Category Archives: Primary Care

CMS Proposes Covering Additional Telehealth Services

On July 6, 2012, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule expanding Medicare coverage for services delivered via a telecommunications system, which are commonly known as telehealth or telemedicine services.   Continue reading

OIG: Proposed Arrangement Between Physician and IDTF Does Not Violate the Anti-Kickback Statute

On June 29, 2012, the OIG issued a favorable Advisory Opinion, No. 12-08, concerning a proposal for an independent diagnostic testing facility (the “IDTF”) to hire a physician (the “Physician”) to read and interpret sleep test studies when the Physician is closely related to the majority owners of the IDTF and is further employed by a company that also employs other potential referral sources (the “Proposed Arrangement”). Continue reading

OIG Alert: Physicians Should Exercise Caution When Reassigning Their Medicare Payments

On February 8, 2012, the Office of Inspector General (“OIG”) released an alert warning physicians to exercise caution when reassigning their right to bill and receive payment from the Medicare program.  According to the OIG, Physicians who reassign their Medicare provider benefits by executing a CMS-855R application may be held liable for false claims submitted by the assignee. Continue reading