Marcum LLP
Insights

Healthcare Alerts - 2015

Three Men Standing
 

Featured


Healthcare Alert

The Centers for Medicare and Medicaid Services (CMS) just released the new Medicare premium, coinsurance, and deductible rates for 2016.


Healthcare Alert

The focus to enroll children in health coverage is now on! The Centers for Medicare & Medicaid Services announced that $32 million will be used to support families by identifying children who may be eligible, assisting families with applications and renewals and educating others of free or low-cost health coverage options.

 


Healthcare Alert

The Centers for Medicare and Medicaid Services (CMS) recently announced the therapy cap amounts for outpatient therapy services provided to Medicare beneficiaries.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) announced that CMS is partnering with the State of Rhode Island to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

 


Healthcare Alert

After the SGR it is increasing important to recognize that payments, while more stable than under the old methodology, are going to be driven by a series of new calculus � some local some national.

 


Healthcare Alert

To help dispel some of the myths surrounding ICD-10, the Centers for Medicare & Medicaid Services (CMS) recently talked with providers to identify common misperceptions about the transition to ICD-10.

 


Healthcare Alert

HIPAA compliance is getting down to the weeds. Even a "small" pharmacy that made a blunder is in the scope of the HIPAA police - inadvertent and accidental disposal of documents with PHI (Personal Health Information) will get you in big trouble Make sure you have a good security program for both paper and electronic documents, or ask us to help you design one.

 


Healthcare Alert

On April 24, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining proposed fiscal year (FY) 2016 Medicare payment policies and rates for the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS).

 


Healthcare Alert

Some practices pay lots of attention to RVU data, and some ignore it completely. It is often a function of the philosophy of the practice. Are you tracking work, number of patients, gross charges, net collections (or all of the above) or other calculus.

 


Healthcare Alert

The State of Connecticut Department of Social Services (DSS) released a new draft notice to identify how the Medicaid Nursing Home Wage and Benefit Program (NHWABP) will be implemented.

 


Healthcare Alert

The Medicare hospice final rules for services beginning October 1, 2015 were issued in the August 6, 2015 Federal Register. The primary change from the proposed rules was a rate reduction ranging from 0.35% to 0.72%.

 


Healthcare Alert

With ICD 10 arriving soon , many questions exist on proper use - here are a few good answers.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) issued a final notice establishing the methodology for determining federal funding for the Basic Health Program in program year 2016.

 


Healthcare Alert

As Medicare and Medicaid celebrate their 50th anniversary protecting the health and well-being of millions of seniors, people with disabilities and low-income individuals, the Centers for Medicare & Medicaid Services (CMS) today released updated Medicare state-by-state enrollment numbers, showing that more than 55 million Americans are covered by Medicare.

 


Healthcare Alert

Total health care spending growth is expected to average 5.8 percent in aggregate over 2014-2024, according to a report published today in Health Affairs authored by the Centers for Medicare & Medicaid Services' (CMS) Office of the Actuary (OACT).

 


Healthcare Alert

On the eve of the 50th anniversary of the signing of Medicare and Medicaid into law, the Centers for Medicare & Medicaid Services (CMS) projected today that the average premium for a basic Medicare Part D prescription drug plan in 2016 will remain stable, at an estimated $32.50 per month.

 


Healthcare Alert

A new study by LDI Senior Fellow Lawton Burns and colleagues challenges the conventional wisdom about the societal benefits and comparative advantages of integrated delivery networks (IDNs).

 


Healthcare Alert

In a sign that the government is continuing its aggressive search for illegal kickbacks, 2 Philadelphia MRIs plead guilty to paying for referrals.

 


Healthcare Alert

While far from perfect, the attached announcement from CMS makes it clear that imperfection will not lead to complete claims denial.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2016 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System policy changes, quality provisions, and payment rates proposed rule [CMS-1633-P] on July 1, 2015.

 


Healthcare Alert

The Affordable Healthcare Act of 2010 ("the Act" or "ACA") prohibits doctor-owned hospitals from expanding, and prevents new doctor-owned hospitals at all, if they are going to serve Medicare or Medicaid patients.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) today issued a final notice establishing the methodology for determining federal funding for the Basic Health Program in program year 2016.

 


Healthcare Alert

In a brief statement from the Department of Health and Human Services Office of Inspector General the government has tried to clarify their position on physician compensation arrangements and the need for them to truly reflect commercially reasonable rates.

 


Healthcare Alert

As part of the Administration's efforts to promote better care, smarter spending, and healthier people, today CMS is posting the third annual release of the Medicare hospital utilization and payment data (both inpatient and outpatient) and the second annual release of the physician and other supplier utilization and payment data.

