News

May 13th Roundtable: The Healthcare Reform Bill and Your Practice

Please join Heather next Thursday, May 13th when she will lead a discussion about the recently signed Healthcare Reform Bill and the key provisions that will affect providers and their practices.

All area healthcare managers and physicians are invited to attend. Space is limited, so please RSVP for the May 13th meeting by emailing info@doctorslawyer.com or call us at 704-643-9076 today! Make sure to invite colleagues or anyone you think might be interested in attending.

The Healthcare Roundtables are held from 9:00 – 10:00 a.m. at our office located at 6525 Morrison Blvd., Suite 400, in the Southpark area of Charlotte, NC. Parking is free and refreshments will be served.

May 7th, 2010

Spring Healthcare Roundtables begin March 11th

The first of our Spring Roundtable series will be on Thursday, March 11th, in which Heather will lead a discussion about the HITECH Act – Part 2. She will review the specific action items needed to achieve compliance with the most recent regulations, go over policies that may need to be implemented, discuss whether you will need new Business Associate Agreements, as well as share what can be expected regarding HIPAA in 2010 and beyond.

All area healthcare managers and physicians are invited to attend. Space is limited so please RSVP by emailing  info@doctorslawyer.com or call us at 704-643-9076 today!

Also, don’t forget to mark you calendars for the Roundtables on April 8th and May 13th. Topics to be announced and reminder emails will be sent prior to each meeting.

The healthcare roundtables are held from 9:00 – 10:00 a.m. at our offices located at 6525 Morrison Blvd., Suite 400, in the Southpark area of Charlotte, NC. Parking is free and refreshments will be served.

March 3rd, 2010

Update on BCBSNC Contract Addendum by the NCMS

The North Carolina Medical Society (NCMS) worked actively during the 2009 session of the NC General Assembly to pass legislation requiring health plans to provide proper notice to physicians before they make changes to fee schedules (i.e., Senate Bill 877). On October 1, 2009, before the provisions of SB877 became effective, BCBSNC sent to its participating providers a contract addendum that we believe was inconsistent with the intent of SB877

Continue Reading February 11th, 2010

HHS, DOJ Announce Medicare Fraud Strike Force Arrests and Expansion of Program

Department of Health and Human Services (HHS) Secretary Kathleen Sebelius and Assistant Attorney General of the Criminal Division Lanny A. Breuer announced December 15, 2009 the expansion of the Medicare Fraud Strike Force to Brooklyn, Tampa, and Baton Rouge.

Continue Reading February 11th, 2010

UNC/Rex Hospital Systems Warn They May Drop CIGNA from Network

North Carolina’s Triangle Business Journal (12/9, Gallagher) reported that “after eight months [of] negotiations,” UNC and Rex hospital systems told CIGNA “customers to plan on paying more for their care starting Jan. 1.

Continue Reading February 11th, 2010

The HHS Top Management and Performance Challenges Published by OIG

Provided by the Office of Inspector General (OIG) to the Department of Health and Human Services (HHS), this document contains a summary of the most significant management and performance challenges facing HHS. The assessment is included as an appendix to the publicly available HHS annual Agency Financial Report.

For a link to the full document as well as a memo from the Inspector General: http://www.oig.hhs.gov/publications/challenges/files/TM_Challenges09.pdf

February 11th, 2010

The OIG Reports $20.97 Billion in Savings and Recoveries in FY 2009

In its Semiannual Report to Congress, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced significant audit, investigation, and evaluation accomplishments for the second half of fiscal year (FY) 2009 (April 1, 2009-September 30, 2009) and for FY 2009 in total.

Continue Reading February 11th, 2010

NCMS: Security Breach Reported at MedSolutions in December 2009

The North Carolina Medical Society (NCMS) received information in early December that a significant security breach occurred involving the MedSolutions website. MedSolutions is the vendor for NC Medicaid that administers the high-tech diagnostic imaging pre-authorization program.

Continue Reading February 11th, 2010

The NCMS EVP, CEO Testifies on Proposed UHC Acquisition in CT

The North Carolina Medical Society Executive Vice President and CEO Robert W. Seligson, President of the Physicians Advocacy Institute (PAI), testified during a hearing on November 23, 2009 before the Connecticut Department of Insurance about the effects of UnitedHealthcare’s proposed acquisition of HealthNet of the Northeast.

Continue Reading February 11th, 2010

UnitedHealth Group Wins Preliminary Approval of $350 Million Settlement

Bloomberg News (12/4, Glovin) reports that UnitedHealth Group, Inc., “won a judge’s preliminary approval of a $350 million settlement of a class-action lawsuit claiming that the company colluded with others to underpay doctors.” On Dec. 3, “US District Judge Lawrence McKenna unsealed his tentative authorization of the settlement,” according to a spokesman for the American Medical Association, the group that “brought the lawsuit in 2000 with the Missouri Medical Society, the New York State Medical Society, and others.” That lawsuit “sought damages for physicians who it claimed were harmed by the insurer’s long-term use of the database operated [by] Ingenix.” Bloomberg News notes, “The case is The American Medical Association v. United Healthcare, 00-cv-2800, US District Court, Southern District of New York (Manhattan).

December 8th, 2009

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