Health Care

The Center for Medicare and Medicaid services, Department of Health and Human Services issued a final rule updating the prospective payment rates for in-patient rehabilitation facilities on August 6, 2014. Among other things, the final rule is consistent with the Department’s policy to collect data on the amount and mode (individual, concurrent, group and co-treatments)

What is a licensed nurse in another state to do when their spouse who is in the armed forces is suddenly relocated to NJ? How can a struggling armed forces family make ends meet when the nurse has to wait for a protracted license application to be passed? On June 2, 2014, the NJ State

On February 6, 2014, lawmakers in the House and Senate announced final agreement on legislation which will change the way doctors are paid through the Medicare physician payment system. Read More Here…

People who require mental health coverage are happy to know that long awaited changes to the laws effecting insurance coverage have finally arrived. Those changes can be found in the new Affordable Care Act, (the “ACA”) and changes made to the Mental Heath Parity and Addiction Equity Act of 2008 (the “Parity Act”). Read More

It’s on the news, in the papers, even on billboards: NJ is serious about fighting insurance fraud. New Jersey’s “Insurance Fraud Prevention Act” (the “Act”) has been hailed nationally as “model” legislation that is a useful tool of prosecutors and the State to curb insurance abuses. Read More Here…”

Most physicians are generally aware of the “Stark” law, named after Congressman Pete Stark, which is the federal government’s attempt to prevent physician self-referrals of Medicare and Medicaid patients to health care services and facilities in which they have an ownership interest. Read More Here…

Staff Credentialing and Privileging is a daunting undertaking.  Credentialing is the process of examining a health care provider’s background, education and other criteria.  Health care employers must complete some due diligence before they grant a health care worker privileges, particularly because the health care provider is being put in a position of responsibility which may

An adverse peer review can have a long term adverse effect on physicians.   Peer Review reports which result in an adverse action require a hospital to report that action to the National Practitioner Data Bank.  Physicians who are not members in good standing with the medical staff of a hospital cannot practice medicine at the