Contact Us
Subscribe to this blog via RSS
Join us on LinkedInCategories
- Employee Contracts
- Non-Compete Agreement
- Opioid Epidemic
- Sexual Harassment
- Health Resource and Services Administration
- Litigation
- Medical Malpractice
- House Bill 333
- Senate Bill 79
- locum tenens
- Senate Bill 4
- Physician Prescribing Authority
- HIPAA
- Chronic Pain Management
- Prescription Drugs
- "Two Midnights Rule"
- 340B Program
- Hospice
- Kentucky minimum wage
- Minimum wage
- Skilled Nursing Facilities (“SNFs”)
- Uncategorized
- EHR Systems
- ICD-10
- Primary Care Physicians ("PCPs")
- Electronic Health Records (“EHR")
- Drug Screening
- Urinalysis
- Mental Health Care
- HIPAA Risk Assessment
- KASPER
- Office for Civil Rights ("OCR")
- Affordable Insurance Exchanges
- Fraud
- Health Care Fraud
- Qui Tam
- Stark Laws
- Kentucky Board of Medical Licensure
- Kentucky’s Department for Medicaid Services
- Physician Assistants
- Compliance
- Department of Health and Human Services (HHS)
- Office of Inspector General of the United States Department of Health and Human Services (OIG)
- Certificate of Need ("CON")
- Federally Qualified Health Centers (“FQHCs”)
- HPSA
- Pharmacists
- Rural Health Centers (“RHCs”)
- Telehealth
- Accountable Care Organizations (“ACO”)
- Anti-Kickback Statute
- Data Breach
- Electronic Protected Health Information (ePHI)
- Fee for Service
- Health Information Technology for Economic and Clinical Health Act (HITECH Act)
- Health Insurance Portability and Accountability Act of 1996 (HIPAA)
- Part D
- Affordable Care Act
- Centers for Medicare & Medicaid Services (“CMS”)
- False Claims Act
- Health Professional Shortage Area ("HPSA")
- Hospitals
- Medicaid
- Medical Staff By-Laws
- Medically Underserved Area ("MUA")
- Medicare
- Patient Protection and Affordable Care Act (“ACA”)
- Rural Health Clinic
- Alternative Payment Models
- Charitable Hospitals
- HRSA
- Limited Services Clinics
- Mid-Level Practitioners
- Kentucky Board of Nursing
- American Telemedicine Association (“ATA”)
- Criminal Division of the Department of Justice (“DOJ”)
- Health Care Fraud Prevention and Enforcement Action Team (“HEAT”)
- Telemedicine
- Qualified Health Care Centers (“FQHC”)
- Hydrocodone
- United States ex. Rel. Kane v. Continuum Health Partners
- Webinar
- APRNs
- Chain and Organization System (“PECOS”)
- Jimmo v. Sebelius
- Maintenance Standard
- Overpayments
- Vitas Innovative Hospice Care
- Agreed Order
- Douglas v. Independent Living Center of Southern California
- Drug Enforcement Agency ("DEA")
- Hinchy v. Walgreen Co.
- Emergency Rooms
- Enrollment
- Kentucky Senate Bill 7
- Medicare Part D
- Minors
- Re-validation
- Chiropractic services
- Clinical Laboratory Improvement Amendments of 1988 (“CLIA”)
- Ophthalmological services
- Physician Compare website
- Texting
- All-Payer Claims Database ("APCD")
- Compliance Officer
- Essential Health Benefits
- ICD-9
- 2014 Medicare Physician Fee Schedule (“PFS”)
- 501(c)(3)
- Chronic Care Management
- Compounding
- CPR
- Drug Quality and Security Act (“DQSA”)
- House Bill 3204
- New England Compounding Center ("NECC")
- Outsourcing facility
- Sustainable Growth Rate (“SGR”)
- Appeal
- Centers for Disease Control and Prevention
- Dispenser
- Food and Drug Administratio
- HealthCare.gov
- Kindred v. Cherolis
- Long-term care communities
- Mobile medical applications ("apps")
- National Drug Code ("NDC")
- National Institutes of Health
- Ping v. Beverly Enterprises
- Power of Attorney ("POA")
- Prescriber
- State Health Plan
- Cadillac tax
- Community health needs assessment (“CHNA”)
- Denied Claims
- Federation of State Medical Boards (“FSMB”)
- Form 4720
- Grace Period
- Individual mandate
- Kentucky Medical Practice Act
- Kynect
- Model Policy for the Appropriate Use of Social Media and Social Networking in Medical Practice (“Model Policy”)
- NADSA Conference
- Nonprofit hospitals
- Physician Payments
- Qualified Health Plan ("QHP")
- Social Media
- Spousal coverage
- UPS
- Affinity Health Plan
- Condition of Participation ("CoP")
- Department of Medicaid Services’ (“DMS”)
- Home Health Prospective Payment System
- Home Medical Equipment Providers
- Hospitalists
- Inpatient Care
- Licensure Requirements
- Long-Term Care Providers ("LTC")
- Low-utilization payment adjustment ("LUPA")
- Medicare Shared Saving Program (MSSP)
- Nonroutine medical supplies conversion factor (“NRS”)
- Personal Service Entities
- Quality reporting
- Upcoding
- “Superuser”
- "Plan of Correction"
- Arbitration
- Daycare centers
- Division of Regulated Child Care
- Employer Mandate
- Fair Labor Standards Act (FLSA)
- Health Professional Shortage Areas (“HPSA”)
- Intermediate Sanctions Agreement
