Marcum LLP
Insights

Healthcare Alerts - 2013

Three People Meeting
 

Featured


Healthcare Alert

December 31, 2013, is an important deadline for eligible professionals (EPs) participating in the EHR Incentive Programs. It marks the end of the calendar year and the last day of...


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) issued a final rule entitled "Disproportionate Share Hospital Payment Reductions (CMS-2367-F)."The Affordable Care Act requires aggregate reductions to state Medicaid DSH allotments...

 


Healthcare Alert

Nursing homes are using antipsychotics less and instead pursuing more patient-centered treatment for dementia and other behavioral health care, according to new data released on Nursing Home Compare in July...

 


Healthcare Alert

As part of our ongoing effort to keep you informed of the latest developments related to the OPEN PAYMENTS Program (Physician Payments Sunshine Act), the following new resources are now...

 


Healthcare Alert

We have been recently been made aware of the State of Connecticut Department of Social Services (Department) release of nursing home Medicaid rates effective retroactively to July 1, 2013 and...

 


Healthcare Alert

Connecticut is one of many States that impose sales and use tax on a variety of services and transfers of tangible property. Herein we shall be addressing the applicability of...

 


Healthcare Alert

Reimbursement Associated with Medicare Bad Debt: Revisions and ProvisionsThe Middle Class Tax Relief and Job Creation Act of 2012 includes reductions to Medicare bad debt reimbursement for critical access hospitals,...

 


Healthcare Alert

pan styleSome providers have become very successful using the "At Risk" model, whereby they receive set premiums from an insurance company (similar to the old per member/ per month type...

 


Healthcare Alert

Beginning January 1, 2014, large employers must provide employees and their dependents the opportunity to enroll in minimum essential insurance coverage. A large employer is one that has employed, on...

 


Healthcare Alert

Now that the Affordable Care Act is law, Florida’s federally run health exchange, which is scheduled to launch Oct. 1, is becoming the topic of much discussion. Florida state insurance...

 


Healthcare Alert

Like many of the issues that face physician practices, whether they be independently owned or owned and/or run by institutions, the changes that are forthcoming with regard to the ACA...

 


Healthcare Alert

Many items in the affordable care act are going to require changes in office policy. This letter from MGMA to CMS underlines one of the issues as yet unresolved which...

 


Healthcare Alert

CMS posted a new interactive timeline that highlights key 2013 and 2014 milestones for its eHealth programs. The timeline helps you identify key program dates and corresponding required actions, as...

 


Healthcare Alert

Since its enactment, the Affordable Care Act has made many changes to the rules for deducting medical expenses. Several provisions that go into effect this year will impact the way...

 


Healthcare Alert

More beneficiaries are choosing higher quality Medicare Advantage (MA) plans, and for the fourth straight year enrollment is projected to increase, Health and Human Services (HHS) Secretary Kathleen Sebelius announced...

 


Healthcare Alert

A new report released today by the Department of Health and Human Services (HHS) shows that 6.8 million consumers saved an estimated $1.2 billion on health insurance premiums in 2012,...

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment ystem Policy Changes and...

 


Healthcare Alert

The relationship between providers and payors has evolved greatly over the past couple of decades, from one of distrust, to "partnerships," and now back to an era of distrust and...

 


Healthcare Alert

OVERVIEWOn July 8, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update payment policies and payment rates for services furnished under the Medicare...

 


Healthcare Alert

By Melanie Hicken The growth in total costs for health care services is typically used by insurers to set insurance premiums.NEW YORK (CNNMoney)Total costs for health care services, including...

 


Healthcare Alert

Medicaid’s proven success in enrolling kids in health coverage is a model for future efforts.Today, the U.S. Department of Health and Human Services’ (HHS) Secretary Kathleen Sebelius announced nearly $32...

 


Healthcare Alert

CMS Rule 1599-F: Inpatient Hospital Admission and Medical Review Criteria (2-Midnight Provision) and Part B Inpatient Billing in Hospitals.Thursday, August 15, 2013 - 3:00pm to 4:00pm EST | Conference Call...

 


Healthcare Alert

On eve of Medicare anniversary, new information shows a thriving program On the eve of the 48th anniversary of the signing of Medicare and Medicaid into law, new information released...

 


Healthcare Alert

The New York State Attorney General (AG) has teamed up with lawmakers to introduce two new bills that propose an overhaulof the Not-for-Profit Corporation Law (N-PCL), which has not seen...

 


Healthcare Alert

CMS announced a moratorium on new Medicare home health agencies in certain targeted areas moments ago. The 6 month moratorium affects the Miami and Chicago metropolitan areas. Specifically, a...

 


Healthcare Alert

With many physicians looking to change the mode of practice in reaction to insurance changes and economics, the need to make a full economic analysis is paramount. Understanding utilization...

 


Healthcare Alert

Recently the Centers for Medicare & Medicaid Services (CMS) has posted two important documents on Medicaid.gov that outline essential elements that we believe are critical to strong managed long term...

 


Healthcare Alert

icians know that there are things that are going to change, sometimes dramatically, in the healthcare reimbursement model going forward. The real question is whether or not physician practices...

 


Healthcare Alert

Maybe, to quote Mark Twain, the description of private practice being dead is premature. Dependingon the geographic area, the insurance coverage, the mindset of the physician owners and a...

 


Healthcare Alert

As the discussion continues with regard to the role of physician extenders hospitals and medical practices will need to determine the best way to go forward. In some circumstances...

 


Healthcare Alert

On May 13th, 2013CMS announced, as part of the Obama administration’s work to make our healthcare system more affordable and accountable, Health and Human Services (HHS) Secretary Kathleen Sebelius announced...

