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Ambulance Company

Spread throughout most towns and municipalities across the country are your local ambulance services. They can serve as a safety net provider with highly skilled emergency medical technicians, even if a hospital is nowhere to be found. Above all, they strive to provide safe transportation for everyone during an emergent time. Unbeknownst to most consumers, [...]

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Physician Fee Schedule

On July 27, 2019 the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule regarding the Medicare Physician Fee Schedule (“PFS”) and other Medicare Part B (“Part B”) policies. The proposed rule outlines numerous changes; however, one of the most controversial may be the the approaches related to work RVUs. According to CMS, the [...]

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Stark Law

Recently at an American Health Lawyers Association conference, a session included a discussion of paying physicians for services performed by another individual. Specifically, paying a physician for the productivity generated by a nurse practitioner or a physician assistant. What was interesting about the presentation was the explanation that it is perfectly okay under the Stark Law to pay an employed [...]

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Regulatory

Recently, the Centers for Medicare & Medicaid Services (“CMS”) published the final rule in connection with the waivers of the Stark Law, the Anti-Kickback Statute, and the Civil Monetary Penalties relating to specific arrangements involving accountable care organizations (“ACOs”). Unfortunately, this final rule does not finalize waivers of the application of the Civil Monetary Penalties relating to [...]

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