Publications Continued

"Significant Proposed Changes to the Anti-Kickback Statute and the Civil Monetary Penalties Law", by Adrienne Dresevic, Esq., Clinton Mikel, Esq., and Leslie Rojas, Esq., The Health Lawyer, Volume 27, Number 2, December 2014.

"1.95M False Claims Act Settlement for Radiology Billing Company", by Adrienne Dresevic, Esq., Clinton Mikel, Esq., and Leslie Rojas, Esq., AHRA Link, November 2014

"Proposed Revisions to the AKS and CMP Regulations", by Adrienne Dresevic, Esq., and Leslie Rojas, Esq., AHRA Link, October 2014.

"Stark Law and Non Hospital Providers", by Adrienne Dresevic, Esq., and Leslie Rojas, Esq., AHRA Link, September 2014.

"Attorney Client Privilege Protection Restored For Internal Compliance Investigations", by Adrienne Dresevic, Esq., and Leslie Rojas, Esq., AHRA Link, August 2014.

"How to Prepare for the Expected Increase in HIPAA Fines", by Adrienne Dresevic, Esq., Clinton Mikel, Esq., and Leslie Rojas, Esq., AHRA Link, July 2014.

"OIG Proposed Rules Expand Exclusion and CMP Authority", by Adrienne Dresevic, Esq. and Leslie Rojas, Esq., AHRA Link, June 2014.

"Medicare Appeals Adjudication Delays: Implications for Healthcare Providers and Suppliers", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., The Health Lawyer, Volume 26, Number 5, June 2014.

"How Long Must We Wait? Repercussions for Health Care Providers and Suppliers of ALJ Adjudication Delays", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., AHLA Newsletter, May 2014.

"Physician Practices as Employer under Federal Health Care Reform: The Employer Mandate and Related Requirements and Opportunities", by Kathryn Hickner-Cruz, Esq., AHLA Newsletter, May 2014.

"Payment of Physician's EHR Transmission Fees May Violate AKS", by Adrienne Dresevic, Esq., Clinton Mikel, Esq., and Gerald Aben, Esq., AHRA Link, May 2014.

"2-Midnight Rule Update: Hospitals Must Continue Implementation of the 2-Midnight Rule", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., The Health Lawyer, Volume 26, Number 4, April 2014.

"Billing for and Appealing Denials of Inpatient Hospital Services: Where have we been? Where are we now? What does the future hold?" ABA Health Law Section, The Health Lawyer, by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., December 2013.

"Medicaid Primary Care Provider Payment Increases and Related Considerations", by Kathryn Hickner-Cruz, Esq., April 16, 2014.

"Physician Employment Guidelines per the AMA", by Robert S. Iwrey, Esq., Healthcare Michigan, Volume 30, Issue 14, p.3, April 2014.

"CMS Unveiling Individual Physician Payment Information", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., AHRA Link, February 2014.

"The Latest Development in Federal Health Care Audit Programs: Supplemental Medical Review Contractor Audits", by Jessica Gustafson, Esq. and Abby Pendleton, Esq., BC Advantage, January 2014.

"Draft of Guidebook Helps Break Down Physician Reporting Requirements", by Robert S. Iwrey, Esq., Michigan Medical Law Report, Vol. 9, No. 4, Winter 2013 edition.

"EHR Stark Law Exception Extended", by Adrienne Dresevic, Esq. and Carey Kalmowtiz, Esq., AHRA Link, January 2014.

"Final CY2014 Physician Fee Schedule Expands the Geographic Reach for Telehealth Services", by Clinton Mikel, Esq., December 8, 2013.

"ABA Health Law Section Analysis of CY2014 CMS Telehealth Reimbursement", by Clinton Mikel, Esq., December 10, 2013.

"The Sunshine Act and Your Financial Relationships", by Adrienne Dresevic, Esq. and Kathryn Hickner-Cruz, Esq., AHRA Link, December 2013.

"Practical Guidance for Physician Organizations Regarding the MHPAEA Final Rule", by Kathryn Hickner-Cruz, Esq., November 2013.

"Meaningful Use Incentives Under Increasing Scrutiny", by Adrienne Dresevic, Esq. and Kathryn Hickner-Cruz, Esq., AHRA Link, November 2013.

"The Latest Development in Medicare Audits: Supplemental Medical Review Contractor ("SMRC") Audits", by Jessica Gustafson, Esq. and Abby Pendleton, Esq.ABA Health eSource, October 2013, Volume 10, No. 2.

