Since 1976, our litigators have effectively and efficiently represented clients in federal and state courts in business litigation, municipal law, employment law, personal injury and a variety of complex litigation.
Since 1976, our litigators have effectively and efficiently represented clients in federal and state courts in business litigation, municipal law, employment law, personal injury and a variety of complex litigation.
Since 1976, our litigators have effectively and efficiently represented clients in federal and state courts in business litigation, municipal law, employment law, personal injury and a variety of complex litigation.
As a part of the "American Recovery and Reinvestment Act of 2009" a civil penalty structure was put in place for Health Insurace Portability and Asccountability Act (HIPAA) violations.
Our experience uniquely qualifies us to advise in governmental issues: Annexation, Associations/Non-Profits, Cities, Towns, & Counties, Colleges & Universities, Economic Development, Elections and more.
We provide legal advice for businesses in the following areas: Agribusiness Energy, Diversified Businesses, Emerging Businesses, Federal & State Tax, Finance, and more.
Probate is the court procedure by which a decedent’s property is administered for the purpose of passing ownership of assets remaining in the decedent’s name at his/her death.
Since 1976, our litigators have effectively and efficiently represented clients in federal and state courts in business litigation, municipal law, employment law, personal injury and a variety of complex litigation.
New HIPAA and HITECH Security Rules are effective September 23rd. By that date you must comply with Security Rules, and also must have obtained new business associate agreements which comply with the new rules. Also, for the first time it is clear that business associate agreements are required of all of your PHI receiving vendors, whether they are law firms, accountants, IT companies or billing firms – if they receive PHI.
In 2010, as the administration touted the benefits of ACA, the hospital industry agreed to accept a $155 Billion decrease in Medicare payments to be effective over a decade. Apparently, the calculus involved was that the increase in the number of insured patients under ACA would increase hospital volume for paying patients, even if at a substantially lower rate. Since hospitals already provide a large amount of ‘free’ care for non-insured payments, the industry must have believed that this would be an acceptable trade-off.
The Situation – A medical practice finds itself suffering deep divisions related to practice philosophies and compensation matters, often leading to practice breakups. These events can harm professional reputations, vendor relationships, employee livelihoods, patient care and can lead to the loss of health insurance contracts. Even amicable breakups can require substantial attention.
Lauren Jones of Jones Wallace, LLC receives the Outstanding Board Member of the Year for 2013 pictured with Honorable David Shaheed, Judge of Marion Superior Court and IPA President Monica Dabio!
Although not frequently used, the amended and revised STARK SDP continues to be attractive in some situations. A few practical tips:
1. First determine if there is a STARK violation. The determination of the STARK violation must be made outside of the disclosure protocol, usually by provider’s counsel.
2. If the STARK disclosure involves relatively small amounts of money, the costs of the SDP may indicate that submitting repayment directly to the Medicare contractor may be less expensive.
Jones Wallace employee, Chrissy Heim (pictured on the left) receives the Florence Britzius Award for outstanding achievement in the profession of legal secretary and dedicated service to the legal community! http://www.courierpress.com/photos/2013/apr/22/138411/
David L. Jones and Robert W. Rock have both been selected by the American Society of Legal Advocates as Top 100 Litigation Lawyers in the State of Indiana!
Hospitals and Recovery Audit Contractors (RACs) continue a high stakes battle in court and in Congress over RAC audits of hospital billings to Medicare.
Indiana, Kentucky and Illinois have prompt payment statutes requiring insurers to promptly pay ‘clean’ claims. Indiana requires paper claims be paid in 45 days, electronic claims in 15. To file a prompt payment complaint in Indiana www.in.gov/idoi/files/Provider_Complaint_form.pdf.
BUSINESS ASSOCIATE AGREEMENTS AND THE FINAL HIPAA RULE
The final HIPAA Privacy, Security Enforcement and Breach Notification Rules become effective March 26, 2013. Compliance is required by September 23, 2013.
HITECH confirmed that business associates are under the direct application of HIPAA, particularly the Security Rule Administrative Physical and Technical Safeguards. In the newest rule, HHS makes it clear that all business associates or subcontractors that access PHI are subject to HIPAA as business associates. It is also clear that this rule applies “down the chain” to subcontractors, etc.
