Posted by Jason Greis on October 17, 2010 under Articles | 
The Patient Protection and Affordable Care Act (PPACA) requires the Secretary of the Department of Health and Human Services (HHS), with the Office of the Inspector General (OIG) of HHS, to establish a protocol for healthcare providers and suppliers to disclose actual or potential violations of Section 1877 of the Social Security Act (Stark Act). Under the Stark Act, healthcare providers and suppliers may not refer patients to any entity for certain services if the physician has a financial relationship with that entity, unless an exception for such referral applies. Read More...
Tags: cms, greisguide, greisguidetoltachs, long term acute care hospital, long term care hospital, ltac, LTACH, LTCH, mcguirewoods, post-acute, self-referral disclosure protocol, srdp, Stark, voluntary
Posted by Jason Greis on October 13, 2010 under Articles |
Thunder rolled down from Capitol Hill last week when Sen. Charles Grassley (R–Iowa) claimed that certain hospital systems and associations were misapplying the intent of Section 501(r)(5)(B) that prohibits the use of gross charges under the Patient Protection and Affordable Care Act. In their comments to the IRS regarding implementing regulations, the American Hospital Association (AHA) urged the IRS to apply a “gross charges” basis to charge those who do not qualify for financial assistance, and to use it as a starting place for calculating assistance to those who do. Read More...
Tags: 501(c)(3), charity care, grassley, greisguide, greisguidetoltachs, hospital, jason greis, ltac, LTACH, LTCH, mcguirewoods, milton cerny, Patient Protection and Affordable Care Act, ppaca, tax exempt
Posted by Jason Greis on October 2, 2010 under Articles |
Section 3022 of the Patient Protection and Accountable Care Act (the Act) creates the Shared Savings Program for Medicare. Under the Shared Savings Program, which is to take effect no later than Jan. 1, 2012, Accountable Care Organizations (ACOs) that meet certain requirements established by the Secretary of Health and Human Services will be eligible to receive additional payments from Medicare where certain performance guidelines are met and cost-savings targets are achieved. The amount of the additional payment will be a percentage of the difference between the estimated per capita Medicare expenditures for patients assigned to the ACO and the cost-savings per capita Medicare expenditures threshold. Read More...
Tags: accountable care organization, aco, brent rawlings, cms, greisguide, greisguidetoltachs, hospital, jason greis, ltac, LTACH, LTCH, mcguirewoods, medicare, misconceptions, part a, part b, physician, post-acute, shared savings program, thomas stallings
Posted by Jason Greis on August 24, 2010 under Events |
Thursday, September 16, 2010
Noon – 1 p.m. (ET) | 11 a.m. – Noon (CT) | 9 a.m. – 10 a.m. (PT)
Complimentary Webinar Read More...
Tags: barton walker, complimentary, consolidation, greisguide, greisguidetoltachs, hospital, james burgdorfer, juniper advisory, krist werling, mcguirewoods, ppaca, reform, rex burgdorfer, Thomas C. Brown Jr., webinar
Posted by Jason Greis on August 16, 2010 under Whitepapers |
This is a great time for hospital leadership and boards to reevaluate their strategies. The attached whitepaper written by two of my colleagues, Scott Becker and Bart Walker, contains eight core thoughts and concepts on strategic planning for hospitals. Read More...
Tags: bart walker, greisguide, greisguidetoltachs, hospital, leadership, ltac, LTACH, LTCH, mcguirewoods, scott becker, strategic, strategy
Posted by Jason Greis on August 12, 2010 under Articles |
Section 6003 of the Patient Protection and Affordable Care Act, Public Law 111-148 (H.R. 3590) (PPACA) makes a change to the “in-office ancillary services” exception to the Stark physician self-referral law that impacts physician practices providing certain radiology services in their offices. In short, the change requires physicians making a referral for magnetic resonance imaging (MRI), positron emission tomography (PET), and computed tomography (CT), or certain other radiology services in their offices, to make a disclosure to the patient that such services can be provided elsewhere and to include a list of alternative providers. Read More...
Tags: brent rawlings, ct, david wolff, doctor, greisguide, greisguidetoltachs, in-office ancillary services exception, long term care hospital, ltac, LTACH, LTCH, mcguirewoods, mri, pet, physician, ppaca, tom stallings
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