Uninsured New Jersey patients will soon be seeing lower hospital charges. Earlier this week, New Jersey’s governor signed into law Assembly Bill 2609, which caps the fees that hospitals can charge uninsured patients. According to the New Jersey Commission on Rationalizing Health Care Resources, the constraints contained in this new law will cause a decrease
As we discussed earlier this year, Medicare has created an ever expanding list of hospital-acquired conditions for which it no longer provides reimbursement. This list includes conditions such as pressure ulcers, hospital falls, certain catheter-associated infections, air embolism as a result of surgery, leaving an object in during surgery, providing incompatible blood or blood products
Physician societies, patient groups and federal and state agencies are rarely on the same page; so, on an occasion where they unanimously and enthusiastically support a common objective, things must move quickly, right? Not quite. For about a decade, electronic prescribing (also known as “e-prescribing”) has been praised for its promises of reducing deaths and
According to news accounts, Blue Cross Blue Shield of Georgia (“BCBS of Georgia”) recently sent more than 200,000 benefits letters (e.g., EOBs) to incorrect recipients, causing widespread concern among BCBS of Georgia’s patients and forcing the insurer to quickly rollout a mitigation plan. The Atlanta Journal-Constitution reports that most of the erroneous mailings were EOBs.
In recent blogs, we focused on Congress’ carrot and stick approach to encourage e-prescribing. As we discussed, providers who implement e-prescribing could receive Medicare bonuses (above and beyond the Medicare fee schedule payments) equal to 2% of their annual Medicare collections. However, providers who do not implement e-prescribing will eventually see their reimbursements drop below
While we have seen many news stories regarding H.R. 6331’s rollback of the scheduled 10.6% Medicare reimbursement cuts, there has been virtually no coverage regarding the bill’s groundbreaking provisions calling for Medicare bonuses for providers who adopt and regularly utilize electronic prescribing. Therefore, let’s take a few minutes to discuss some of the basics. H.R.
By a veto-proof, bipartisan majority, Congress has just passed H.R. 6331, which will rollback the 10.6% Medicare reimbursement cuts that were scheduled to become effective today and provide an incentive to physicians who adopt and utilize electronic prescribing technology. Background regarding the Scheduled Cuts The Centers for Medicare & Medicaid Services (“CMS”) final 2008 Medicare
During the last twelve months, we’ve seen significant developments in health law. At today’s opening session of the annual meeting of the American Health Lawyers Association, we took stock of many of these developments, which include the following: Medicare Cuts Saga Continues to Unfold. On June 30th, we witnessed the latest chapter in the Medicare
Increasingly, payers throughout the country have been issuing “report cards” on participating physicians. While payers argue that these report cards provide valuable information to “consumers” (i.e., patients), physician groups have loudly opposed these report cards asserting that the grades are based on faulty assumptions and are presented in a misleading manner. This frustration regarding the
Your primary care practice could earn up to $290,000, over a five year period, if you adopt and actively use an EMR in coordination with the new Medicare Demonstration Project, which is designed to measure and showcase the quality care improvements that can result from the widespread use of interoperable EMRs/EHRs. Since this program has