(855) Marcum1 | FOLLOW US  
Marcum LLP
Insights

Healthcare Alerts - 2014

Three Men Standing
 

Featured


Healthcare Alert

Conference Call OnlyWHEN: Wednesday, December 17, 2014TIME: 1:30pm – 3:00pm Eastern TimeThe Centers for Medicare & Medicaid Service (CMS) will host a Special Open Door Forum (SODF) call to allow...


Healthcare Alert

Shared Savings Program Proposed Rule reflects focus on primary care and improved incentives for participation, quality, and efficiency The Centers for Medicare & Medicaid Services (CMS) today released a proposal...

 


Healthcare Alert

CMS is pleased to announce that the 2013 Physician Quality Reporting System (PQRS) and 2013 Electronic Prescribing (eRx) Incentive Program feedback reports are now available for eligible...

 


Healthcare Alert

The OIG determination that E&M coding, especially the determination of new patient vs. established patient criteria will become an increasingly important area for physician practices, especially inside institutions that are...

 


Healthcare Alert

The number of uninsured is expected to decline by nearly half from 45 million in 2012 to 23million by 2023 as a result of the coverage expansions associated with the...

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) today announced changes to the Medicare home health prospective payment system (HH PPS) for calendar year (CY) 2015 that will foster greater...

 


Healthcare Alert

The goal of the Centers for Medicare & Medicaid Services (CMS) Administrative Simplification initiatives is to standardize certain transactions in order to lower costs, increase efficiency and accuracy, and reduce...

 


Healthcare Alert

Administration has closed approximately 450,000 citizenship and immigration status data matching cases and another 210,000 are in progress; warns remaining consumers to respond quickly or their Marketplace coverage could end.The...

 


Healthcare Alert

Administration redoubles its efforts to improve quality of post-acute care for Medicare beneficiariesToday, the Centers for Medicare & Medicaid Services (CMS) announced two initiatives to improve the quality of post-acute...

 


Healthcare Alert

The issues around patient data security are many – the message simple; the need to constantly consider the electronic threats to your data has never been greater. Many of our...

 


Healthcare Alert

Final rule strengthens tie between payment and quality improvement The final rule issued on August 4 by CMS adopts improvements in the quality of care that limit payment for hospital...

 


Healthcare Alert

The potential issues and security in healthcare related businesses can't be overstated. This recent piece from medical group management Association highlights the issue. Marcum has extensive capabilities for assisting healthcare...

 


Healthcare Alert

“The Sunshine Act” is about to take effect beginning on September 30, 2014.This is a national program being implemented by the Center for Medicare & Medicaid Services (CMS) in order...

 


Healthcare Alert

It is becoming increasingly difficult to make financial statements when carriers are making modifications to the networks on an ongoing basis. This article highlights some of what is occurring nationwide....

 


Healthcare Alert

In the August 22, 2014 Federal Register, the Centers for Medicare and Medicaid Services (CMS) issued CMS-1607-F. This Final Rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for...

 


Healthcare Alert

In accordance with the Patient Protection and Affordable Care Act of 2010 section 3132 requires CMS to collect appropriate data and information to facilitate hospice payment reform. On August 20,...

 


Healthcare Alert

With more than 2,000 entrepreneurs, investors, data scientists, researchers, policy experts, government employees and more in attendance, the Department of Health and Human Services (HHS) is releasing new data and...

 


Healthcare Alert

The Medicare trustees recently announced that the latest projection on Medicare’s hospital insurance trust fund indicates that the fund will remain solvent until 2030, which is a four year improvement...

 


Healthcare Alert

With the large number of new patients enrolled after the full ACA roll out, both Medical Assistance and some traditional carriers have experienced delays in fully enrolling some of the...

 


Healthcare Alert

While the attached Medical Economics article raises a caution for physicians and their office staff regarding E&M coding, there is often a significant difference between an initial reading by certain...

