Public Act 379 of 2016 Updates How Physician Assistants Practice in Michigan by Removing “Supervision” and “Delegation” Language; Utilizing Practice Agreement Model

Public Act 379, which was signed into law in December 2016, modernizes the statutory language for PA-physician teams by referencing “participating physicians” rather than “supervising physicians.”  This change more accurately reflects the role PAs and physicians play as part of a healthcare team.  PA 379 requires that a PA and the participating physician work together utilizing a written practice agreement that sets out a process for communication, availability and decision-making between the providers and delineates any limitations or conditions on… Read More >

Michigan Selected as a Market for CMS Primary Care Payment Initiative

The Centers for Medicare & Medicaid Services (CMS) recently announced the 10 states chosen for its Comprehensive Primary Care Plus (CPC+) initiative.  Michigan has been chosen for statewide participation.  In addition to Michigan, the following states were selected on either a state-wide or regional basis:  Arkansas, Colorado, Hawaii, Montana, New Jersey, Oklahoma, Oregon, Rhode Island and Tennessee. CMS will enter into a Memorandum of Understanding with selected third party payors in these states. Payment for services to primary care doctors… Read More >

What are MIPS Scores and Why Should Physicians Care?

The Merit-Based Incentive Program (MIPS) is as program established as a result of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  A proposed rule addressing the MIPS program was released on April 25, 2016 and is scheduled to be published in the Federal Register on May 9, 2016. The MIPS Program will apply to physicians as well as other Medicare Part B clinicians, such as physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists.  MIPS… Read More >

Ohio Court Upholds Arbitration of Qui Tam Claims

The U.S. District Court for the Southern District of Ohio, Western Division, in the case of U.S. v. ex rel. Hicks v. Evercare Hospice recently granted a stay on certain qui tam claims pending arbitration. The Relators were registered nurses who worked for the Defendant hospice and alleged that the Defendants admitted patients without mandatory consent and/or power of attorney designations, billed for continuous care that was not reasonable or necessary and provided inadequate services to Medicare patients. The Relators… Read More >