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BulletOctober 2005 Volume 2 Number 2
News  October 5, 2005
Washington Healthcare Summit

October 13, 2005

- CLE
Do You Hear Me Now?
Health Care Providers' Obligation to Offer Foreign and Sign Language Interpreter Services Under the ADA, Rehabilitation Act, and Title VI of the Civil Rights Act

[ Register ]

(Teleconference & Live Audio Webcast)

October 20-21, 2005
3rd Annual Washington Healthcare Summit

(Washington, DC)

October 27, 2005

- CLE
Fundamentals of Managed Care

2005-2006 Fundamentals TeleConference Series

(Teleconference & Live Audio Webcast)

February 22 – 24, 2006
7th Annual Conference on Emerging Issues In Healthcare Law

(Tucson, AZ)

» Section Calendar

Interest Group Communication Highlights

Government Links

Resources

 
Guide to Nonprofit Corporate Governance in the Wake of Sarbanes-Oxley

HIPAA: A Practical Guide to the Privacy and Security of Health Data by June M. Sullivan
CDC Public Health Law News

CDC Newsletter is a free electronic newsletter published weekly by the Centers for Disease Control and Prevention, Public Health Law Program
 

Disaster Relief

Chair's Column

by Gregory L. Pemberton, Ice Miller, Indianapolis, IN Your officers of the Health Law Section attended the Section Officers Conference event last month. Much was shared and celebrated about what is good and positive about the work of the Sections, Divisions, and Forums within the ABA. There was inspiration, aspiration, and perspiration in attendance. Well, maybe no sweat really but the word worked in the series. Yours truly came away with two items I think you might find interesting.

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Managing Provider Overpayment Problems

by Mary Jean Geroulo, Stewart Stimmel, LLP, Dallas, TX

All healthcare providers, from solo practitioners to national healthcare systems, receive incorrect payments from the Medicare program or other federal healthcare payors from time to time. These incorrect payments are frequently in the form of overpayments for which the billed service does not accurately reflect the service furnished by the provider. The vast majority of these incorrect payments are resolved through voluntary refunds or adjustments by the provider, but it is not uncommon for an overpayment problem to go undetected for months, or even years, by both the provider and the payor. Repayment in cases where the number of overpaid claims is substantial, or where the overpayment problem has persisted without correction for long periods of time, can be expensive for the provider who must make restitution, and can also trigger investigations or audits by the Centers for Medicare and Medicaid Services (“CMS”) or the Office of Inspector General (“OIG”) of the Department of Health and Human Services.

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Specialty Hospitals and Adjustments to Payment Rates

by Daniel A. Cody, Reed Smith LLP, San Francisco, CA

As compared to community hospitals, specialty hospitals focus on the health care requirements of specific patient populations or provide a limited range of medical procedures. As such, there are children and cancer specialty hospitals, and specialty hospitals focusing on cardiac, orthopedic, and surgical procedures. In the past decade, the number of specialty hospitals in the United States has increased dramatically.

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Interview with Clay J. Countryman

by Alan S. Goldberg, Goulston & Storrs, Washington, DC

Clay Countryman is a partner with Kean Miller Hawthorne D'Armond McCowan & Jarman LLP, the largest law firm in the Capital Region of Louisiana. With two offices in Baton Rouge as well as offices in New Orleans, Lake Charles, and Plaquemine, Louisiana, Clay and Kean Miller face the daunting challenge of addressing the needs of employees, clients, and local communities during the post-Katrina and Rita period. Clay earned his B.B.A. from the University of Oklahoma and his J.D. from Loyola University of New Orleans and has practiced law since 1994. During 2002 to 2004, Clay Countryman was the American Bar Association Young Lawyer Division's Representative to the Council of the ABA Health Law Section.

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Interest Group Spotlight

Payment & Reimbursement

The Payment & Reimbursement Interest Group follows trends, changes and practices in reimbursement, billing and collection under Medicare, Medicaid and other federal and state healthcare programs.

The IG is led by Chair Daniel A. Cody, Reed Smith LLP, San Francisco, CA and Vice Chairs Karen Ann Lloyd, Community Health Network, Indianapolis, IN and Stephen M. Sullivan, Sullivan, Stolier & Resor, New Orleans, LA.

If you would like to join the Interest Group, continue by clicking the following link: Health Law Section IG Sign-up Form.

Do you want to communicate your ideas to thousands of other members through the wonders of cyberspace? To contribute a newsletter article on a health law topic, send us your ideas to Adam.Bielawski@americanbar.org

The opinions expressed are those of the authors and shall not be construed to represent the policies or positions of the ABA or the ABA Health Law Section.
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