Showing 73 posts in Medicare/Medicaid.
Medicaid Expansion Debate in Michigan Rages On
A key component of the Patient Protection and Affordable Care Act ("PPACA") involves expanding Medicaid to anyone who earns up to 133 percent of the poverty level. In its landmark ruling last year the Supreme Court, while upholding PPACA, ruled that states could not be compelled to expand the joint federal-state Medicaid program.
State legislatures and governors across the country have considered whether to expand Medicaid, with only 23 states and the District of Columbia implementing an expansion according to the (We have identified that the following link is no longer active, and it has been removed.) Under the PPACA, 100 percent of the cost of the Medicaid expansion will be covered by the federal government from 2014 through 2016. The federal government's contribution will gradually decline until reaching 90 percent in 2022 and beyond. What's happening in Michigan? ›
Categories: Health Care Reform, Insurance, Medicare/Medicaid, Regulatory
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Snyder Supports Medicaid Expansion for Michigan
Governor Rick Snyder announced that his 2014 budget includes support for the expansion of Medicaid eligibility to Michigan residents without insurance. Speaking at a press conference in Lansing on Wednesday, February 6th, Governor Snyder said expansion would save costs, increase care, and help businesses. Read more about the expansion ›
Categories: Health Care Reform, Medicare/Medicaid
Foster Swift Lawyers Attend Annual State Bar of Michigan Health Care Law Section Meeting
Foster Swift lawyers were well represented at the Annual Meeting of the State Bar of Michigan's Health Care Law Section held on September 19th. Gilbert Frimet, Gary McRay, Jennifer Kildea Dewane, and Nicole Stratton, members of Foster Swift Health Care Law Practice Group, all traveled to Detroit to attend the meeting. Read More ›
Categories: Health Care Reform, Health Insurance Exchange, Hospitals, Insurance, Medicare/Medicaid, Physicians, Regulatory
Medicare Provider Enrollment: Revalidation Required
Health care reform law requires that providers who enrolled in Medicare prior to March 25, 2011, submit enrollment revalidation information upon request by the Centers for Medicare and Medicaid Services ("CMS") or its contractors. Any provider that fails to submit the requested revalidation information within 60 days of receiving such a request risks interruption or deactivation of Medicare billing privileges. Revalidation for all providers who enrolled in Medicare prior to the above date will occur between now and March of 2015 on a steady basis. Providers can check the lists provided at CMS's website to determine if they were already sent a revalidation notice that was perhaps overlooked in the mail.
Categories: Hospitals, Medicare/Medicaid, Physicians
Michigan's Integrated Care Proposal for Individuals Eligible for both Medicare and Medicaid
On April 26, 2012, the State of Michigan submitted its Integrated Care Proposal (Pilot Program) to the Centers for Medicare and Medicaid Services (CMS), for review and approval. The Pilot Program is Michigan’s plan to jointly manage the care of approximately 200,000 residents who are eligible for both Medicare and Medicaid. The Pilot Program submitted to CMS is not yet available on the Internet for public review. However, the Department of Community Health has prepared a list of FAQs about the Program on its website. Read More ›
Categories: Insurance, Medicare/Medicaid
OIG Alert – Physicians May Be Liable for False Claims Submitted by Entities Receiving Reassigned Medicare Payments
The Office of Inspector General ("OIG") for the Department of Health and Human Services recently issued an alert, which warned that “physicians who reassign their right to bill the Medicare program and receive Medicare payments by executing the CMS-855R application may be liable for false claims submitted by entities to which they reassigned their Medicare benefits.” The OIG stressed that physicians remain liable for claims submitted using their provider numbers, even when the claims for services are submitted by another party under a contractual arrangement. The potential for liability also exists for other types of practitioners who enter into reassignment agreements. Read More ›
Categories: Billing/Payment, Compliance, Employment, Fraud & Abuse, Medicare/Medicaid, Physicians
Medicare Not Limited to the Portion of a Settlement Designated for Medical Losses when Seeking Reimbursement under MSP
The U.S. Court of Appeals for the Sixth Circuit has ruled that Medicare is not limited to the portion of a settlement or verdict designated for medical losses when seeking reimbursement under the Medicare Secondary Payer Act, 42 USC § 1395(b)(2) ("MSP"). Hadden v United States (Lawyers Weekly No. 01-76843). This ultimately could lead to a chilling effect on settlements. Read More ›
Categories: Medicare/Medicaid
Hot Off the Presses: Foster Swift Health Care Law Newsletter
The latest edition of the Foster Swift Health Care Law Newsletter has just been released. Topics include Electronic Health Records, Medicare Reimbursement for Resident Research and Hospital Community Needs Assessments. In order to whet your appetite, below is a brief summary of the articles: Read More ›
Categories: Billing/Payment, Electronic Health Records, Health Care Reform, Health Insurance Exchange, HITECH Act, Hospitals, Medicare/Medicaid, Physicians
Medicare Provider-Supplier Revalidation: Are You Ready?
All providers and suppliers that were enrolled with the Medicare program prior to March 25, 2011 will be asked to revalidate their enrollment information in the near future. According to a statement issued by the Department of Health and Human Services' Centers for Medicare and Medicaid Services ("CMS"), intermediaries will begin contacting providers and suppliers to do the following: Read More ›
Categories: Billing/Payment, Health Care Reform, Hospitals, Medicare/Medicaid, Physicians
Health Care Claims Tax Passes
On August 24, the Michigan legislature passed two bills which are expected to be signed by Governor Snyder, which will be known as the "Health Insurance Claims Assessment Act". The Health Insurance Claims Assessment Act will assess a 1% health care claims tax on paid health insurance claims in Michigan. This tax will be paid by health insurers and replaces an existing 6% assessment on Medicaid health claims. The tax will be assessed for a period of two years, beginning January 1, 2012 and ending January 1, 2014. Read More ›
Categories: Medicare/Medicaid, Tax
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Best Lawyers® 2021
Congratulations to the attorneys of the Health Care practice group at Foster Swift Collins & Smith, PC for their inclusion in the Best Lawyers in America 2021 edition. Firm-wide, 44 lawyers were listed. Best Lawyers lists are compiled based on an exhaustive peer-review evaluation and as lawyers are not required or allowed to pay a fee to be listed; inclusion in Best Lawyers is considered a singular honor. Health Care practice group members listed in Best Lawyers are as follows:
- Jennifer B. Van Regenmorter, Holland
To see the full list of Foster Swift attorneys listed in Best Lawyers 2021, click here.