 


Healthcare Alert

The Centers for Medicare & Medicaid Services today announced plans to expand a successful demonstration for prior authorization for power mobility devices, test prior authorization in additional services in two...

 


Healthcare Alert

The Center for Medicare and Medicaid Services (CMS) announced through the release of the July 7, 2014 Federal Register (Vol .79 No. 129) a proposed rule concerning the update to...

 


Healthcare Alert

Data breaches are extremely important in any business, but in healthcare it has even broader implications. Marcum has done extensive work in the healthcare industry in evaluating and improving data...

 


Healthcare Alert

In a recent publication from CMS it was announced that the average annual growth in per capita personal health care spending for the elderly was 4.1 percent from 2002 to...

 


Healthcare Alert

While hospitals may currently profit from complications and readmissions, the trend in reimbursement is away from such benefits. In fact, many hospitals are working on hospital/physician co-management agreements to more...

 


Healthcare Alert

CMS has learned that Part A providers (such as hospitals, skilled nursing facilities, home health agencies and hospices) may be receiving paper notices (114 Reports) from their Medicare Administrative Contractor...

 


Healthcare Alert

On May 19, 2014, the Centers for Medicare & Medicaid Services (CMS) issued final regulations for the Medicare Advantage and prescription drug benefit (Part D) programs aimed at reducing fraud...

 


Healthcare Alert

Q&A talks about the challenges facing the long-term care industry with Marcum LLP's Matthew S. Bavolack, principal and national healthcare practice group leader and Frank J. Miceli, partner and New...

 


Healthcare Alert

OverviewThe Centers for Medicare & Medicaid Services (CMS) today announced that it will seek public comment as it moves toward nationwide implementation of the Medicare Durable Medical Equipment, Prosthetics, Orthotics,...

 


Healthcare Alert

Greater quality and value for Medicare beneficiaries and improved payment accuracyBeneficiaries can get greater protections, value, and care in the Medicare services they receive through the proposed policies released today...

 


Healthcare Alert

Today, the Centers for Medicare & Medicaid Services (CMS) announced that for the first time, quality measures have been added to Physician Compare, a website that helps consumers search for...

 


Healthcare Alert

The Centers for Medicare & Medicaid Services (CMS) and contractor National Government Services, Inc. have released the final version of the Administrative Simplification Transaction Testing Checklist.These checklists were developed by...

 


Healthcare Alert

As the time come for ICD-10 implementation, whether it goes into effect as written or not, practices need to make sure that the IT component is ready and the financial...

 


Healthcare Alert

In the latest edition of the Federal Register, dated May 7, 2014, CMS announced a proposed increase the prospective payment rates for inpatient rehabilitation facilities. In the aggregate, the...

 


Healthcare Alert

On April 29, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule, which finalizes a new prospective payment system (PPS) for Federally Qualified Health Centers (FQHC)....

 


Healthcare Alert

Physicians can have a significant amount of hope for the revamping of payment mechanisms and the elimination of the Sustainable Growth Rate (SGR) formula. As this finishes working its way...

 


Healthcare Alert

Overall national health expenditures grew at an annual rate of 3.7 percent in 2012, marking the fourth consecutive year of low growth, the Centers for Medicare & Medicaid Services (CMS)...

 


Healthcare Alert

Prescription drug abuse is a serious and growing problem nationwide. Unfortunately, the Medicare Part D prescription drug program (Part D) is not immune from the abuses associated with this nationwide...

 


Healthcare Alert

If you have not yet recertified your access to FISS DDE, your user ID may be terminated.The Centers for Medicare & Medicaid Services (CMS) requires National Government Services, Inc. to...

 


Healthcare Alert

On January 6, 2014, the Centers for Medicare & Medicaid Services (CMS) issued aproposed rule with comment period that would strengthen protections, improve healthcare quality and reduce costs for Medicare...

 


Healthcare Alert

The Connecticut Department of Social Services has issued its Provider Bulletin 2014-19 in March 2014, to notify home health agencies serving CHCPE clients of changes being made to the program.These...

