Wachler & Associates
Member Since: 28th May 2009
URL: http://www.racattorneys.com
Occupation: Attorney
No of articles: 34
About Me:
Wachler & Associates, P.C., is a law firm providing healthcare legal services to healthcare providers, suppliers and entities nationwide. Since 1980, the attorneys of Wachler & Associates, P.C., have successfully defended thousands of Medicare, Medicaid and other third party payor audits. Our lawyers are recognized as authorities in this area of healthcare law. http://www.racattorneys.com
URL: http://www.racattorneys.com
Occupation: Attorney
No of articles: 34
About Me:
Wachler & Associates, P.C., is a law firm providing healthcare legal services to healthcare providers, suppliers and entities nationwide. Since 1980, the attorneys of Wachler & Associates, P.C., have successfully defended thousands of Medicare, Medicaid and other third party payor audits. Our lawyers are recognized as authorities in this area of healthcare law. http://www.racattorneys.com
Law
By Andrew B. Wachler & Amy K. Fehn, Wachler & Associates, P.C. The Federal False Claims Act (FCA) has long been a key weapon in the government’s arsenal to fight health care fraud and abuse. With the passage of the Fraud Enforcement and Recovery Ac...
FERA Gives Health Care Fraud Enforcement a Boost
19th October 2009By Andrew B. Wachler & Amy K. Fehn, Wachler & Associates, P.C. The Federal False Claims Act (FCA) has long been a key weapon in the government’s arsenal to fight health care fraud and abuse. With the passage of the Fraud Enforcement and Recovery Ac...
Legal
Andrew B. Wachler & Amy K. Fehn, Wachler & Associates, P.C. The Federal False Claims Act (FCA) has long been a key weapon in the government’s arsenal to fight health care fraud and abuse. With the passage of the Fraud Enforcement and Recovery Act o...
FERA Gives Health Care Fraud Enforcement a Boost
19th October 2009Andrew B. Wachler & Amy K. Fehn, Wachler & Associates, P.C. The Federal False Claims Act (FCA) has long been a key weapon in the government’s arsenal to fight health care fraud and abuse. With the passage of the Fraud Enforcement and Recovery Act o...
Legal
Medicare providers and suppliers targeted for prepayment complex medical review understand the financial burden that review of records prior to payment places on a medical practice. Prior to the Medicare Prescription Drug, Improvement and Modernization...
Medicare Eases Rule on Termination of Provider Medical Records Review
09th July 2009Medicare providers and suppliers targeted for prepayment complex medical review understand the financial burden that review of records prior to payment places on a medical practice. Prior to the Medicare Prescription Drug, Improvement and Modernization...
Legal
On December 28, 2007, the Centers for Medicare and Medicaid Services (CMS) displayed a final rule announcing that it was delaying the effective date of the majority of the newly revised anti-markup rule until January 1, 2009. CMS’ announcement came just...
Medicare’s Anti-Markup Rule-Partially Delayed Until 2009
09th July 2009On December 28, 2007, the Centers for Medicare and Medicaid Services (CMS) displayed a final rule announcing that it was delaying the effective date of the majority of the newly revised anti-markup rule until January 1, 2009. CMS’ announcement came just...
Legal
On August 19, 2008, the Centers for Medicare and Medicaid Services (“CMS”) published final Stark rules in its 2009 Final Hospital Inpatient Prospective Payment Systems Rule (“Final Rule”). The Final Rule contains several significant modificat...
CMS Finalizes Major Stark Changes
09th July 2009On August 19, 2008, the Centers for Medicare and Medicaid Services (“CMS”) published final Stark rules in its 2009 Final Hospital Inpatient Prospective Payment Systems Rule (“Final Rule”). The Final Rule contains several significant modificat...
Legal
As of April 14, 2003, covered entities are expected to be in compliance with the HIPAA Privacy Rule and the April 21, 2005 deadline for Security is rapidly approaching. Health care providers and their attorneys are now left wondering where the liability ...
HIPAA Privacy and Security Enforcement: Assessing and Reducing Risks
09th July 2009As of April 14, 2003, covered entities are expected to be in compliance with the HIPAA Privacy Rule and the April 21, 2005 deadline for Security is rapidly approaching. Health care providers and their attorneys are now left wondering where the liability ...
Legal
Recently, the Centers for Medicare and Medicaid (“CMS”) entered into the pay for performance arena with the Physician Quality Reporting Initiative (“PQRI” or “Initiative”) aimed at improving the quality of health care. Participants in the Ini...
