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SUCCESSFULLY REPRESENTING HEALTHCARE
PROVIDERS NATIONWIDE FOR OVER 35 YEARS
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Andrew B. Wachler
Jesse Adam Markos
Rolf E. Lowe
Dustin T. Wachler
Jennifer L. Colagiovanni
Katy DelBene
Daniel D. Ayyash
Cheryl Sawicki
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Articles by Wachler & Associates PC
2024 Articles by Wachler & Associates PC
Audits of COVID-19 Related Services Continue for Primary Care Providers and Labs
Health and Human Services Updates Hipaa Security Risk Assessment Tool
Lara Ramps Up Efforts to Remove Obstacles Preventing Foreign Trained Healthcare Providers From Practicing in Michigan
Medicaid Coverage Expanded by MDHHS to Include Community Health Worker Services
Navigating the Post-Chevron Landscape: What Healthcare Providers Need to Know
New National Practitioner Data Bank Guidance Reinforces the Need to Exercise Caution Before Resigning From a Hospital
Physicians Should Be Careful Before Resigning in Lieu of Termination From a Hospital
Providers Face Ongoing Challenges From the Provider Relief Fund
Remote Patient Monitoring Faces Increased Scrutiny Following OIG Recommendations
Reproductive Health Care Final Rule Ushers in New Requirements for HIPAA Privacy Compliance
Small Medicare Audits Put Your Billing Privileges at Risk
2023 Articles by Wachler & Associates PC
Former Chairman of Michigan’s Medical Marijuana Licensing Board Pleads Guilty to Corruption Charges
Recent Updates to Michigan’s Business Entities Laws Allow Chiropractors to Engage in Multidisciplinary Practices with Physicians
CMS Revamps Nursing Home Programs and Bolsters Enforcement
2022 Articles by Wachler & Associates PC
CMS’ Supplemental Medical Review Contractor Targets Vulnerabilities with Nationwide Medical Reviews
Michigan Ramps up Efforts to Recruit and Retain Healthcare Providers During The COVID-19 Pandemic
Data Breaches: No Harm No Foul
New Court Decision Illustrates Practical Implications of Medicare Recoupment
The Provider Relief Fund: Reporting Unreimbursed Expenses and Lost Revenue
Operation Happy Clickers Holds Medical Providers Responsible for Roles in Telemedicine Fraud Schemes
The Provider Relief Fund Saga Continues
What Is in a Diganosis Code – More Than You Might Think for Medicare Advantage Payments
United States Supreme Court Says More Than Mere Negligence Is Needed to Prosecute Physicians for Over-Prescribing Controlled Substances
OIG Special Fraud Alert Highlights Suspect Telemedicine Arrangements
2021 Articles by Wachler & Associates PC
HIPAA’s Patient Right of Access: A Rule Whose Time Has Come
CRNA Expanded Scope of Practice Begins in October
Group Purchasing Organizations: One Business Model with Two Safe Harbors Stephen Shaver and Daniel Ayyash, Wachler & Associates PC
2019 Articles by Wachler & Associates PC
Compliance under the “Eliminating Kickbacks in Recovery Act of 2018”
Targeted Probe and Educate Medicare Audits
EKRA: Enactment and Implication of the SUPPORT Act’s New All-Payor Federal Antikickback Law
2018 Articles by Wachler & Associates PC
OCR Issues HIPAA Fine to Small Health Care Provider for Media Disclosure
Significant Rule Changes Impact the Provider Reimbursement Review Board (PRRB) Appeals Process
Medicare Providers Should Consider Participation in Office of Medicare Hearings and Appeals’ (OMHA) Expanded Settlement Conference Facilitation Program
Updated Michigan Opioid Laws Enact More Stringent Michigan Automated Prescription Systems (MAPS) Reporting and Usage Requirements
Private Equity Investment in Michigan Healthcare Entities
Medicaid Work Requirement Bill Sent to Governor
CMS Proposes to Implement Revised Home Health Pre-Claim Review Demonstration
National Practitioner Data Bank Guidebook Revisions Lead to Increased Reporting of Staff Privileging Actions
Updates On the Medicare Appeals Backlog and New Opportunities in Medicare’s Appeals Process
Updates On the Medicare Appeals Backlog and New Opportunities in Medicare’s Appeals Process – Endnotes
2017 Articles by Wachler & Associates PC
Commercial Audits and Appeals White Paper
Commercial Audits and Appeals White Paper – Part 2
Commercial Audits and Appeals White Paper – Part 3
Commercial Audits and Appeals White Paper – Part 4
Cyberattacks – The Gathering Threat to the Healthcare Industry
D.C. Circuit Ruling Impacts Medicare Providers and Suppliers Seeking Relief from Medicare Audit Appeals Backlog
Michigan’s Enhanced Prescription Monitoring Program and new Analytic Tools for Controlled Substances Help Protect Both Patients and Providers
Resolving a Criminal Matter is Significantly More Complicated for Health Care Providers
Physician Services Are the Initial Primary Target under Michigan’s New Medicare RAC Regime
Concierge Medicine: A Viable Alternative, Proceed with Caution
Many Voluntary Referrals to Michigan’s Health Professional Recovery Program Result in Disciplinary Action
