Tag Archives: Medicare

Slow repeal of the ACA and its impact on rural healthcare and communities

This is the fifth article in our series on the effect of the “slow repeal” of the Affordable Care Act (ACA). This week’s article focuses on the potential impact of the slow repeal of the ACA on rural communities and healthcare. Continued Fragile System Leads to Uncertainty or Closure Causing Economic Ripple Effect Throughout Rural … Continue Reading

Managing MACRA – Part VII: What happens to MACRA if the Affordable Care Act is repealed?

Even without potential changes to the Medicare program, MACRA poses a significant challenge for any clinician trying to determine the best strategy to maximize Medicare reimbursement – there are hundreds of pages of guidance in the proposed and final regulations to review and understand. But, at this point, clinicians attempting to assess MACRA must also … Continue Reading

New Regulatory Exceptions to the Beneficiary Inducement Statute

On January 6, 2017, several new regulatory exceptions to the beneficiary inducement statute went into effect. These regulations, published by the Department of Health and Human Services Office of Inspector General (OIG) in a final rule dated December 7, 2016,1 bring long awaited closure to many of the outstanding issues raised in the statutory versions … Continue Reading

District court interprets ‘identification’ of overpayment under 60-day rule

A New York district court issued the first judicial opinion Monday, Aug. 3 on the Affordable Care Act’s “60-day rule,” which requires that a Medicare or Medicaid overpayment be reported and returned within 60 days of the date on which the overpayment was “identified.” The decision by Judge Edgardo Ramos provided a definition of what it … Continue Reading