Amblitel News & Events

NEWS & EVENTS

Archive for May, 2013

Does Your Insurer Have to Pay to Defend You?

Added 05.24.13

Does your general liability insurer have a duty to defend or indemnify your facility when it's been sued? That's the question Maryland Casualty Company has asked a Pennsylvania judge to answer, in a suit against South Hills Endoscopy Center in Pittsburgh. Read more from Outpatient Surgery Magazine at: more...

National Governors Association Names Health Care Sustainability Task Force

Added 05.23.13

As lawmakers at both state and federal levels of government look for ways to improve the quality of health care and reduce the costs of public programs, governors are developing innovative Medicaid programs and must retain flexibility to implement these measures.  To assist in these efforts, the National Governors Association (NGA) today announced the members of a new Health Care Sustainability Task Force (Task Force).  Oregon Gov. John Kitzhaber and Tennessee Gov. Bill Haslam will serve as co-chairs of the Task Force. Read more of this from the National Governors Association at: more...

Let’s Admit the Emperor Has No Clothes – It’s Time to Redesign EHRs to Improve Patient Care

Added 05.23.13

Let's Admit the Emperor Has No Clothes - It's Time to Redesign EHRs to Improve Patient Care This was written by the Healthcare Innovation Council* in response to a congressional white paper entitled "Re-boot - Re-Examining the Strategies Needed to Successfully Adopt Healthcare IT" and calls for Congress to make changes in "meaningful use" to help with safety and quality of care for patients. They say that the current focus on EHR actually disrupts patient care instead of providing a way for improvement. Read more at: http://www.antheliohealth.com/downloads/Council-EHR-commentary.pdf *The Healthcare Innovation Council is an independent group of healthcare experts that generates and publicly shares innovative ideas about how U.S. hospitals and healthcare providers can meet escalating quality and financial... more...

CMS Releases ICD-10-PCS Official Guidelines for Coding and Reporting

Added 05.23.13

CMS has released an updated document entitled "Official ICD-10-PCS Coding Guidelines", which includes updated procedure files and new code tables and an index that adds four procedure codes for new technologies. It also includes information on working with the CDC, NCHS, AHA and American Health Information Management Association. These guidelines should be used as a companion document to the official version of the ICD-10-PCS as published on the CMS website. ICD-9-CM, volume 3 is to be replaced by ICD-10-PCS.  ASCs will continue to use CPT codes for procedural coding. Here's a link to this document: more...

Plan to Ease Restrictions on Same-Day Surgery Centers in NC to Get More Study

Added 05.16.13

RALEIGH — A proposal to exempt same-day surgery centers from portions of the state’s certification process will be deferred for a year while a study committee takes an in-depth look at state and federal regulation of medical facilities. Rep. Mark Hollo, chairman of the state House Health and Human Services Committee, said the original bill was amended to give lawmakers more time to gather information about the complex certificate-of-need process before making any changes. Read more here: more...

Medicare Fraud Strike Force Charges 89 Individuals for Approximately $223 Million in False Billing

Added 05.16.13

WASHINGTON—(ENEWSPF)—May 16, 2013. Attorney General Eric Holder and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced on Tuesday that a nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in charges against 89 individuals, including doctors, nurses and other licensed medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $223 million in false billings. Attorney General Holder and Secretary Sebelius were joined in the announcement by Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division, FBI Assistant Director Ron Hosko, Inspector General Daniel R. Levinson of the HHS Office of Inspector General (HHS-OIG) and Deputy Administrator and Director of Centers for Medicare & Medicaid Services (CMS) Center for... more...

Senate Confirms Tavenner as CMS Administrator

Added 05.16.13

Marilyn Tavenner was easily confirmed Wednesday as the first permanent CMS administrator since 2006. The 91-7 vote followed glowing bipartisan praise for Tavenner, who has served as acting administrator since late 2011, when Dr. Donald Berwick stepped down. Since then, Tavenner has come to be seen as an apolitical and effective administrator of one of the federal government's largest agencies, even as it implements the still-controversial Patient Protection and Affordable Care Act. Read more at ModernHealthcare.com: more...

Stark Violations Might Cost Tuomey Healthcare System $357M

Added 05.15.13

South Carolina jury finds improper referrals resulted in 22,000 false claims. Tuomey Healthcare System has been found guilty by a jury of violating the Stark Law "by illegally paying referring physicians" for nearly 22,000 false claims that resulted in more than $39 million worth of overpayments, says a bulletin from the healthcare department of law firm Waller. This is the second time Tuomey has faced monetary penalties. This time, the firm says, Tuomey may face "up to $357 million in potential liabilities." Read the rest of this article from Outpatient Surgery Magazine at: more...

N.J. Considering Cosmetic Surgery Site Limits

Added 05.14.13

New Jersey lawmakers are mulling a proposal that would restrict the performance of liposuction, breast augmentation and abdominoplasty to hospitals and ASCs. While cosmetic surgeons say the legislation is necessary to protect patient safety, office-based dermatologists imply that their aim is to protect their business. Read more of this article from Becker's ASC Review at: more...

ASC Legislation Expected to Be Introduced in Both Houses of Congress Shortly

Added 05.14.13

ASCA received word that both the US House of Representatives and Senate versions of the Ambulatory Surgical Center Quality and Access Act of 2013 will be introduced soon. This legislation, which ASCA supports, would move the ASC reimbursement update from the Consumer Price Index for All Urban Consumers (CPI-U) to the hospital market basket. Other provisions include creating a value-based purchasing program for ASCs, adding an ASC voice to the Advisory Panel on Hospital Outpatient Payment (which controls various aspects of ASC payments) and requiring the Centers for Medicare & Medicaid Services (CMS) to disclose which criteria they use to determine which procedures may be performed in the ASC setting. To take action, go to this link from the ASCA: more...