medicaid program. OMIG uses the audit protocol during audits to determine if payments made should be disallowed. New York clients Click Here to …

Congressional Bill Proposes Further Limits on the In-Office Ancillary Services Exception Under the Federal “Stark” Law

September 17, 2013

The Federal “Stark” law limits the ability of physicians to offer certain services (commonly referred to as “Designated Health Services” or “DHS”) in their practice, unless an appropriate exception to the general prohibition is met. New York clients Click Here to read entire Legal Alert. New Jersey clients Click Here to read entire Legal Alert. …