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Health Provider News – August 26, 2022

Hall Render

AHA files reply brief as district court considers 340B payment remedy for the remainder of 2022. CMS bulletin presses states on Medicaid nursing home spending. CMS proposes mandatory Medicaid, CHIP quality reporting. Tie nursing home Medicaid payments to care quality, CMS tells states. Medicaid Contract Remains in Limbo.

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Health Provider News – October 7, 2022

Hall Render

Hospitals likely to end 2022 in the red despite August boost, report says. Judge orders Anthem to face lawsuit over alleged Medicare overpayments. Judge rules that HHS must immediately halt unlawful reimbursement cuts to certain 340B hospitals for rest of 2022. New Mexico seeking payer contracts for 1M Medicaid recipients.

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New Jersey Appeals Court Says Plaintiffs Don’t Need Presuit Affidavits to Sue LPNs in Medical Malpractice Cases

The Health Law Firm Blog

Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] By George F. Indest III, J.D.,

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Introduction to Telebehavioral Health

AIHC

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This is also called “store-and-forward telemedicine.”

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New Jersey Appeals Court Says Plaintiffs Don’t Need Presuit Affidavits to Sue LPNs in Medical Malpractice Cases

The Health Law Firm Blog

Board Certified by The Florida Bar in Health Law In a possibly precedent-setting case, on November 9, 2022, for the first time, an appeals court in New Jersey ruled that plaintiffs in medical malpractice cases do not need an affidavit of merit to file claims against a [.] By George F. Indest III, J.D.,

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Supreme Court Rules Against HHS in Hospital Medicare Reimbursement Case

The Health Law Firm Blog

Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. By George F. Indest III, J.D., Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. This came in a ruling that limits regulators’ power to control what the program pays for certain [.]

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Supreme Court Rules Against HHS in Hospital Medicare Reimbursement Case

The Health Law Firm Blog

Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. By George F. Indest III, J.D., Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. This came in a ruling that limits regulators’ power to control what the program pays for certain [.].