"Answers to the Questionable PSG Billing Report Released by the OIG", by Dan Brown, Esq., Sleep Review Magazine, October 2013.

"ACOs: Patients Are Flocking to Them- Should You?", by Kathryn Hickner-Cruz, Esq., Chicago Medicine, Page 10-11.

"New Guidance Released on The Eve of The HIPAA Compliance Deadline", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., AHRA Link, October, 2013.

"SMRC: The Latest Development in Medicare Audits", by Adrienne Dresevic, Esq. and Jessica L. Gustafson, Esq., AHRA Link, September, 2013.

"CMS Publishes 2014 IPPS Final Rule: Revises Reimbursement Criteria Related To Patient Status", by Jessica L. Gustafson, Esq. and Abby Pendleton, Esq., Health Lawyers Weekly, August 23, 2013.

"1.2 Million HIPAA Fine Related to Digital Copy Machines", by Clinton Mikel, Esq., ABA Health Law Section eHealth Alert, August 14, 2013.

"2014 IPPS Final Rule Establishes New Requirements for Physician Documentation in Hospitals", by Jessica L. Gustafson, Esq., August, 2013.

"CMS Publishes 2014 Inpatient Prospective Payment System ("IPPS") Final Rule: CMS Payment Policies Related to Patient Status Revised", by Abby Pendleton, Esq. and Jessica Gustafson, Esq., August, 2013.

"Proposed CY 2014 Physician Fee Schedule Impacts Telehealth Services", by Clinton R. Mikel, Esq., ABA Health Law Section, EHealth, Privacy & Security Interest Group.

"OIG Issues Unfavorable Advisory Opinion for "Carve Out" Deal", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., AHRA Link, July, 2013.

Chapter 5: Where Are We WIth HIPAA/HITECH? A Recap, Bright Spots and The Future, Final HIPAA Megarule: What's Changed, and a Guide to Complying for Providers, by Clinton Mikel, Esq., Physicians Legal Issues Conference, American Bar Association Health Law Section in Conjunction With Chicago Medical Society, Radisson Blu Aqua, Chicago, IL, June 13-15, 2013.

"Beware of Real Estate Deals with Referral Sources", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., AHRA Link, June, 2013.

"AMA Issues Physician Employment Guidelines: What You Need To Know About The New Principles", by Robert S. Iwrey, Esq., Attorney At Law Magazine, Volume 2, No. 2 (Spring 2013).

"AMA Issues Physician Employment Guidelines", by Robert S. Iwrey, Esq., Michigan Medical Law Report, Volume 8, No. 4 (Winter 2012).

"New HIPAA Rules Issued - A Short Primer", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., Attorney At Law Magazine, April Issue, Pg. 20.

"CMS Issues Guidance In Case Of EHR Incentive Audit", by Adrienne Dresevic, Esq., Carey, Kalmowitz, Esq., and Phil Toutant, Esq., AHRA Link, May 2013.

"ICD-10: CMS Updates Implementation Tools", by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, April 2013.

"CMS Acquiesces to Hospital Pressure, Allows Part B Billing of Hospital Services Following Part A Denial of Inpatient Hospital Claims for Medical Necessity: Is It Enough?", by Jessica Gustafson, Esq. and Abby Pendleton, Esq., ABA Health eSource, March 2013, Volume 9, Number 7.

"New HIPAA Rules Issued: A Short Primer", by Clinton Mikel, Esq., Michigan Medical Law Report, Spring 2013 edition.

"New HIPAA Rules: A Guide for Radiology Providers", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., Radiology Management, March 2013.

"Changes To The Breach Notification Rule", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., AHRA Link, March 2013.

"Highlights From Leon Rodriguez, Executive Director of OCR's, Speech at ABA's EMI Conference in Miami", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., February 22, 2013.

"Hospital Employment of Oncologists", by Ron Lebow, Esq. and Carey F. Kalmowitz, Esq., Oncology Practice Management, February 2013.

"State of Michigan Health Care License Investigations and the Collateral Effects of Licensing Sanctions", by Robert S. Iwrey, Esq., was the featured article in Laches Oakland County Bar Association, February 2013 edition.

"Changes to the Breach Notification Risk Assessment Under the HIPAA Megarule", by Clinton Mikel, Esq., ABA Health esource, January 2013.

"New HIPAA Rules Issued: A Primer for Radiology Providers", by Adrienne Dresevic, Esq. and Clinton Mikel, Esq., AHRA Link, February 2013.

