Health Law Update

News and Information from Broad and Cassel's Health Law Practice Group

Sept 2015
Volume 5, Issue 5
Practice Group Update


Friday October 2, 2015  

11:00 AM to 6:00 PM 

Seminole Hard Rock Hotel & Casino, Hollywood, FL

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Mike Segal headshot  

Mike Segal


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Paul R. DeMuro

Of Counsel

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Stephen Siegel  

Stephen H. Siegel

Of Counsel

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McKenzie Livingston

McKenzie Livingston

Senior Counsel

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Heather Miller (New)  

Heather Miller

Senior Counsel

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To our clients and friends:
We are happy to present you with our latest Broad and Cassel Health Law Update.

First, we hope we will see you at our upcoming Fifth Annual Broad and Cassel Health Forum. Details are included at the link on the left. As the time approaches we are very excited about the program, which we expect to be the best ever!

Government investigations continue to abound. The OIG, with the assistance of whistleblowers, are focusing on health care companies and providers.  This highlights the critical importance of compliance. If you need a compliance officer, find one, and then make every attempt to follow the law. Every business has potential whistleblowers!

In addition, consolidation remains in full force. It seems like almost every day another large company is acquired. Just recently Davita announced it will acquire the Everett Clinic, a 500 physician practice, and MedData, a MedNax affiliate, said it will acquire Alegis Revenue Group.

This is truly an exciting time in healthcare, and we are happy to serve as counselors in this exciting industry. Enjoy the newsletter!

Mike Segal
ICD-10: The Healthcare Industry's Y2K?
By: McKenzie Livingston

ICD-10 is a revision of the ICD-9 system which physicians and other providers currently use to code all diagnoses, symptoms, and procedures recorded in hospitals and physician practices. The ICD-10 revision has more than 68,000 diagnostic codes, compared to the 13,000 found in ICD-9. The ICD-10 revision also has 87,000 codes for inpatient treatment at U.S. hospitals, compared to the 4,000 found in ICD-9. The change to ICD-10 does not affect CPT coding for outpatient procedures.
Please click here to continue reading.
Transitional Care Management; reducing re-hospitalization and increasing revenue
By: Stephen H. Siegel

Since 2013, the Medicare program has provided coverage and reimbursement for "Transitional Care Management" ("TCM"). Using CPT codes 99495 and 99496, physicians and qualified non-physician practitioners may bill for and be reimbursed by Medicare for these services. However, as with all Medicare coverage and reimbursement determinations, there are a few criteria that must be satisfied.

Please click here to read the full article.   
Biomedical Informatics' Global Reach
By: Paul DeMuro
One need only spend a few days at an international meeting of biomedical informaticians, physicians, and other scientists to realize quite quickly that many countries across the globe are experiencing many of the same issues in their healthcare systems as we are in the United States. Last month, I had the pleasure of presenting on a panel on "E-Health's Global Reach in the Quest for Increased Quality of Care: New Developments, Key Considerations and Consumer Health Informatics" at MedInfo in Sao Paulo, Brazil. Other members of my panel were from academic institutions and/or healthcare systems in Argentina, Chile, Minnesota, and Norway.
Justice Department takes aim at individuals for corporate misconduct
Fort Lauderdale Managing Partner Gabriel Imperato was featured in a Modern Healthcare article on corporate misconduct. Please click here to read the article.
 About Us
With more than 20 attorneys and a full complement of support staff, Broad and Cassel's Health Law Practice Group is intimately aware of the complex issues faced by health care providers, suppliers and consumers.  
Broad and Cassel has more lawyers certified in Health Law by the Florida Bar Board of Legal Specialization & Education than any other firm in the state. The group holds a collective Band One ranking with Chambers USA: A Guide to America's Leading Business Lawyers, the highest Chambers award possible. Additionally, our individual attorneys are continually recognized both locally and nationally for their knowledge and experience.
Fundamental changes to the nation's health care delivery system are occurring at an accelerated rate, requiring those in the industry to establish and refine their practices and policies to comply with new regulations. The attorneys of our Health Law Practice Group are prepared to discuss these changes and the potential impact they will have on health care providers of all types.