Law vs. Health Law Fundamentals Written by: Rachel V. Rose, JD, MBA When was the last time you thought about what the “law” actually is and how it differs from what is commonly known as “health law”? Black’s Law Dictionary (2nd Ed.) provides two definitions: That which is laid down, ordained, or established. A rule…
The False Claims Act: 162 Years Later. Written by: Rachel V. Rose, JD, MBA Understanding the False Claims Act (FCA) Also known as the “Lincoln Law” – the False Claims Act, 31 U.S.C. §§ 3729-3733 (FCA) has been around since 1863 and its primary purpose remains the same – to root out fraud and return wrongfully…
The Cautionary Tale of CMS’s New Policies for Global Surgery Payment Accuracy January 10, 2025 | Shannon O. DeConda, CPC, CPMC, CEMC, CEMA, CPA-EDU, CRTT, CPA-R The Centers for Medicare & Medicaid Services (CMS) continues to refine policies to address the evolving needs of the healthcare system, with an eye on accuracy and fairness…
Insurance Discrimination – Against the Provider Author: Jeana M. Singleton, Esq. When the concept of “insurance discrimination” rears its ugly head, we often think of it in the context of when an insurance company treats some people differently than others based on protected classes, such as race, national origin, sex, or religion. Sometimes, this type…
November 29, 2024 | By Terry A. Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM, PACS Telehealth 2025: The Final Rule CMS issued the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) final rule on Nov. 1, 2024, publishing guidance that will have providers and coders scratching…