- Kentucky Health Benefit Exchange
- Licensed practical nurses (LPN)
- LLC v. Sutter
- Medicare Administrative Coordinators
- Medicare Benefit Policy Manual
- Network provider agreement
- Nurse practitioners (NP)
- Part A
- Part B
- Payors
- Physician Recruitment
- Physician shortages
- Registered nurses (RN)
- Residency Programs
- Statement of Deficiency ("SOD")
- Advanced Practice Registered Nurses
- Audit
- Call Coverage
- Decertification
- Doe v. Guthrie Clinic
- EHR vendor
- Employer Group Health Plans
- ERISA
- False Billings
- Health Reform
- House Bill 104
- List of Excluded Individuals and Entities
- Meaningful use incentives
- Office of the National Coordinator for Health Information Technology (“ONC”)
- Patient Privacy
- Provider Self Disclosure Protocol
- Self-Disclosure Protocol
- Trade Association Group Coverage
- Business Associate Agreements
- Business Associates
- Group Purchasing Organizations ("GPO")
- Kentucky House Bill 217
- Patient Autonomy
- Personal Health Information
- Senate Bill 39
- Senate Finance Committee Report
- State Medicaid Expansion
- Autism/ASD
- Genetic Information Nondiscrimination Act ("GINA")
- Kentucky House Bill 159
- Kentucky Primary Care Centers (“PCCs”)
- Managed Care Organizations (“MCOs”)
- Compliance Programs
- Center for Disease Control
- Critical Access Hospitals (“CAHs”)
- Essential Health Benefits (“EHBs”)
- Healthcare Information and Management Systems Society (HIMSS)
- Medicare Audit Improvement Act of 2012
- Recovery Audit Contractors (“RAC”)
- Small Business Health Options Program (“SHOP”)
- Sunshine Act
- Abuse and Waste
- Consumer Operated and Oriented Plan programs (“CO-OPS”)
- Kentucky Cabinet for Health and Family Services
- Kentucky Health Care Co-Op
- Kentucky Health Cooperative (“KYHC”)
- Occupational Safety and Health Administration (“OSHA”)
- Kentucky Pharmacists Association
- Kentucky “Pill Mill Bill”
- Free Conference Committee Report
- Health Care Fraud and Abuse Control Program
- House Bill 1
- House Bill 4
- Pain Management Facilities
- Employee Agreement
- Health Insurance
- Healthcare Regulation
- Health Care Law
McBrayer Blogs
Showing 5 posts in HealthCare.gov.
The Affordable Care Act & Small Business Recap
On February 4, McBrayer and Business Lexington presented a panel discussion on how small businesses can navigate the Affordable Care Act. I was honored to moderate the event and hope that attendees benefited from the panel’s real-world advice on how to traverse the new landscape of health insurance. A huge thank you to the panelists: Jon Carroll, Beverly Clemons, Betsy Johnson, Cris Miller, and Garry Ramsey. More >
Are U.S. Providers Ready to Catch Up in Medical Coding?
After the bungled introduction of HealthCare.gov, providers are unquestionably leery of other technical health care-related requirements on the horizon. If there is a lesson to be learned in the wake of the Health Exchange debacle, it is this: it is never too early to prepare for change. More >
"Essential Benefits" Will Lead to More Patients for Some Providers
In a 2009 speech to the American Medical Association, President Obama promised, “If you like your health-care plan, you’ll be able to keep your health-care plan, period. No one will take it away, no matter what.” This declaration came as the health care law was being written and similar statements were repeated by the President after the bill became law. More >
The Young and the Restless
HealthCare.gov’s technical woes are expected to be fixed by November 30th. But, those fixes might come too late for a certain subset of needed enrollees – the young and healthy. The purpose behind the Affordable Care Act’s individual health insurance mandate was to ensure that private insurers would get enough young, healthy people in the system who could offset the costs of covering older and sicker, Medicaid-eligible patients. More >
How Kentucky Got Lucky: The Success of kynect.gov
It is no secret that the federal HealthCare.gov has received less than rave reviews since its October 1st roll-out. The states who have relied on the federal government to run their marketplaces have encountered numerous problems, from glitches to process delays to complete inaccessibility. Kentucky (the only southern state which opted to run its own health insurance marketplace and expand Medicaid), however, has shone like a beacon in the turbulent exchange introduction period. It is quite surprising that Kentucky, consistently near the bottom in health rankings and with approximately 625,000 uninsured citizens, would be the model for anything health care-related. Here is how Kentucky is leading the nation with its exchange site: More >
