Tag: Physicians

RUC-rolled

Filed in Health Care Economics, Health Law by on February 19, 2013 0 Comments
RUC-rolled
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A few years ago, I noted that the American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) has a dominant role in suggesting payment levels to CMS.  It raises hard questions about price-setting in the health care sector, many of which cannot be answered because its processes are opaque.  Now we know that judicial relief […]

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An Uncertain Future for ICD-10

Filed in Physicians by on February 26, 2012 0 Comments
An Uncertain Future for ICD-10
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On February 14, 2012, Marilyn Tavenner, the acting Administrator of CMS, told reporters that CMS will “re-examine the timeframe” of the planned conversion to the ICD-10 code standard.  Presently, covered entities under HIPAA must fully convert from the ICD-9 coding system to ICD-10 by October 1, 2013. ICD-10, which stands for the International Classification of […]

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Medicare Payment, a System in Need of Fixing

Filed in Medicare, Physicians by on January 8, 2012 0 Comments
Medicare Payment, a System in Need of Fixing
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[Ed. Note: We are pleased to welcome Andy Braver, Esq. back to Health Reform Watch. Andy is a health care attorney who recently completed an LL.M in Health Law at Seton Hall Law. Prior to entering the LL.M. program, Andy spent five years as a healthcare provider, running a state of the art medical diagnostic […]

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Physician Payment Sunshine Act Proposed Regulations Out

Filed in Bioethics, Drugs & Devices, Transparency by on January 3, 2012 1 Comment
Physician Payment Sunshine Act Proposed Regulations Out
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CMS has published proposed rules for its implementation of the Physician Payment Sunshine Act (SUNSHINE ACT or Act), which was enacted by Congress as part of the 2010 Patient Protection and Affordable Care Act.  In short, the SUNSHINE ACT requires life science companies to report annually to CMS their conferral of anything of value, whether […]

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Why Reduce Health Care Costs?

Why Reduce Health Care Costs?
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One rare point of elite consensus is that the US needs to reduce health care costs. Frightening graphs expose America as a spendthrift outlier. Before he decamped to Citigroup, the President’s OMB director warned about how important it was to “bend the cost curve.” The President’s opponents are even more passionate about austerity. Journalists and […]

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