The U.S. Attorney for the District of Connecticut recently announced that Michael Lonski, a Greenwich psychologist, pleaded guilty to healthcare fraud. Lonski admitted to billing insurers for services that were not rendered, including for deceased patients, and for dates of service when he was out of the country, or his medical partner was out of
Behavioral Health
Medicare Telehealth Flexibilities Extended
On December 23, the U.S. Congress passed the “Consolidated Appropriations Act, 2023,” the omnibus budget bill for fiscal year 2023 (HR 2617). The bill includes several provisions relating to Medicare coverage of telehealth, including extending some of the flexibilities that became effective at the beginning of the COVID-19 pandemic.
The budget bill for…
Employer Alert: First Deadline to Claim NYS Healthcare Worker Bonus is September 2
As part of its 2023 state budget, New York State has allocated $1.2 billion for the payment of bonuses to certain frontline healthcare workers. This bonus program is intended to reward healthcare workers for their services during the COVID-19 pandemic and to promote employee retention and recruitment in the healthcare sector. Qualified employers who wish…
Addressing Patient Capacity Issues
On Thursday, June 16, in the next installment of Rivkin Radler’s Healthcare Lunch & Learn series, firm partners Frank Izzo and Wendy Sheinberg will present a program on Addressing Patient Capacity Issues. The program will take place from 12:00 noon to 1:00 PM Eastern time via Zoom.
The topics to be covered will include:
- Article
…
Mental Health Parity – After Years of Failure to Comply, Enforcement is Underway!
Regulators are now better armed to cite and fine health plans that are not complying with the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008. A recent report to Congress highlights the enforcement work to date and illustrates the extent to which many plans are noncompliant with the law. The result is that…
GAO Recommends that CMS Review Effects of Telehealth on Quality of Care
In a report published on March 31, the U.S. Government Accountability Office (GAO) recommended that the Centers for Medicare & Medicaid Services (CMS) begin to collect and analyze information about any effect telehealth has on the quality of care for Medicaid beneficiaries. CMS does not currently collect or analyze this information, nor does it have…
Omnibus Spending Bill Extends Telehealth Flexibilities
At the beginning of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services expanded Medicare coverage for telehealth nationwide, as discussed here. The $1.5 trillion omnibus spending bill signed into law by President Biden today extended the current telehealth accommodations for 151 days after the end of the federal public health emergency, which…
New Proposed Bills Would Extend Telehealth Waivers, Modernize HIPAA
We don’t often cover brand-new proposed legislation on Rivkin Rounds, generally preferring to wait until it’s closer to becoming law. However, two bipartisan bills introduced in Congress last week are worthy of mention.
The Telehealth Extension and Evaluation Act would allow the Centers for Medicare & Medicaid Services to extend certain pandemic-era flexibilities in Medicare…
NY to Fund New Behavioral Health Stabilization Centers
New York Gov. Kathy Hochul announced on February 2 that the state will make available more than $100 million in funding over the next five years for 12 new Intensive Crisis Stabilization Centers across the state. The facilities are akin to urgent care centers for people who are experiencing an acute behavioral health crisis.
Intensive…
Medicare Telehealth Use Increased 63-fold in 2020
A study recently released by the U.S. Department of Health and Human Services (HHS) found that the number of beneficiaries in the traditional Medicare program who used telehealth increased from 840,000 in 2019 to nearly 52.7 million in 2020. At the same time, the number of visits to doctors’ offices reimbursed under Part B decreased.…