Category Archives: Health Care Legislation

Applying Section 1557 Discrimination Rules to Employer Sponsored Health Plans

By Fisher, JD, CHC, CCEP Section 1557 Final Rule: Implications for Covered Entities and Employer-Sponsored Health Plans April 2024 Executive Summary The U.S. Department of Health and Human Services (“HHS”) finalized regulations implementing Section 1557 of the Affordable Care Act … Continue reading

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CMS Will Hold Lessons from the Front Line

CMS COVID-19 Lessons from the Front Lines, Friday, May 22nd, 12:30 – 2:00 PM Eastern Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an … Continue reading

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Badger Bounce Back Plan – COVID-19 Recovery Plan

The Wisconsin DHS has issued a Badger Bounce Back Plan. The plan identifies steps and criteria to guide the reopening of health care and other services in the state. The Badger Bounce Back Plan identifies 6 areas where COVID-19 will … Continue reading

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Wisconsin Health Law Legislation Signed By Governor Walker

Health Care Legislation Signed By Governor Walker  Wisconsin Governor Scott Walker signed 63 new pieces of legislation into law on April 9, 2014, several of which relate to the health care industry.  The new health care legislation includes the following: … Continue reading

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Health Care Lawyers In Wisconsin

By John Fisher, JD, CHC, CCEP   Read more here: Health Law Blog   

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Payment Suspension Fraud and Abuse – End To Pay and Chase

Payment Suspension – Moving Away from Pay and Chase CMS now has the authority to suspend further payments to a provider following receipt of any “credible allegation of fraud.”  Allegations are deemed to be credible when they have an “indication … Continue reading

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MSA Metropolitan Statistical Areas Wisconsin

Metropolitan Statistical Areas in the State of Wisconsin Wisconsin contains 11 Metropolitan statistical areas that are totally within the state and an additional four MSAs that overlap state borders.  The Wisconsin MSAs include the following areas: 1.         Appleton (Outagamie and … Continue reading

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When Does HIPAA Override State Medical Privacy Laws

HIPAA Preemption of State Law The HIPAA Privacy Rule provides a Federal floor of privacy protections for individuals’ individually identifiable health information where that information is held by a covered entity or by a business associate of the covered entity. … Continue reading

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Health Care Provisions In Fiscal Cliff Legislation

Although physicians averted a nearly 27% reduction in reimbursement under Medicare, the Fiscal Cliff Legislation included a number of changes in reimbursement that in additiona to the “doc fix.”  Many of those chanced will not make health care providers very … Continue reading

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