 


Healthcare Alert

On June 5, 2013, the General Assembly passed House Bill 6705 containing the statutory changes necessary to implement the budget plans for SFY 2014 and SFY 2015.Section 74 of the...

 


Healthcare Alert

With physicians being employed more often by hospitals and health care systems, the issue of employee satisfaction is an increasing troubling issue. Many physicians who transfer from private practice to...

 


Healthcare Alert

As physicians and their advisers finish up tax season, the information on who earned how much from drug company related programs is fresh in our minds. Many physicians may need...

 


Healthcare Alert

The State of Connecticut budget plan presented by the Governor on February 6, 2013, included a $14.8 million annualized cut to current Medicaid nursing facility rate levels equating to approximately...

 


Healthcare Alert

With the retirement looming for many physicians, the financial and operational planning for the future of the practice, and the implications for hospital practice, as well, will require several years...

 


Healthcare Alert

Most recently there is an act concerning the expenses relating to the sale of nonprofit hospitals. The Senate and House of Representatives in the General Assembly may contract with experts...

 


Healthcare Alert

Overview. On May 2, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining proposed fiscal year (FY) 2014 Medicare payment policies and rates for the...

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) today announced that the application for health coverage has been simplified and significantly shortened. The application for individuals without health insurance has...

 


Healthcare Alert

The “healthcare crisis”, by whatever name you choose, is likely to be the impetus for some changes in reimbursement going forward. Some may happen soon, some may take more time...

 


Healthcare Alert

A huge pay raise promised under the Affordable Care Act for primary care doctors who treat the nation’s poor covered by Medicaid health insurance is nearly three months behind schedule...

 


Healthcare Alert

Review of Changes Relating to Health Care Service Provider PaymentsThe Appropriations and Finance committees of the Connecticut General Assembly released their proposed tax and spending plans for the fiscal years...

 


Healthcare Alert

Provider Types AffectedAll fee for service Hospital and Non-Hospital Providers who bill Medicare Fiscal Intermediaries (FIs) or Part A/B Medicare Administrative Contractors (A/B MACs) and are eligible to claim bad...

 


Healthcare Alert

Based upon proposed Legislation the Hartford Courant’s staff Writer William Weir recently identified details of changes to Malpractice Insurance that may impact the Physician practice. Please consider...

 


Healthcare Alert

On March 29, 2013, the Centers for Medicare & Medicaid Services CMS issued a final rule with request for comment to implement provisions of the Affordable Care Act on increased...

 


Healthcare Alert

An article from Physicians News Digest highlights the Plan to Mitigate Risk for a Smooth ICD-10 Transition. To make this transition consider the following steps: Establish a transition plan....

 


Healthcare Alert

The $50,000 fine assessed on the attached article is a reminder that institutions and physicians need to continue training and vigilance on patient data. Human error, as well as technology...

 


Healthcare Alert

MIAMI — Gov. Rick Scott of Florida reversed himself on Wednesday and announced that he would expand his state’s Medicaid program to cover the poor, becoming the latest — and,...

 


Healthcare Alert

A listing of Connecticut Healthcare legislation under consideration by the Aging, Human Services and Public Health committees of the Connecticut General Assembly can be found at www.cga.ct.gov. ...

 


Healthcare Alert

The Hartford Courant recently reported a story in partnership with the Connecticut Health I-Team to highlight the challenges facing personal care workers and patients. This highlights the issue of retaining...

 


Healthcare Alert

We wish to draw your attention to a You-tube video that provides prospective into the future of long-term and post –acute care. The video entitled, “2013 The State of Longterm...

 


Healthcare Alert

To help you prepare for ICD-10, CMS has released new checklists and timelines for small and medium provider practices, large provider practices, small hospitals, and payers. These resources are designed...

 


Healthcare Alert

This weekly Checkpoint Content from Thompson Reuters, highlights the Governor of Georgia signing into law the “Hospital Medicaid Financial Program Act.” Effective on February 13, 2013, Georgia Governor Nathan Deal...

 


Healthcare Alert

The Governor’s Recommended State of Connecticut Budget for the Biennium as reviewed by the Legislative Office of Fiscal Analysis, includes projected savings of $33 million in FY 2014 and $71.2...

 


Healthcare Alert

New Rule Will Expand Mental Health And Substance Use Disorder Benefits To 62 Million AmericansDepartment of Health and Human Services (HHS) Secretary Kathleen Sebelius today announced a final rule that...

 


Healthcare Alert

Reforms to Medicare regulations identified as unnecessary, obsolete, or excessively burdensome on hospitals and health care providers would save nearly $676 million annually, and $3.4 billion over five years, through...

 


Healthcare Alert

New model will support providers and suppliers in testing innovative ways to improve care for beneficiaries with End-Stage Renal DiseaseThe Centers for Medicare & Medicaid Services (CMS) today announced a...

 

 
 
HAVE A QUESTION? ASK MARCUM
 
STAY IN TOUCH.

SIGN UP TODAY FOR MARCUM'S NEWSLETTERS.

ABOUT MARCUM LLP

Marcum LLP is one of the largest independent public accounting and advisory services firms in the nation, with offices in major business markets throughout the U.S., as well as Grand Cayman, China and Ireland.

Learn More

CONNECT WITH US
OFFICES

Headquarters
750 3rd Avenue, 11th Floor
New York, NY 10017

Find an Office

(855) MARCUM1
info@marcumllp.com

FOUNDATION

Marcum Foundation

AFFILIATIONS

Leading Edge Alliance

Privacy Policy

This website uses cookies to learn how visitors interact with our website so that we can improve our services and your online experience. By using this website, you agree to our privacy policy.