Health Law Update

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

Sept 2016

Volume 6, Issue 5

Practice Group Update

Gabriel Imperato

October 6, 2016

AHLA Fraud and Compliance Forum

Baltimore, MD

Lester Perling

October 23-26, 2016

HCCA's 2nd Annual Healthcare Enforcement Compliance Institute

Washington, D.C.

Contributors

Mike Segal

Partner

View Bio

Heather Miller

Senior Counsel

View Bio

Fred Segal

Associate

View Bio

Edward J. Welch

Associate

View Bio

To our clients and friends:

Thank you to our sponsors and everyone who attended our Sixth Annual Broad and Cassel Health Care Forum, which was presented at the Seminole Hard Rock Hotel & Casino earlier this month.

The attendance was excellent. Our keynote speaker, Fred Bayon of The Advisory Board Company, for the second year in a row put on a superb presentation. He made it very clear how healthcare reimbursement is continuing to evolve, and that the movement towards value based care is marching ever forward, with no end in sight.We also had three panels, all of which were outstanding, on compliance issues, MACRA and ACOs. Each panel had experts in the field, all of whom had a great deal of experience and were willing to share generously.

We at Broad and Cassel are very proud of our Forum. Please be on the lookout for more information about our Central Florida event coming up in early 2017.

This newsletter contains a lot of useful information. It finally includes an article by me! Enjoy!

Sincerely,
Mike Segal

Broad and Cassel Represents Three of the Top Ten ACOs in the Country

The Centers for Medicare & Medicaid Services (CMS) recently announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model.

Please visit our blog for additional information.

CMS Announces New Flexibility with MACRA

By: Mike Segal

It is now quite clear that the Medicare Access and CHIP Reauthorization Act, or MACRA, enacted into law in 2015, will have a telling effect on how Medicare reimburses for physician services. In April 2016, the Centers for Medicare & Medicaid Services (CMS) released a voluminous proposed rule for implementing MACRA.

Please visit this page to continue reading.

OCR to Increase Efforts to Investigate Privacy Breaches of Unsecured Protected Heath Information Affecting Fewer Than 500 Individuals

By: Edward J. Welch

The Office for Civil Rights (OCR) is the agency within the U.S. Department of Health and Human Services (HHS) that investigates privacy breaches of unsecured, protected health information (PHI) under the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Please visit this page to continue reading.

Mount Sinai Affiliated Hospitals to Pay $3 Million Settlement for Delaying Medicaid Overpayments

By: Fred Segal

On August 24, 2016, the US Attorney for the Southern District of New York, in conjunction with the US Department of Health and Human Services, Office of the Inspector General (OIG) announced that it settled a whistleblower suit with three hospitals in the Mount Sinai Health System in New York City for violating the federal "60-day" rule (60-Day Rule) governing the repayment of identified overpayments.

Please click here for the full article.

About Us

Broad and Cassel has built one of the most experienced and diversified Health Law and White Collar Defense and Compliance practices in the Southeastern United States. Chambers USA: A Guide to America's Leading Business Lawyers, a highly regarded legal guide, has recognized Broad and Cassel's health care practice and individual attorneys as leaders in the industry -- within Florida and nationwide. The firm has more lawyers certified in Health Law by The Florida Bar Board of Legal Specialization & Education than any other firm. Several of our attorneys are certified in Healthcare Compliance (CHC) and Healthcare Privacy Compliance (CHPC) by the Health Care Compliance Association's (HCCA) Compliance Certification Board (CCB). Broad and Cassel's health lawyers are widely published and frequently make presentations at educational programs throughout the country. Information on future events and industry and attorney news can be found on Broad and Cassel's Health Law Blog at www.healthlawfla.com.