Jan. – Feb. 2013 – Now that the U.S. Supreme Court has upheld the Affordable Care Act, ambulatory surgery center operators and other healthcare providers are preparing for a new future with increased collaboration.
In an article published in Florida Medical Business, Florida Health Law Center co-founder Jodi Laurence says it’s all about trying to provide quality care at an efficient cost and being able to track outcomes.
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Jan. 14, 2013 – On Jan. 10, President Obama signed into law the Strengthening Medicare and Repaying Taxpayers (SMART) Act passed by Congress in December.
The SMART Act is aimed at simplifying compliance with the Medicare Secondary Payer (MSP) Act. MSP has been around since the 1980s and made Medicare the secondary payer to personal injury insurance, health insurance, and workers’ compensation plans.
MSP required parties who have settled a liability case, such as a workers’ compensation or auto accident case settlement or judgment, to determine and repay the Medicare program for any conditional payments it made on behalf of a beneficiary in connection with the liability case. This has sometimes been difficult because getting the necessary information out of Medicare is challenging, making it hard to determine how much Medicare should be paid.
The SMART Act addressed this problem by requiring CMS to establish a website whereby individuals or insurance companies can access information on claims paid by Medicare. It also requires that Medicare provide conditional payment information within 65 days of a request. Medicare is also required to respond to individual disputes regarding Medicare’s conditional payments within 11 days and to establish regulations providing appellate rights regarding his determinations of conditional payments made.
The SMART Act also establishes a three-year statute of limitations on MSP actions by Medicare to recover claims.
Jan 5, 2013 – The American Taxpayer Relief Act of 2012–passed by Congress on January 1, 2013, and signed by President Obama the next day to extend several tax cuts and help avert the so-called “fiscal cliff”–postponed the sustainable growth rate cuts to physicians, but “roughly $15 billion of the cost of this measure will be funded by hospitals in the form of reduced payments over the next decade.”
Congress may revisit those cuts, because hospitals are “up in arms,” said attorney Jodi B. Laurence, a founding partner of the Florida Health Law Center in Davie.
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While prohibitions against balance billing have been around for more than a decade, many healthcare providers still don’t understand their rights when it comes to collecting payment from patients and third-party payors.
Click here to read the rest of the article that appears in Florida Health Communications.
Florida Health Law Center co-founder Lee Lasris is among South Florida’s top health care lawyers featured in the October issue of the South Florida Legal Guide.
The article titled “Navigating Healthcare’s Changing Financial Landscape” has Lasris, and other health care attorneys, discussing the impact the Affordable Care Act is having on providers, payors and investors.
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Oct. 17, 2012 – Florida Health Law Center co-founder Jodi Laurence was interviewed by Becker’s ASC Review about why surgery centers are assessing whether they should join accountable care organizations, or if it would make more sense to go in a different direction.
“We do know there will be healthcare reform in some way and I would think ASCs need to figure out how they will survive in this new healthcare regime,” said Laurence.
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