 


Healthcare Alert

A recent issue of Medical Economics (click here for the article) has some interesting thoughts on negotiations with your carriers. The ability to determine when you can negotiate, on the dollars per CPT code or per RVU or on details of other payment issues, including quality measures, may make the difference between success and failure.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) announced today a special enrollment period (SEP) for individuals and families who did not have health coverage in 2014 and are subject to the fee or "shared responsibility payment" when they file their 2014 taxes in states which use the Federally-facilitated Marketplaces (FFM).

 


Healthcare Alert

Primary care physicians often complain that the benefits of using electronic health record (EHR) systems are outweighed by the costs of implementing the technology and meeting government meaningful use (MU) standards. But a new study suggests that in at least one area "reducing adverse drug events" EHRs are having an impact.

 


Healthcare Alert

The U.S. Department of Health and Human Services (HHS) today announced a new multi-payer payment and care delivery model to support better care coordination for cancer care as part of the Department's ongoing efforts to improve the quality of care patients receive and spend health care dollars more wisely, contributing to healthier communities.

 


Healthcare Alert

These articles from a recent addition of Medical Economics make it clear that the physician practice of 2015 will continue to change, even from that of 2014. As patients continue to move to high deductible plans physicians will face more fee pressure than has existed during their careers.

 


Healthcare Alert

Recently, the Centers for Medicare & Medicaid Services (CMS) added star ratings to the Dialysis Facility Compare (DFC) website. These ratings summarize performance data, making it easier for consumers to use the information on the website.

 


Healthcare Alert

IRC-501(r) was added by the ACA and impacts all 501(c)(3) hospitals. Among other things it requires specific disclosures regarding patient collections.

 


Healthcare Alert

Between now and mid-May you may receive a notice requiring you to revalidate your Medicare enrollment - here are the details - if your original enrollment was before March 25, 2011 - get ready - you'll only have 60 days to react.

 


Healthcare Alert

In a significant victory for MGMA members, last night the Senate voted to approve the Medicare Access and CHIP Reauthorization Act, H.R. 2. This legislation, which passed the House of Representatives on March 26, permanently repeals the Medicare Sustainable Growth Rate (SGR) formula. President Obama will sign the bill into law.

 


Healthcare Alert

Do physicians really spend an inordinate amount of our medical dollars? Does defensive medicine really cost our economy a bundle? Unnecessarily? Here is an article in a recent Medical Economics that explores the questions.

 


Healthcare Alert

Senate adjourns without acting on repeal legislation, but promises quick action when it returns from recess.

 


Healthcare Alert

On Friday, March 13th, 2015, CMS issued Transmittal number 7 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10. Transmittal 7 is effective for cost reporting periods ending on or after October 1, 2014.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce that the submission deadlines for the PQRS reporting methods below have been extended. All other submission timeframes for other PQRS reporting methods remain the same.

 


Healthcare Alert

Eligible professionals now have until 11:59 pm ET on March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year.

 


Healthcare Alert

Health spending continued to grow at a slow rate last year the Office of the Actuary (OACT) at the Centers for Medicare & Medicaid Services (CMS) reported today. In 2013, health spending grew at 3.6 percent and total national health expenditures in the United States reached $2.9 trillion, or $9,255 per person.

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) today strengthened the FiveStar Quality Rating System for Nursing Homes on the Nursing Home Compare website to give families more precise and meaningful information on quality when they consider facilities for themselves or a loved one.

 


Healthcare Alert

CMS Administrator Marilyn Tavenner today announced new rules that strengthen oversight of Medicare providers and protect taxpayer dollars from bad actors. These new safeguards are designed to prevent physicians and other providers with unpaid debt from re-entering Medicare, remove providers with patterns or practices of abusive billing, and implement other provisions to help save more than $327 million annually.

 


Healthcare Alert

On January 26, 2015 Health and Human Services Secretary Sylvia M. Burwell announced measurable goals and a timeline to move the Medicare program, and the health care system at large, toward paying providers based on the quality, rather than the quantity of care they give patients.

 


Healthcare Alert

NOTIFICATION: Fiscal Year (FY) 2016 Payment Update Determination: Two Additional Quality Measures Implemented for the Centers for Medicare & Medicaid Services Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) today issued a proposed notice establishing the methodology for determining federal funding for the Basic Health Program in program year 2016.

 


Healthcare Alert

As part of our ongoing effort to increase transparency and accountability in health care, the Centers for Medicare & Medicaid Services (CMS) released today the first round of Open Payments data to help consumers understand the financial relationships between the health care industry, and physicians and teaching hospitals.

 

 
 
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.