 


Healthcare Alert

On April 1, 2014, President Obama signed into law the Protecting Access to Medicare Act of 2014. This new law prevents a scheduled payment reduction for physicians and other practitioners...

 


Healthcare Alert

The Senate voted today to approve a bill that will delay the implementation of ICD-10-CM/PCS by at least one year. The bill now moves to President Obama, who is expected...

 


Healthcare Alert

Initiative Promotes Freedom of Choice In Long-Term Care System Governor Dannel P. Malloy today announced that his administration is awarding $9 million in first-time funding to help Connecticut’s nursing home...

 


Healthcare Alert

By David Pittman, Washington Correspondent, MedPage TodayWhile Congress is grappling with the myriad of issues that make up the budget, a quantum change in the annual ruckus around RVU payment...

 


Healthcare Alert

Talk about a new way of doing business marketing in medicine; this is either a slide into very commercial patient recruiting or the next best thing to come along in...

 


Healthcare Alert

??New Law Includes Physician Update Fix through March 2014??On December 26, 2013, President Obama signed into law the Pathway for SGR Reform Act of 2013. This new law prevents a...

 


Healthcare Alert

123 New Accountable Care Organizations Join Program to Improve Care for Medicare beneficiaries.On 12/23/2013 CMS announced and published the following Doctors, hospitals and other health care providers have formed 123...

 


Healthcare Alert

It's not enough to understand the issues in this article ? it is important to review them and see what can be changed in the practice to minimize them and...

 


Healthcare Alert

Two Connecticut medical associations won a temporary injunctive order against UnitedHealthcare in federal court hours before the insurer was set to drop hundreds of doctors and thousands of patients from...

 


Healthcare Alert

Five-Year plan would settle how physicians are reimbursed by Medicare, end recurring ‘Doc Fix’ Issue in Congress.Congress enacted a law which reduces Medicare reimbursements paid to Physician and related to...

 


Healthcare Alert

The changes contemplated by potentially going to a capitated model require both cost information and good actuarial understanding. The type of analysis needed to go forward with these changes needs...

 


Healthcare Alert

With this news physicians and multispecialty practices can and should understand the cost structures and make sure the coding capabilities of the billing systems are updates p.r.nStarting in 2015, physicians...

 


Healthcare Alert

By: Daniel R. VerdonMedical groups are fighting back following mass cancellations of physicians in Medicare Advantage Plans in at least 11 states. In Connecticut, two medical societies filed a temporary...

 


Healthcare Alert

We are constantly being asked how a physician's office can accommodate the various questions coming from patients with regard to the affordable care act. This little piece from medical practice...

 


Healthcare Alert

On December 23, CMS issued a final rule that revises the exception to the physician self-referral law (section 1877 of the Social Security Act) that permits certain arrangements involving the...

 


Healthcare Alert

The American physician is evolving from self-employed practitioner to somebody's employee, and nobody knows that trend better than headhunting companies such as Merritt Hawkins. The company's latest annual review of...

 


Healthcare Alert

With the continued review of the right mode of practice, the idea of concierge medicine is often intriguing. The need to get good financial projections and to understand the implications...

 


Healthcare Alert

While concierge medicine has been around for several years, the changes in the medical landscape have accelerated the thought process in the last 18 months. Many areas of the country...

 

 
 
HAVE A QUESTION? ASK MARCUM
 
STAY IN TOUCH.

SIGN UP TODAY FOR MARCUM'S NEWSLETTERS.

ABOUT MARCUM LLP

Marcum LLP is one of the largest independent public accounting and advisory services firms in the nation, with offices in major business markets throughout the U.S., as well as Grand Cayman, China and Ireland.

Learn More

CONNECT WITH US
OFFICES

Headquarters
750 3rd Avenue, 11th Floor
New York, NY 10017

Find an Office

(855) MARCUM1
info@marcumllp.com

FOUNDATION

Marcum Foundation

AFFILIATIONS

Leading Edge Alliance