Is Telemedicine Right for My Healthcare Practice?

Is Telemedicine Right for My Healthcare Practice?

Before you dismiss telemedicine as an unnecessary complication and investment for your business, consider the changes in technology, customer preference, trend toward value-based care, and aging population.

For many businesses, telemedicine is a way to increase patient care options, raise the quality of care, increase reimbursements, and grow business.

Interested? Then let’s take a look at why telemedicine might be right for your practice. 

Five New Safe Harbors to the Fraud and Abuse Statutes: What do they mean for healthcare providers?

Five New Safe Harbors to the Fraud and Abuse Statutes: What do they mean for healthcare providers?

Five new safe harbors have been added to the Anti-Kickback Statute (AKS) in the final rule, issued on December 17, 2016 by the Health and Human Services Office of the Inspector General (OIG). In addition, existing safe harbors have been revised to grant further protections to providers from criminal prosecution and civil damages. What these changes mean for providers: The trend in healthcare is to move from volume-based care to value-based care. 

MACRA for Physicians, Part Three

MACRA for Physicians, Part Three

In Part Three of the MACRA series, you’ll learn about Advanced Alternative Payment Models (APMs) and the requirements for participating in this track, along with how doing so will affect your Medicare payments for 2017 and beyond.

MACRA for Physicians, Part Two

MACRA for Physicians, Part Two

Have you decided which MACRA participation option your practice will choose in the 2017 transition year? What you choose now (and how you implement) determines your payment adjustment for Medicare Part B billings in 2019 and beyond. In the second blog post of our MACRA series, we talk about the Merit Based Incentive Payment System (MIPS), and what it means for physicians.

MACRA for Physicians, Part One

MACRA for Physicians, Part One

The Final MACRA Rule relaxed the more stringent proposed requirements for 2017, so whether you choose to dip your toe in the water or take the full-on MACRA plunge, now is the time to get MACRA-ready and avoid reimbursement penalties. What does MACRA mean for your practice? That's a question we can help answer.

Nursing Homes and the CMS Rule Barring Arbitration Clauses

Nursing Homes and the CMS Rule Barring Arbitration Clauses

It just got easier to sue nursing homes. How do you protect your facility and your patients while still maintaining a profit?

This article is a high-level overview of the proposed changes by the Centers for Medicare and Medicaid Services (CMS), as well as the main points you as an Administrator need to know now.

Top Changes to 2017 Medicare Physician Fee Schedule (MPFS)

Top Changes to 2017 Medicare Physician Fee Schedule (MPFS)

Last week, Nixon Law Group attended the Virginia Medical Group Management Association (VMGMA)‘s fall meeting in Williamsburg, and we were lucky enough to sit in on a session by the dynamic and talented Elizabeth Woodcock (of Woodcock & Associates). It was a whirlwind session on the key changes in the 2017 MPFS Proposed Rule, and we wanted to pass along all of the juicy details.

Compliance Alert: ACA Section 1557 Nondiscrimination Requirements for Medical Practices

Compliance Alert: ACA Section 1557 Nondiscrimination Requirements for Medical Practices

Beginning on October 17, 2016, medical practices (and other Covered Entities) who serve Medicare, Medicaid, VA, or TRICARE beneficiaries will be required to implement new practices related to nondiscrimination. The Final Rule, nearly 6 years in the making, is commonly called “Section 1557”--it implements Section 1557 of the Affordable Care Act, the purpose of which is to prevent discrimination based on race, color, national origin, sex, age, or disability

Increase Medical Practice Revenue with Ancillary Services

Increase Medical Practice Revenue with Ancillary Services

As physician revenues decline, and medical practices are feeling the pressure of the shift to value-based payment, more physicians are choosing to add ancillary services to their practices to boost revenue. Ancillary services are healthcare services provided by a clinician that are in addition to or complementary to basic medical or surgical services. Examples include medication dispensing, radiography, weight-loss services, in-office diagnostic testing, nutrition counseling, alternative treatments, such as acupuncture and massage, physical therapy, immunotherapy, mental health counseling, urgent care, cosmetic (“med spa”) services, and many more.

OCR ramping up HIPAA Enforcement for "Small" Breaches

OCR ramping up HIPAA Enforcement for "Small" Breaches

We often advise our clients that one of the criteria separating a “high risk” breach from a “low risk” breach is whether the breach affects more or fewer than 500 individuals. This is because the HHS Office of Civil Rights (which is the HIPAA enforcement arm of HHS) has historically prioritized investigation of and corrective action following breaches affecting in excess of 500 individuals—OCR’s Regional Offices investigate all reported breaches involving the PHI of 500 or more individuals. However, OCR recently announced that it would be teaming up with its regional office staff to more widely investigate HIPAA breaches affecting fewer than 500 individuals—sending a strong signal to covered entities and business associates that no one is “safe” from repercussions emanating from a HIPAA breach.