Clinton Mikel, Esq. is the author of American Bar Association related to HIPAA Megarule (Free for ABA Health Law Section Members, available for purchase by others) - "HIPAA Privacy, Security, Enforcement & Breach Notification: Redlined Final Omnibus Rule", ABA Health Law Section, January, 2013.

Robert S. Iwrey, Esq. co-authored "State of Michigan Health Care License Investigations and The Collateral Effects of Licensing Sanctions", State Bar of Michigan, Health Care Law Section, January, 2013.

"When the Payor Takes Control- Sleep Medicine in 2012", by Dan Brown, Esq., Sleep Review Magazine, Jan-Feb 2012.

"OIG Advisory Opinion Provides Guidance on EHR Connectivity Arrangements", by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, January 2013.

"Medicare Releases the Final 2013 Physician Fee Schedule", by Adrienne Dresevic, Esq.and Carey F. Kalmowitz, Esq., AHRA Link, December, 2012.

"Pitfalls to Avoid when Selling a Practice", by Ron Lebow, Esq., Drs. Reference The Magazine, Fall 2012 edition.

"Know your Legal Obligations Before Joining an ACO", by Joel M. Greenberg, Esq. and Claudia Hinrichsen, Esq.

"Heightened Scrutiny of Self-Referring Physician Imaging Practices", by Adrienne Dresevic, Esq., Clinton Mikel, Esq., and Carey F. Kalmowitz, Esq. AHRA Link, November 2012.

"Michigan LARA Creates New Health Care Services Bureau", by Robert S. Iwrey, Esq., October 19, 2012.

"OIG Reaffirms Aproval of Free Pre-Authorization Services Arrangement by Radiology Group", by Adrienne Dresevic, Esq.and Carey F. Kalmowitz, Esq., AHRA Link, October 2012.

"CLIENT ALERT: Viewing The Recent OIG Company Model Advisory Opinion For What It Truly Is: Meaningful Guidance That Must Be Incorporated Into These Arrangements (But Certainly Not the Death Knell to All Company Models Across the Country)", by Abby Pendleton, Esq., Adrienne Dresevic, Esq., and Carey F. Kalmowitz, Esq. "Proposed Rules Designed to Remove Barriers for Physicians to Use Physician Assistants", by Robert S. Iwrey, Esq., Michigan Medical Law Report, Fall 2012.

"Practical Tips to Avoid Licensing Action", by Robert S. Iwrey, Esq., Michigan Medical Law Report, Fall 2012.

"CMS Issues 2013 Proposed Physician Fee Schedule", by Adrienne Dresevic, Esq.and Carey F. Kalmowitz, Esq., AHRA Link, August 2012.

"Final Rules to Cut Regulations for Hospitals, Health Care Providers", by Adrienne Dresevic, Esq. and Stephanie P. Ottenwess, Esq., Michigan Medical Law Report, Summer 2012.

"Uncovering The Mystery Surrounding The National Practitioner Data Bank", by Robert S. Iwrey, Esq., Michigan Medical Law Report, Summer 2012.

"PPACA Survives: Impact on Imaging", by Adrienne Dresevic, Esq., Carey F. Kalmowitz, Esq., and Stephanie P. Ottenwess, Esq., AHRA Link, July 2012.

"OIG Advisory Opinion 12-06: Insightful Guidance from the OIG For Structuring Company Model Arrangements", by Abby Pendleton, Esq., Carey F. Kalmowitz, Esq., and Kathryn Hickner-Cruz, Esq., ABA Health eSource, June 2012. "CMS Issues Final Rules To Cut Regulations For Hospitals and Healthcare Providers", by Adrienne Dresevic, Esq., Carey F. Kalmowitz, Esq., and Stephanie P. Ottenwess, Esq., AHRA Link, June 2012.

"The Required Hospital Standard Charge Publication That You Probably Missed", by Clinton Mikel, Esq., AHLA Link, May 2012.

“CMS Issues Final Rule on Enrollment, Ordering and Referring, and Documentation Requirements”, by Adrienne Dresevic, Esq., Carey F. Kalmowitz, Esq., and Stephanie P. Ottenwess, Esq., AHRA Link, May 2012.

"New Hampshire House Passes Sweeping Rules Regarding Physician Relationships With Medical Device Companies," by Clinton Mikel, Esq., Adrienne Dresevic, Esq., Carey Kalmowitz, Esq., and Tom Bulleit, AHLA Revised and Reissued Email Alert, April 24, 2012.