Michigan Enacts Significant Changes to Physician Assistant Laws
Effective Peer Review May Be the Best Defense to Liability for Fraud and Abuse
2016 Articles by Wachler & Associates PC
Ready the Troops: HIPAA Audits Are Coming
National Practitioner Data Bank Provides Guidance on Medical Malpractice Payment Reports
Medicare Part A Providers Should Not Wait to Facilitate
Michigan Decides to Report Failures to Obtain the Required Continuing Education to the National Practitioner Data Bank
Medicare’s 60-Day Overpayment Rule: Tough Medicine for Physicians
CMS Proposes Significant Expansions to its Revocation Authority
HIPAA Phase 2 Audit Update
Skilled Nursing Facility Therapy Services Are the Next RAC Target
Options are Available to Minimize the Damage Resulting From Reportable Disciplinary Action
2015 Articles by Wachler & Associates PC
New National Practitioner Data Bank Guidebook Adopts Stricter Reporting Requirements
CMS’ Revocations Authority Extended to Capture Repeated Non-Compliance
CMS Publishes Physician Voluntary Face-to-Face Encounter Progress Note Templates
Providers Should Take Advantage of Early Opportunities to Contest Disciplinary Proceedings
Medicare Advantage Organizations and Medicare Sequestration: Hospitals May Challenge Reimbursement Cuts
Understanding the Potential Risks of Physician Practice Management Arrangements
Health System Challenges Humana Medicare Advantage for Sequestration Reimbursement Reductions
Michigan Adopts Broader Disciplinary Action Reporting Requirements
Federal Court Decision Affects Home Health Agencies With Face-to-Face Brief Narrative Denials
2014 Articles by Wachler & Associates PC
Stark Settlement Demonstrates New Focus on Physician Compensation Plans
CMS Loosens Medical Staff Rules for Multi-Hospital Systems
Rights of Physicians and Patients as Insurers Move to Narrow Networks
National Practitioner Data Bank Provides Important Guidance on Medical Malpractice Payment Reports
Healthcare Providers’ Access to ALJ Hearings Delayed two Years
Recent Developments in Medicare Audits and Appeals
2013 Articles by Wachler & Associates PC
OIG Provides Important Guidance on Expectations Related to Screening for Excluded Individuals
The Data Bank Merger and Its Impact on Health Care Providers
Final Omnibus Rule Requires Updates to HIPAA Privacy Policies, Notices of Privacy Practices and Business Associate Agreements
Court: HIPAA Doesn’t Bar Ex Parte Interviews of Treating Physicians
What the OIG Study Means for Providers
CMS Provides Guidance to Hospitals on the Physician Certification and Inpatient Admission Order Requirements Under the New Inpatient Rule
The Final Rule has Taken Effect: Does Your Hospital Comply with CMS’ Requirements?
2012 Articles by Wachler & Associates PC
RAC Program Will Impact Inpatient Short Stays
Comparative Billing Reports to Focus on Evaluation, Management Services
Hospitals See Some Success with Part B Reimbursement After Initial RAC Denial
Report Focuses on Nursing Facilities’ Payments, Quality
2011 Articles by Wachler & Associates PC
2010 Articles by Wachler & Associates PC
2009 Articles by Wachler & Associates PC
Recovery Specialists Firm Works to Bring About Change in Health Care Policy
2008 Articles by Wachler & Associates PC
2007 Articles by Wachler & Associates PC
2006 Articles by Wachler & Associates PC
2005 Articles by Wachler & Associates PC
2004 Articles by Wachler & Associates PC
2003 Articles by Wachler & Associates PC
2002 Articles by Wachler & Associates PC
2001 Articles by Wachler & Associates PC
2000 Articles by Wachler & Associates PC
1999 Articles by Wachler & Associates PC
1998 Articles by Wachler & Associates PC
1997 Articles by Wachler & Associates PC
1996 Articles by Wachler & Associates PC
CMS’ Supplemental Medical Review Contractor Targets Vulnerabilities with Nationwide Medical Reviews
2023 Medicare Physician Fee Schedule Clinical Laboratory Updates
Michigan Department of Health And Human Services Reinstates Provider Enrollment and Revalidation Requirements
Don’t Be Surprised: A No Surprises Act Primer
HHS OIG Directs Medicare Contractors to Scrutinize Telehealth Services Billing
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The Audit Appeals Process
Speeches by Wachler & Associates PC
RAC Monitor’s Monitor Monday Webcast January 27, 2014
RAC Monitor’s Monitor Monday Webcast February 10, 2014
SPECIAL NEWS BROADCAST: The Pause That Refreshes?
Avoiding Run-ins with Commercial Insurance Payers
Senate Committee Assesses the RACs; New Appeals Pilot Bypasses ALJ
Chief Administrative Law Judge on Monitor Monday
Monday Monitor
Data Versus Detection
2020 Speeches by Wachler & Associates PC
2019 Speeches by Wachler & Associates PC
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COVID-19 Legal Resources for Healthcare Providers and Suppliers
COVID-19 Legal Resources for Healthcare Providers and Suppliers – Part 2
COVID-19 Legal Resources for Healthcare Providers and Suppliers – Part 3
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