New Federal healthcare industry payment models, based on the April 27th release of a proposed rule, present MIPS, MACRA, and APM methods for calculating healthcare reimbursement. The document proposes once…
According to a physician in Utah, Health Information Exchanges don't work very well yet. Dr. Raymond Ward, MD is a member of the Utah State Legislature. "When I try to…
As an expert witness I am regularly requested to provide opinions regarding the value of medical care under the Affordable Care Act. A misunderstood and often overlooked centerpiece of the Patient Protection and Affordable Care Act—often referred to as “Obamacare” or "ACA"—is the expansion of Medicaid eligibility to people with annual incomes below 138 percent of the federal poverty level.
HIMSS has entered the interoperability standards game and partnered with ICSA on the ConCert seal of approval, though this is a relatively new standard with under 20 vendors certified to…
Precision medicine targets disease at a genetic level for groups of patients with specific attributes. Sharing patient data at the point of care introduces new opportunities and new HIPAA Privacy…
In my work as an expert witness regarding the Patient Protection and Affordable Care Act (also known as the "ACA" or "Obamacare"), I find that more medical malpractice and personal industry cases as well as cases involving requirements for insurance coverage for self-insured employer's employees encompass ACA in their scope. The ACA may change the economics of healthcare as they apply to a legal matter involving damages, value of care, or insurance coverage and benefits.
The deadline for employers to electronically file the so-called 1094 forms for 2015 which provide coverage information to the IRS was extended to June 30, 2016 from March 31, while non-electronic form reporting was delayed to May 31, 2016 from Feb. 29.
Buy insurance by Sunday, January 31, 2016 which is the last day to buy health insurance to avoid a $695 per adult and $347.50 per child penalty, or 2.5% of annual household income whichever is higher
healthcare expert witness work in medical coding and billing, usual customary and reasonable cost of care, HIPAA Privacy, HITECH Act, and Affordable Care act require special considerations
Peyton Manning's privacy was violated by Guyer Institute IF the press is accurately presenting the facts about the patient and the HIPAA covered entity.
CMS stated that its systems are being updated to accommodate ICD-10 NCDs and LCDs. This also resulted in "temporary" suspensions of payments for LCDs.
by Michael Arrigo In my experience serving as HIPAA Expert Witness on HIPAA Privacy and Security advising clients in HIPAA breach litigation cases, one of the most important and challenging…