"New Hampshire House Passes Sweeping Rules Regarding Physician Relationships With Medical Device Companies," by Clinton Mikel, Esq., Adrienne Dresevic, Esq. and Carey Kalmowitz, Esq., AHLA Email Alert, April 16, 2012.

"Electronic Health Records: What Physicians Should Know Beyond Meaningful Use and Incentive Payments", by Robert S. Iwrey, Esq., Stephanie P. Ottenwess, Esq., and Neda Mirafzali, Esq., OCMS Bulletin, April/May 2012.

"Proposed Meaningful Use Stage 2 -- What it Means to the Anesthesia and Pain Communities", by Abby Pendleton, Esq., and Stephanie Ottenwess, Esq., Communique, Spring 2012.

"OIG Views Favorably a Proposal to Operate Website Containing Coupons and Advertising from Health Care Entities", by Adrienne Dresevic, Esq., Carey F. Kalmowitz, Esq. and Stephanie P. Ottenwess, Esq., Link, April 2012.

"What is MAPS and Why Should I Care?" by Robert S. Iwrey, Esq., Michigan Medical Law Report, Spring 2012.

"Physicians Beware: Manufacturers of Drug, Device Biological or Medical Supplies Must Report Payments to Physicians", by Adrienne Dresevic, Esq. and Neda Mirafzali, Esq., Michigan Medical Law Report, Spring 2012.

"Electronic Health Records: What Physicians Should Know Beyond Meaningful Use and Incentive Payments", by Robert S. Iwrey, Esq., Stephanie P. Ottenwess, Esq. and Neda Mirafzali, Esq., Michigan Medical Law Report, Spring 2012.

"Can Solo Practitioners and Small Group Practices Survive in Today's Challenging Marketplace?", by Joel M. Greenberg, Esq. and Claudia Hinrichsen, Esq., Medical Society of the State of New York Magazine, May 2010, Vol. 66 No. 5.

"Pitfalls to Avoid When Selling a Dental Practice," by Ron Lebow, Esq., Nassau County Dental Society Newsletter, 2010.

"Promises, shmomises! Can I see it in writing? Residents will benefit by successfully negotiating employee agreements," by Ron Lebow, Esq. and Lawrence B. Keller,CLU, ChFC, CFP, American Academy of Dermatology's Directions in Residency, Spring 2012.

"CMS Provides Guidance on Place of Service Coding," by Adrienne Dresevic, Esq., Carey F. Kalmowitz, Esq. and Stephanie P. Ottenwess, Esq., Link, March 2012.

"Recent CMS Initiatives," by Adrienne Dresevic, Esq., Carey F. Kalmowitz, Esq. and Stephanie P. Ottenwess, Esq., AHRA Link, February 2012.

"The Medicare Hospital Value-Based Purchasing Program and Imaging’s Role," by Kathryn Hickner-Cruz, Esq. and Adrienne Dresevic, Esq., AHRA Radiology Management, January/February 2012.

"CMS Finally Speaks (Again): The Medicare Shared Savings Program Final Rule and its Relevance to Anesthesiologists", by Kathryn Hickner-Cruz, Esq. and Neda Mirafzali, Esq., Communique, Winter 2012.

"Anesthesia Practices Should Prepare for More Audit Activity", by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Communique, Winter 2011.

"Sleeping Giants: Compliance in the Age of Electronic Medical Records", by Ranjan Sachdev, MD, MBA, CHC, Abby Pendleton, Esq., and Jessica L. Gustafson, Esq., Association of Healthcare Internal Auditors New Perspectives, Winter 2011.

"CMS Retracts the MPPR PC Policy Relating to Group Practices for 2012," by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, January 2012.

"CMS Publishes the 2012 Physician Fee Schedule Final Rule," by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, December 2011.

"ACO Final Rule and Guidance Documents Released," by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, November 2011.

"Anesthesiologists Targeted in CMS' Review of Existing Rules," by Neda Mirafzali, Esq., Communique, Fall 2011

You’re a Lawyer? Can I Ask You a Question? by Christopher Ryan, Esq. and Neda Mirafzali, Esq., ABA The Young Lawyer, October 2011.

CMS Published the Medicaid RAC Final Rule, by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, October 2011.

Use Care with Social Media to Project Professionalism, Protect Patients, by Robert S. Iwrey, Esq. and Stephanie P. Ottenwess, Esq., Michigan Medical Law Report, Fall 2011.

