Category Archives: Hospital

Benesch Sponsors ACG NY – 4th Annual Health Care Conference

Posted on January 27, 2012 by | Comments Off

Benesch had the opportunity to sponsor the ACG NY 4th Annual Health Care Conference on January 25th, 2011 at the Metropolitan Club in New York City. The conference was a great success with attendees from the private equity, lending, investment and service provider communities. We want to thank all those who attended the conference. It was a great event.

More importantly, we wanted to thank the panelists who put on a great presentation. The panel presentation provided significant insight into the coming challenges and unknowns for the hospital sector in 2012. The discussion of policy initiatives that are pushing toward more integration and the assumption of risk by providers was enlightening. Continue reading →

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Posted in Accountable Care Organizations, Acute Care, Benesch Events, Health & Human Services, Health Care, Health Care Providers, Health Reform, Hospital, Integration, Investors, Medicare, Private Equity

Revised Advance Beneficiary Notice Use Now Required

Posted on January 13, 2012 by | Comments Off

The revised Advance Beneficiary Notice (ABN) form is now required as of January 1, 2012.  The ABN form is provided to Medicare beneficiaries by providers such as skilled nursing facilities, physicians and others when the provider believes that Medicare may not cover and reimburse the services to be provided.  This notice of noncoverage is provided to the beneficiary and the revised notice Form CMS-R-131 can be accessed through the attached link with additional information on its use.  http://www.cms.gov/BNI/02_ABN.asp

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Posted in Continuing Care, Durable Medical Equipment, General, Health Care, Health Care Providers, Home Health, Hospital, Long Term Care, Medicare, Nursing Facility, Occupational Therapy, Out-Patient Care, Physicial Therapy, Physicians, Post Acute Care, Rehabilitation, Skilled Nursing Facility, Supplier

OIG Advisory Opinion 11-16 – Hospital’s Provision of Transportation, Lodging, and Meal Assistance to Patients and their Family is OK

Posted on November 22, 2011 by | Comments Off

On November 15, 2011, the OIG released Advisory Opinion 11-16. In this new advisory opinion, the OIG reviewed a non-profit Hospital’s domiciliary services program that provides transportation, lodging, and meal assistance to certain patients and their family members.  The OIG issued a favorable opinion of the arrangement and concluded that (i) the Arrangement does not constitute grounds for the imposition of civil monetary penalties; and (ii) while the Arrangement could potentially generate prohibited remuneration under the Anti-Kickback Statute, the OIG will not impose administrative sanctions. Continue reading →

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Posted in Acute Care, Anti-Kackback, Fraud and Abuse, Health Care, Health Care Providers, Hospital, Medicare, OIG, OIG Advisory Opinions

Final Rule on Expansion of Physician-Owned Hospitals under the Stark Physicians Self Referral Rule

Posted on November 21, 2011 by | Comments Off

On November 1, 2010, the Centers for Medicare and Medicaid Services (“CMS”) released the final rule governing the procedures and requirements by which a physician-owned hospital may apply for an exception to the Stark Physician Self Referral Law’s prohibition against expanding a physician-owned hospital’s capacity. The rule, effective on January 1, 2012, will be published in the Federal Register on November 30, 2011. Continue reading →

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Posted in Acute Care, Final Rule, Fraud and Abuse, Health Care Providers, Hospital, Physicians, Regulation, Self-Referral