Posted by Jason Greis on May 28, 2009 under Industry News | 
BIRMINGHAM, Ala., May 27, 2009 – Principle Pharmacy Group, Inc., a leading pharmacy services company providing institutional pharmacy management and specialty pharmacy services for long term acute care hospitals and community hospitals, announced today the completion of its transaction with new investors which will help the company grow and expand its core platform of pharmacy services. Health Enterprise Partners, a New York investment firm, led the investor syndicate. Other investors in the syndicate are Redmont Venture Partners through the Enhanced Capital Alabama Fund II, LLC and Stonehenge Capital Company LLC. Read More...
Tags: bill cash, greisguide, greisguidetoltachs, health enterprise partners, hospital, investor, jason greis, ltac, LTACH, LTCH, pharmacy, principle pharmacy group, redmont venture capital, stonehenge capital, transaction
Posted by Jason Greis on May 25, 2009 under eNewsletter |
This issue of the GreisGuide to LTACHs Newsletter contains articles and information on: Read More...
Posted by Jason Greis on under Articles |
On May 20, 2009, the Department of Justice (DOJ) and Department of Health and Human Services (HHS) announced the creation of the Health Care Fraud Prevention and Enforcement Action Team (HEAT), a new interagency investigation and enforcement team. The creation of HEAT signifies an increased focus by DOJ and HHS on combating health care fraud. Read More...
Tags: doj, fraud, greisguide, greisguidetoltachs, health care, health care fraud prevention and enforcement action team, heat, hhs, hospital, ltac, LTACH, LTCH, mcguirewoods
Posted by Jason Greis on May 22, 2009 under Articles |
Providers, including LTACHs and physicians, can no longer resolve potential Stark law-only violations through the HHS Office of Inspector General’s Provider Self-Disclosure Protocol, unless such violations are paired with Federal Anti-Kickback violations, according to the Office of the Inspector General’s recent open letter to providers. The letter, signed by Inspector General Dan Levinson, also notes that providers will no longer be able to get past the OIG’s front door in this context unless they anticipate a minimum kickback settlement amount of $50,000. Read More...
Tags: anti kickback, greisguide, greisguidetoltachs, hhs, hospital, levinson, ltac, LTACH, LTCH, oig, physician, provider, self-disclosure protocol, Stark, violation
Posted by Jason Greis on May 17, 2009 under Articles |
On April 29, 2009 the Senate Finance Committee (“Committee”) released the first of three health reform option papers exploring proposals for reducing costs and improving quality and efficiency in the country’s health care delivery system. The second option paper addressing potential solutions for reforming health coverage decisions was released on May 14, and the final option paper discussing solutions for financing health care reform is scheduled to be released on May 20. The policy options contained in the first option paper would shift Medicare payments to post-acute care providers from volume‐based to value‐based purchasing by providing new payment incentives for care that contributes to positive patient outcomes. The first option paper contains a number of proposals that, if enacted, would significantly affect Medicare payments to long-term acute care hospitals (“LTACH”). Read More...
Tags: altha, baucus, bundle, bundling, cms, greisguide, greisguidetoltachs, health information technology, hospital, irf, jason greis, ltac, LTACH, LTCH, nalth, Neleen Eisinger, option paper, payment, prevent, quality, readmission, senate finance committee, snf, value-based purchasing
Posted by Jason Greis on May 11, 2009 under Articles |
A California hospital recently challenged the decision of a Medicare recovery audit contractor (RAC), alleging that the RAC unlawfully reopened claims submitted by the hospital. Palomar Medical Center v. Johnson, S.D. Cal., No. 3:09-cv-00605-BEN-NLS (S.D. Cal. complaint filed 3/24/09). The case is the first since the inception of the Medicare RAC program to challenge the ability of RACs to reopen Medicare claims more than one year after payment, and its outcome will significantly affect the ability of hospitals to generally treat Medicare payments as final a year after receipt. Read More...
Tags: alj, greisguide, greisguidetoltachs, hospital, ltac, LTACH, LTCH, mac, mcguirewoods, medicare, palomar, PRG-Schultz, RAC, recovery audit contractor
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