April 2015 Archives

What Does the Medicare Access and CHIP Reauthorization Act of 2015 Mean for Health Care Providers?

On Friday, April 17, President Barack Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015, repealing the "sustainable growth rate" formula or "SGR" which was set by Congress in 1997 to control Medicare spending by limiting annual increases in physicians' reimbursements. Although the removal of the SGR formula is the most notable effect of the bill, the new law also includes potentially more important revisions to rates for Medicare health care services in 2015 and beyond, as well as the implementation of payments based on performance and a number of other changes.

Revocation of Home Health Agency's Medicare Enrollment and Billing Privileges Upheld

The revocation of a home health agency's (HHA) Medicare enrollment and billing privileges was recently upheld by an Administrative Law Judge in the Civil Remedies Division of the Health & Human Services Departmental Appeals Board (ALJ). The ALJ determined that the HHA was not in compliance with Medicare program requirements for home health care certification and therefore, the Centers for Medicare & Medicaid Services (CMS) had a legitimate basis to revoke the HHAs enrollment and billing privileges and impose a three-year re-enrollment bar. The case is CJN Enterprises, Inc. v. Centers for Medicare & Medicaid Services.

Health Care Providers Cannot Sue States Over Low Medicaid Reimbursement Rates

On Tuesday, March 31, 2015, in a 5-4 vote, the Supreme Court of the United States ("SCOTUS") ruled in the case Armstrong v. Exceptional Child Center, Inc., that health care providers cannot sue a state to challenge low Medicaid reimbursement rates.

Contact Our Firm And Schedule A Consultation

Work with our experienced team of lawyers. Call 866-353-3310 or email us today to schedule a consultation.

View Office Locations

Bold labels are required.

Contact Information

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

Email Us For A Response

Rhode Island
Northwoods Office Park
1301 Atwood Ave.
Suite 215 N
Johnston, RI 02919

Toll Free: 866-353-3310
Phone: 401-824-5100
Fax: 401-824-5123
Map & Directions

One International Place
Suite 1400
Boston, MA 02110

Toll Free: 866-353-3310
Fax: 866-353-5020
Map & Directions

Boca Raton Office
Peninsula Plaza
2424 North Federal Highway
Suite 204
Boca Raton, FL 33431

Phone: 561-362-2030
Fax: 866-353-5020
Map & Directions

901 Main Street
Suite O
Osterville, MA 02655

Phone: 508-420-7159
Fax: 508-420-7162
Map & Directions

GPS Directions to this office: 555 Valley Street, Providence, RI 02908