ER Call Pay Highly Regulated and Can Be Quite Restrictive, by Robert S. Iwrey, Esq., Michigan Medical Law Report, Fall 2011.

CMS Transmittal 380: Enrollment Procedures for Advanced Diagnostic Imaging Accreditation, by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, September 2011.

Professional Component Cuts Proposed for 2012, by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, August 2011.

Taking a Bite into Oral Appliance Therapy, by Daniel B. Brown, Esq., Sleep Review Magazine, July-August 2011.

The Future of the Recovery Audit Contractor Program, by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., ABA eSource, August 2011

MedPAC Recommends Changes to Diagnostic Imaging Payments and Policy, by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, July 2011.

Are You Questioning My Authority? With Increased Scrutiny of Pharmacy Claims, Physicians Should Not Be Surprised when the Pharmacist Calls, by Robert S. Iwrey, Esq. Michigan Medical Law Report, Summer 2011.

CMS Finally Speaks: The Accountable Care Organization (ACO) Proposed Regulations and What They Mean for Anesthesiologists, by Kathryn Hickner-Cruz, Esq. and Neda Mirafzali, Esq., Communique, Summer 2011.

"CMS Issues Final Rule on Credentialing and Privileging for Telemedicine," by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, June 2011.

"Fraud, Waste and Abuse Education: Avoid Becoming a Target Despite Increasing Government Scrutiny of Michigan Providers," by Robert S. Iwrey, Esq., Health Plus Pharmacy News Bulletin, May 2011.

"Accountable Care Organizations: The Proposal and The Basics," Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, May 2011.

New Medicare Screening Requirements Finalized, but Mandatory Compliance Program Requirements are Still Pending, by Adrienne Dresevic, Esq., Healthcare Weekly Review, April 4, 2011.

Avoid Becoming a Target Despite Government Scrutiny of Michigan Providers, by Robert S. Iwrey, Esq., Healthcare Weekly Review, April 4, 2011.

The Medicare Enrollment Process – CMS’s Most Potent Program Integrity Tool, by Adrienne Dresevic, Esq. and Donald H. Romano, ABA Health Lawyer, April 2011.

Medical Malpractice Tort Reform, co-authored by Adrienne Dresevic, Esq. and Stephanie P. Ottenwess, Esq., Radiology Management, March/April 2011.

How to Avoid Becoming a Target Amid Increasing Government Scrutiny of Michigan Providers, by Robert S. Iwrey, Esq., Michigan Medical Law Report, Spring 2011.

Compliance Can Be Tricky in the Age of Electronic Medical Records, by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report, Spring 2011.

Final Medicare Screening Requirements Published: Compliance Program Requirements Still Pending, Adrienne Dresevic, Esq. and Carey F. Kalmowitz. Esq., Michigan Medical Law Report, Spring 2011.

"OIG Again Views Complimentary Transportation Services Favorably," by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, April 2011.

"PPACA One Year Later: Where Have We Been and Where Are We Going?" by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, March 2011.

"The Recovery Audit Contractor ("RAC") Program: What Can Laboratories and Pathologists Expect?", by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., G-2 Compliance Report, February 2011.

"Regulatory Review: Medicare Screening Requirements Finalized, Mandatory Compliance Programs Still Pending", by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, February 2011.

"IDTFs: Mobile, Fixed-Based, Portable Unit? How Do You Know and What Does it Mean?" by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., AHRA Link, January 2011.

"Physicians are Required to Wear Too Many Hats," by Robert S. Iwrey, Esq., Michigan Medical Law Report Winter 2011.

"RAC Program Proposed Rule Published," by Abby Pendleton, Esq. and Jessica L. Gustafson, Esq., Michigan Medical Law Report Winter 2011.

"Group Practice Integration in Light of PPACA and Stark," by Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq., Michigan Medical Law Report Winter 2011.

"The OIG’s New Roadmap on Avoiding Fraud and Abuse," by Stephanie P. Ottenwess, Esq. and Abby Pendleton, Esq., Michigan Medical Law Report Winter 2011.

"Federal Healthcare Reform: The Push for Quality, Efficiency and Integration," by Adrienne Dresevic, Esq. and Kathryn Hickner-Cruz, Esq., Communique Winter 2011.

"Size Matters: Antitrust Warning Signs in Anesthesia Group and Pain Group Mergers," by Daniel B. Brown, Esq. and  Neda Mirafzali, Esq., Communique Winter 2011.