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	<title>von Briesen Health Law Blog &#187; Hospital and Physician Relationships</title>
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		<title>The OIG Has Published Another Advisory Opinion on Free Pre-Authorization Services</title>
		<link>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/08/31/the-oig-has-published-another-advisory-opinion-on-free-pre-authorization-services/#comments</comments>
		<pubDate>Tue, 31 Aug 2010 23:50:11 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=921</guid>
		<description><![CDATA[On August 31, 2010, the Office of the Inspector General (“OIG”) issued Advisory Opinion 10-13 which allows a hospital to provide free pre-authorization servicesfor all patients referred to it for imaging services.  The hospital seeking the advisory opinion indicates in its proposal that hospital personnel responsible for obtaining the pre-authorization required from insurers would contact [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>CMS Releases its CY 2011 Proposed Rules for HOPDs and ASCs</title>
		<link>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-proposed-rules-for-hopds-and-ascs/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-proposed-rules-for-hopds-and-ascs/#comments</comments>
		<pubDate>Thu, 08 Jul 2010 22:07:00 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=853</guid>
		<description><![CDATA[CMS released its CY 2011 proposed rules for hospital outpatient departments and ambulatory surgery centers on July 2, 2010.  The proposed rules update payment policies and rates for hospital outpatient departments and ambulatory surgery centers.  Some of the proposed provisions implement portions of the health reform legislation signed into law in March.  As described by [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS Releases its CY 2011 MPFS Proposed Rule</title>
		<link>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-mpfs-proposed-rule/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/07/08/cms-releases-its-cy-2011-mpfs-proposed-rule/#comments</comments>
		<pubDate>Thu, 08 Jul 2010 22:00:40 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=844</guid>
		<description><![CDATA[CMS recently released its CY 2011 Medicare Physician Fee Schedule Proposed Rule.  Among updated payment policies and rates for services paid under the Medicare Physician Fee Schedule, the proposed rule includes provisions to implement portions of the health reform legislation signed into law in March.  As described by CMS, the proposed rule includes provisions, among [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>The OIG Publishes an Advisory Opinion on Free Pre-authorization Services</title>
		<link>http://blog.vonbriesenhealth.com/2010/05/10/the-oig-publishes-an-advisory-opinion-on-free-pre-authorization-services/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/05/10/the-oig-publishes-an-advisory-opinion-on-free-pre-authorization-services/#comments</comments>
		<pubDate>Mon, 10 May 2010 19:36:02 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=777</guid>
		<description><![CDATA[The OIG recently published an advisory opinion relating to a proposal for several diagnostic imaging service providers (a clinic and a medical center) to provide free pre-authorization services to physicians and patients.  Many insurers require  pre-authorization for imaging services.  This is a measure intended to prevent over utilization.  In the proposed arrangement, the imaging providers [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>Stark, False Claims Violations Cost Millions</title>
		<link>http://blog.vonbriesenhealth.com/2010/04/22/stark-false-claims-violations-cost-millions/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/04/22/stark-false-claims-violations-cost-millions/#comments</comments>
		<pubDate>Thu, 22 Apr 2010 21:06:46 +0000</pubDate>
		<dc:creator>David Edquist</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/2010/04/22/stark-false-claims-violations-cost-millions/</guid>
		<description><![CDATA[Two recent cases demonstrate the consequences of hospital-physician financial relationships that do not comply with Stark.
The first involved a qui tam case against Rush University Medical Center in Chicago. A former Rush employee and a member of Rush&#8217;s medical staff blew the whistle on certain medical office leases, calling into question various rent concessions, lack [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>New Law Requires Insurers to Pay Hospitals for EMTALA Care</title>
		<link>http://blog.vonbriesenhealth.com/2010/03/24/new-law-requires-insurers-to-pay-hospitals-for-emtala-care/</link>
		<comments>http://blog.vonbriesenhealth.com/2010/03/24/new-law-requires-insurers-to-pay-hospitals-for-emtala-care/#comments</comments>
		<pubDate>Thu, 25 Mar 2010 02:58:35 +0000</pubDate>
		<dc:creator>Sally Ihlenfeld</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Patient Care Issues]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=713</guid>
		<description><![CDATA[As part of the Patient Protection and Affordable Care Act signed into law on March 23, 2010, insurance companies will now be barred from imposing pre-authorization requirements on EMTALA care. The Act also requires insurers to pay hospitals not under contract with them for EMTALA services on the same basis as they pay their own in-network [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>FTC and Justice Department Announce Plans to Revisit Merger Guidelines</title>
		<link>http://blog.vonbriesenhealth.com/2009/09/23/ftc-and-justice-department-announce-plans-to-revisit-merger-guidelines/</link>
		<comments>http://blog.vonbriesenhealth.com/2009/09/23/ftc-and-justice-department-announce-plans-to-revisit-merger-guidelines/#comments</comments>
		<pubDate>Wed, 23 Sep 2009 21:30:15 +0000</pubDate>
		<dc:creator>Whitney Vallier</dc:creator>
				<category><![CDATA[Hospital and Physician Relationships]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=96</guid>
		<description><![CDATA[The Federal Trade Commission (FTC) and the Department of Justice (DOJ) announced they will consider updates to the Horizontal Merger Guidelines. Intended to reduce the uncertainty associated with enforcement of the antitrust laws in the merger area, the Guidelines outline the merger enforcement policies of the FTC and the DOJ, including describing the analytical framework [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2009/09/23/ftc-and-justice-department-announce-plans-to-revisit-merger-guidelines/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Are Hospitals failing to report practitioners to the National Practitioner Data Bank?</title>
		<link>http://blog.vonbriesenhealth.com/2009/06/05/are-hospitals-failing-to-report-practitioners-to-the-national-practitioner-data-bank/</link>
		<comments>http://blog.vonbriesenhealth.com/2009/06/05/are-hospitals-failing-to-report-practitioners-to-the-national-practitioner-data-bank/#comments</comments>
		<pubDate>Fri, 05 Jun 2009 16:39:48 +0000</pubDate>
		<dc:creator>Sally Ihlenfeld</dc:creator>
				<category><![CDATA[Hospital and Physician Relationships]]></category>
		<category><![CDATA[Medical Staff]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=219</guid>
		<description><![CDATA[A new study conducted by Health Research Group, a branch of the consumer advocacy organization Public Citizen, revealed that almost half of U.S. hospitals have never reported a privilege sanction to the National Practitioner Data Bank (NPDB). Hospitals are required to report incidents in which a practitioner’s hospital admitting privileges were revoked or restricted for [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2009/06/05/are-hospitals-failing-to-report-practitioners-to-the-national-practitioner-data-bank/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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