HBMA CMS/Hill Day Publication Now Available

This June, the Healthcare Business Management Association (HBMA) celebrated ten years of advocacy at Centers for Medicare & Medicaid Services (CMS) on Capitol Hill and with strategic industry partners.
Representatives from HBMA’s Leadership and Government Relations (GR) Committee met face-to-face with senior CMS management and discussed a variety of operational and policy issues of interest to both CMS and the HBMA membership. This outreach effort is initiated by HBMA because of the membership’s strong desire to have a Medicare program that operates efficiently and smoothly to the benefit of patients, providers, and taxpayers.

Please click here to view the June 2016 HBMA CMS/Hill Day Visit Publication.

HBMA members are able to identify policy implementation options for CMS that result in far smaller administrative burdens for RCM billing companies and their clients than would have occurred had CMS implemented their original plan.   Engaging in this type of dialogue reaps both near-term and long-term benefits for HBMA membership. In the near-term, we are able to bring issues and topics to the attention of the senior leadership of the Medicare program and effectively by-pass the lower levels of the bureaucracy where issues and problems often get lost. In the long-term, it is an ongoing, consistent annual reminder of the expertise, knowledge, and collective experience of the HBMA membership. Our substantial footprint in claims filing (over 30% of all physician claims) and our willingness to be a resource and valued trading partner to ensure that Medicare claims get processed efficiently and accurately.   If you have any questions about this initiative, its purpose or value, please contact Bill Finerfrock, HBMA Director of Government Relations or Andre Williams, HBMA Executive Director.

Access Past Publications Here:

View the 2015 CMS/Hill Day Publication

View the 2014 CMS/Hill Day Publication

Ober | Kaler Health Law Alert: 2016 Issue 16

E-DISCOVERY

E-Discovery: Is Your Organization Ready?

While your organization may not regularly be involved in costly or complicated litigation, there are instances in which it may nonetheless be required to identify, collect and produce documents, most likely in the form of Electronically Stored Information (ESI). This need may arise as part of a direct or indirect government investigation into your organization. What is certain, though, is that once the need to produce ESI is established, the costs begin to mount almost immediately. Identifying which documents to produce, reviewing these documents for privilege and responsiveness, and ultimately producing the documents to the government takes time and money.

Ober|Kaler’s E-Discovery Team has published two resources designed to assist business organizations in establishing and implementing best practices for handling ESI to minimize the cost of collecting and processing this information further down the road.

  VIDEO  
     
  Workplace Violence in the Health Care Setting – Is Your Organization Prepared?

Approximately 70 percent of the 23,000 – 26,000 workplace assaults that took place between 2011 and 2013 occurred in health care and social services settings. Is your health care facility prepared to meet its OSH Act responsibilities for providing a safe place of employment with respect to workplace violence? This short video from Ober|Kaler discusses, based on recent OSHA guidelines, the types of actions that constitute workplace violence and the five components of a comprehensive workplace violence prevention program. Watch…

 
     
Health Law Alert® is not to be construed as legal or financial advice, and the review of this information does not create an attorney-client relationship. Ober|Kaler also offers Payment Matters, which focuses on Medicare and Medicaid payment issues. Subscribe here.

Copyright© 2016, Ober, Kaler, Grimes & Shriver

Ober|Kaler 100 Light Street Baltimore, Maryland 21202 www.ober.com

Ober | Kaler Health Law Alert: 2016 Issue 15

FRAUD AND ABUSE

Federal Agencies Forced to Implement Huge Increases in Civil Monetary Penalties for Health Care Fraud

The Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 called for all federal agencies to implement a catch-up adjustment to all civil monetary penalties under their jurisdiction by August 1, 2016. As Bill Mathias and Matt Horton explain, the Department of Justice and Department of Health and Human Services have complied, and the resulting increases are eye-popping. Click to continue…

Update on First 60-Day Case

Just over a year after the first judicial interpretation of the Affordable Care Act’s 60-day repayment requirement, the parties in the case have reached a settlement to resolve the allegations. Kelly Davidson summarizes the background of the case and discusses the limited implications of the initial decision or the settlement. Click to continue…

 

TECHNOLOGY

Recent HHS Report Provides Insight into Government’s View of the Challenges of and Need for Expanded Telemedicine

In a recent report to Congress, the Department of Health and Human Services discusses its progress and efforts in integrating telemedicine into the government’s health care programs, and how the limitations of that integration has contributed to the stymied expansion of telemedicine as a delivery model. Emily Wein summarizes the HHS report, highlighting the generally accepted benefits of telemedicine and the challenges that HHS cites as barriers to its growth. Click to continue…