Medicare’s Physician Quality Reporting Initiative: The New Frontier on Pay for Performance
09th July 2009Recently, the Centers for Medicare and Medicaid (“CMS”) entered into the pay for performance arena with the Physician Quality Reporting Initiative (“PQRI” or “Initiative”) aimed at improving the quality of health care. Participants in the Ini...
Legal
In order to manage the growth of independent ambulatory surgery facilities (“ASF”) throughout Michigan, Blue Cross Blue Shield of Michigan (“BCBSM”) created Evidence of Need (“EON”) standards for ASFs participating with BCBSM. However, BCBSM ...
New Evidence of Need Requirements for Participating Ambulatory Surgical Facilities
09th July 2009In order to manage the growth of independent ambulatory surgery facilities (“ASF”) throughout Michigan, Blue Cross Blue Shield of Michigan (“BCBSM”) created Evidence of Need (“EON”) standards for ASFs participating with BCBSM. However, BCBSM ...
Legal
Introduction When structuring many common business relationships involving health care providers, attorneys must be aware of the myriad of Federal and State laws that may be implicated as a result of the arrangement. The health care industry is heavi...
Stark II Phase II Is Here – Have You Analyzed Your Health Care Clients’ Financial Relationships?
09th July 2009Introduction When structuring many common business relationships involving health care providers, attorneys must be aware of the myriad of Federal and State laws that may be implicated as a result of the arrangement. The health care industry is heavi...
Legal
Overview A health care provider’s claims for medical services may be audited by payors (e.g., Medicare, Blue Cross Blue Shield of Michigan (“BCBSM”) and Medicaid) for a number of reasons. Some audits are a result of random selection or some res...
Third Party Payor Audits – Impact on Physician and Health Care Provider Clients
08th July 2009Overview A health care provider’s claims for medical services may be audited by payors (e.g., Medicare, Blue Cross Blue Shield of Michigan (“BCBSM”) and Medicaid) for a number of reasons. Some audits are a result of random selection or some res...
Legal
The financial pressure on hospitals, physicians and other healthcare providers, as a result of increased scrutiny of claims and audit activity by third party payors, will not end soon. To the contrary, as part of the Tax Relief and Health Care Act of 20...
Get Ready for Increased Medicare Audit Activity: Recovery Audit Contractors to Begin Auditing Natio
08th July 2009The financial pressure on hospitals, physicians and other healthcare providers, as a result of increased scrutiny of claims and audit activity by third party payors, will not end soon. To the contrary, as part of the Tax Relief and Health Care Act of 20...
Legal
“No-show” patients are a part of any medical practice. Over the years, physicians and other practitioners have developed numerous policies in an attempt to prevent no-shows. Most practices institute such policies as a deterrent rather than for the p...
Be There Or … Pay Up: Developing a Patient No-Show Policy for Your Practice
08th July 2009“No-show” patients are a part of any medical practice. Over the years, physicians and other practitioners have developed numerous policies in an attempt to prevent no-shows. Most practices institute such policies as a deterrent rather than for the p...
Legal
The long-awaited third and final phase of the rulemaking that amends the Stark regulations (Stark) was released by the Centers for Medicare and Medicaid Services (CMS) on August 27, 2007. The phase III final rule (Phase III) will be effective December 4...
Stark II Phase III
08th July 2009The long-awaited third and final phase of the rulemaking that amends the Stark regulations (Stark) was released by the Centers for Medicare and Medicaid Services (CMS) on August 27, 2007. The phase III final rule (Phase III) will be effective December 4...
Legal
Introduction The Centers for Medicare and Medicaid Services (CMS) issued its final rule regarding changes to the Medicare appeal procedures on March 5, 2005. This final rule was effective May 1, 2005. Legal counsel for providers and suppliers underg...
The Medicare Appeals Process and Strategies for Successful Appeals
08th July 2009Introduction The Centers for Medicare and Medicaid Services (CMS) issued its final rule regarding changes to the Medicare appeal procedures on March 5, 2005. This final rule was effective May 1, 2005. Legal counsel for providers and suppliers underg...
Legal
On November 22, 2006, the Detroit Medical Center (“DMC”) and Wayne State University (“WSU”) announced a temporizing resolution to a long-standing contractual dispute. This dispute threatened both the future of the DMC/WSU jointly sponsored reside...
Detroit Medical Center – Wayne State University Joint Residency Programs: Progress Made, But Work
07th July 2009On November 22, 2006, the Detroit Medical Center (“DMC”) and Wayne State University (“WSU”) announced a temporizing resolution to a long-standing contractual dispute. This dispute threatened both the future of the DMC/WSU jointly sponsored reside...