Home

Legal Updates

Firm Updates

Jan 05 - CMS Announces Interim Final Rule Creating New Standards for EFTs

Today, the Centers for Medicare and Medicaid Services (CMS) announced an interim final rule with comment period which creates new standards for electronic funds transfers (EFT) and remittance advice transaction (RA) under the Health Insurance Portability and Accountability Act of...

Jan 03 - CMS has Delayed the Recovery Auditor Pre-Payment Review Demonstration Program

Last week, CMS announced its decision to delay the Recovery Auditor Pre-Payment Review Demonstration Program until further notice. On its website CMS indicated that the delay was due to comments/suggestions received regarding the program and CMS' commitment to consider the...

Dec 30 - CMS Announces Delay of Power Mobility Device Demonstration Program

On December 29, the Centers for Medicare and Medicaid Services (CMS) announced that it would delay the start of the Prepayment Review and Prior Authorization of Power Mobility Devices (PMDs) Demonstration Program. CMS originally announced the demonstration program on November...

Dec 29 - CMS Implements 3-day Payment Window Policy for Wholly Owned or Wholly Operated Physician Practices

Recently, the Centers for Medicare and Medicaid Services (CMS) released Change Request 7502 relating to the 3-day payment window policy. For services on or after January 1, 2012, the 3-day payment window will apply when a patient is seen in...

Dec 23 - Ten Highlights from the Proposed Physician Payment Sunshine Act Rule

In the December 19, 2011 Federal Register, CMS published a Proposed Rule to implement the "Physician Payment Sunshine Act" portion of Patient Protection and Affordable Care Act (PPACA), or health care reform, which requires drug, medical device, biological and medical...

April 19, 2012: MHPCO Annual Conference, Bay City, MI co-presented with John W. Finn, M.D. Palliative Medicine Associates, PLLC, "Hospice Care, Medicare Fraud and Abuse and the OIG"

April 26, 2012: MACPA (Michigan Association of CPAs), Novi, MI "Compliance Plans for Healthcare Providers"

March 31, 2012: Andrew Wachler presented "The Developing Audit Landscape: MICs, MACs, RACs and ZPICs" at the National Hospice and Palliative Care Organization's (NHPCO) 27th Management and Leadership Conference in National Harbor, MD.

March 29, 2012: Andrew Wachler co-presented with James P. Kelly and Greg Etzel "Advanced Workshop on Medicare Claims Appeals" at the American Health Lawyers Association (AHLA) 2012 Medicare and Medicaid Law Institute.

March 28, 2012: Andrew Wachler presented "Latest Developments in Medicare and Medicaid Audits: MICs, MACs, RACs and ZPICs" at the National Association for Home Care & Hospice's (NAHC) 2012 Home Care & Hospice March on Washington & Law Symposium in Washington D.C.

March 8, 2012: Amy K.Fehn co-presented with David W. Hilgers "Accountable Care Organizations: A Physician Perspective" at the American Bar Association's Live Webinar.

February 29, 2012: Andrew Wachler presented "MICs, MACs, RACs and ZPICs: Latest Developments, Emerging Legal Issues and Successful Appeal Strategies for Long Term Care Providers" for the American Health Lawyers Association (AHLA), Long Term Care and the Law in Phoenix, AZ.

February 10, 2012: Amy K.Fehn presented "Medicare Audits: Everything You Wanted To Know But Were Afraid To Ask" for the American Association of Orthopedic Surgeons in San Francisco, CA.

January 19, 2012: Andrew Wachler presented "The Current Landscape of Medicaid and Medicare Contractors" at the Healthcare Financial Management Association (HFMA) Conference in St. Louis, MO.

January 12, 2012: Andrew Wachler presented "CMS Rebilling Program & Appeals of Short-Stay Cases" at the RAC University Live Webcast.

October 17, 2011: Andrew Wachler co-presented with Ted Doolittle and Edward Wishnevetsky "The Effect of Medicare Audits (ZPICs, RACs, CERTs, MICs etc) on Ancillary Healthcare Providers and Physicians" at the 9th Annual Washington Health Care Summit in Arlington, VA.

October 16, 2011: Andrew Wachler co-presented with Anna Grizzle and Melody Mulaik "Beyond the RACs: MACs and ZPICs Coming to a Practice Near You" at the Health Care Compliance Association's (HCCA) Physician Practice Clinic Compliance Conference.