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Tyson & Mendes LLP

Calculating Past Medicals in California

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The Third District Court of Appeal in California recently addressed the standard in proving the reasonableness of charges for past medical services within the context of the Hospital Lien Act’s definition of emergency and...more

Dickinson Wright

November 1 Deadline Looms as Texas Hospitals Struggle to Track Costs Related to Immigration Status

Dickinson Wright on

On November 1, certain Texas hospitals must comply with an Executive Order issued by Governor Greg Abbott on August 8, 2024 (Order), requiring them to document medical costs related to the care of individuals without legal...more

Patrick Malone & Associates P.C. | DC Injury...

UVA health system will curb decades of hounding patients over medical bills

Patrick Malone & Associates P.C. | DC Injury... on

The University of Virginia health system has decided to end decades of draconian bill collection, giving a reprieve to tens of thousands of patients and their families who faced harsh legal actions to recover crushing medical...more

Shumaker, Loop & Kendrick, LLP

Client Alert: Florida: What the New Balance Billing Law Means for Physicians

Shumaker, Loop & Kendrick, LLP on

This year two bills became law in Florida that are intended to equip Floridians with tools to make health care decisions based on cost and to protect them from significant unanticipated medical bills. The first (HB1175)...more

Baker Donelson

IPPS Final Rule: CMS Addresses Allina Decision and Addresses New Medicare DSH Payment Calculations

Baker Donelson on

In the fiscal year 2014 Inpatient Prospective Payment System (IPPS) rule published in the Federal Register on August 19, 2013, CMS took two steps of note regarding the Medicare disproportionate share hospital (DSH)...more

Davis Wright Tremaine LLP

Trouble Ahead for One-Day Inpatient Stays: New Pre-Billing Challenges Loom

Davis Wright Tremaine LLP on

On Aug. 19, CMS published a final rulemaking that may effectively eliminate DRG Part A payments for most acute care inpatient stays of one day....more

Cozen O'Connor

Ruminations on Observation

Cozen O'Connor on

On July 29, 2013, the Office of Inspector General of the U.S. Department of Health and Human Services (OIG) released a memorandum report finding that Medicare paid more on average for short inpatient stays than for...more

King & Spalding

CMS Releases FY 2011 SSI Ratios

King & Spalding on

CMS has released the FY 2011 SSI data for IPPS hospitals, LTCHs, and IRFs. This data will be used to determine the disproportionate share adjustment for hospitals and the low-income payment adjustment for IRFs for cost...more

King & Spalding

Senate Finance Committee Hearing Discusses Transparency in Healthcare Pricing

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On June 18, 2013, the Senate Finance Committee held a hearing entitled, “High Prices, Low Transparency: The Bitter Pill of Health Care Costs.” Senators Max Baucus (D-MT) and Orrin Hatch (R-UT) gave statements on ways to...more

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