 

LONG TERM CARE

CMS Warns Against Social Media Postings Involving Nursing Facility Residents

Posting videos or photos of nursing home residents to social media sites may constitute mental abuse, according to a recent Survey and Certification memorandum. The new guidance comes amid reports of nursing facility employees using social media platforms to post humiliating or graphic pictures of residents. Howard Sollins and Meredith Larson explain the details of the guidance and urge facilities to immediately take steps to comply with updated policy and training requirements. Click to continue…

 

  VIDEO  
     
  Is Your Health Care Facility Prepared for an Active Shooter?

How prepared is your health care facility for the unimaginable? No one wants to think an active shooter situation could occur on their hospital campus or in their medical facility. But, the more prepared you are, the better your outcomes can be in such extreme circumstances. This short video from Ober|Kaler offers tips on how to prepare for, and respond to, an active shooter situation within a health care facility. Watch…

   
Health Law Alert® is not to be construed as legal or financial advice, and the review of this information does not create an attorney-client relationship.

Ober|Kaler also offers Payment Matters, which focuses on Medicare and Medicaid payment issues. Subscribe here.

Copyright© 2016, Ober, Kaler, Grimes & Shriver

Ober|Kaler
100 Light Street
Baltimore, Maryland 21202
www.ober.com

HBMA Washington Report – August Issue

Washington Report – August, 2016

(Covers activity between 8/1/16 and 8/31/16)

Bill Finerfrock, Matt Reiter, Nathan Baugh, Asad Karamally

 Washington Report – August Issue

  • HIPAA Celebrates 20th Birthday
  • Comparing Clinton and Trump Healthcare Priorities
  • CMS Requesting Information on Third-Party Payments of Insurance Premiums
  • CAQH Soliciting Participants for 2016 Index
  • CMS Reports Improvements in ACO Performance for 2015
  • Aetna Withdrawing From Most Healthcare Exchanges
  • Trial Dates Set for Insurance Mergers
  • Vindell Washington Replacing Karen DeSalvo as National Coordinator for Health IT
  • Another Health Privacy Breach
  • Medicare CPC+ Regions Announced
  • CMS Transmittals

HBMA Comments on MPFS

On behalf of the Healthcare Business Management Association (HBMA) we are pleased to submit these comments on the 2017 Medicare Physician Fee Schedule Proposed Rule.

HBMA is a non-profit trade association of companies providing medical billing and related services to physicians, hospitals, non-physicians (ambulance, DME, ASC, IDTF, Rural Health Clinics, FQHCs, etc.) and other health care organizations throughout the United States. For nearly twenty years, HBMA has been the recognized billing industry organization for education, advocacy and cooperation in all matters that affect the processing of provider claim-related data, compliance and management services. It is estimated that our member companies process in excess of 350 million claims annually and serve virtually every clinical specialty, in every setting, in every state.

Read the Full Document

Ober | Kaler Health Law Alert: 2016 Issue 14

 SPECIAL FOCUS: ANTITRUST

 Provider Mergers: The Need for Early Antitrust Advice

Providers considering a merger are wise to be wary of the Federal Trade Commission’s aggressive antitrust enforcement program and its challenges to provider mergers in hospital, physician, and other markets. Jeff Miles urges merging parties to seek antitrust counsel early in their transaction discussions, and details the early-arising issues that can affect the success or failure of the transaction. Click to continue…

Government Investigations: How to Respond to a Search Warrant – 10 Practical Steps

In a highly regulated industry such as health care, it is not uncommon to be the subject of a government investigation. In-house counsel and leadership must be prepared in advance for the possibility of a search warrant being served on their organization as a result of an ongoing government investigation. This quick video from Ober|Kaler emphasizes the importance of developing clear guidelines and procedures to help inform and educate employees about what to expect, and how to respond, if law enforcement arrives at their facility with a search warrant. Watch…

oberkalerissue14

  Health Law Alert® is not to be construed as legal or financial advice, and the review of this information does not create an attorney-client relationship. Ober|Kaler also offers Payment Matters, which focuses on Medicare and Medicaid payment issues. Subscribe here.

Copyright© 2016, Ober, Kaler, Grimes & Shriver

Ober|Kaler 100 Light Street Baltimore, Maryland 21202 www.ober.com