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Lawrence W. Vernaglia, Partner, Foley & Lardner LLP Cheryl Storey, Partner, Health Care Consulting Group, Moss Adams LLP

OPPS Final Rule Finalizes Limits for Off Campus Departments


By Lawrence W. Vernaglia
Partner, Foley & Lardner LLP
By Cheryl Storey
Partner, Health Care Consulting Group, Moss Adams LLP

On November 1, 2016, the Centers for Medicare and Medicaid Services (CMS) issued the long-awaited implementation of the "site-neutrality" provisions of the H.R. 1314 Bipartisan Budget Act of 2015 (BiBA Section 603). The Final Rule will cause new (non-grandfathered, post 11/2/2015) hospital off-campus outpatient departments to no longer be reimbursed under the Medicare Outpatient Prospective Payment System (OPPS). Rather, those locations are deemed "nonexcepted" clinics and will receive something less than 50% of the old OPPS rate (at least initially) to approximate Medicare Physician Fee Schedule (MPFS) payment. In other words, the former financial advantage to locations holding provider-based status will largely disappear for new outpatient projects, with total payment (physician and technical component) approximating what would be paid for the service if performed in a free-standing physician office. Read article
Physician from India with Patient

Recruiting and Employing Foreign Nationals in Health Care Settings, Key Issues and Best Practices


By Richard S. Cooper, Esq., Member, McDonald Hopkins LLC
By Isabelle Bibet-Kalinyak, Esq., Associate, McDonald Hopkins LLC
As the physician shortage worsens, hospitals and health systems face unprecedented challenges to recruit and retain physician talent. Recruiting foreign nationals should be part of a comprehensive strategy to build and maintain a qualified, diversified, and engaged physician workforce. Read article
Five Employees Having a Business Discussion

How Employers Can Improve our Healthcare System


By Bill Kramer
Executive Director of National Health Policy, Pacific Business Group on Health

Employers cover nearly half of the U.S. population, and Medicare and Medicaid cover an additional one-third. Most of the money in the health care system comes from employers, employees and taxpayers. As "purchasers" of health care, employers and government payers want to make sure we're getting good value for our money. Read article
Doctor Examining Patient Using Telehealth

CMS Slow to Adopt Generally Accepted Telemedicine/Telehealth Payment Practices


By Cindy Lamar
Regional Director, Go Telecare

Telemedicine is on the cusp of a healthcare revolution. But we have more to do to enable all people, no matter age, location or their health insurance coverage, to be able to utilize the technology that is available. Read article
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