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Affordable Care Act Changes Affecting Individuals

THE MANDATE Effective: In 2012 with full phase-in of penalty by 2016 Requires: U.S. citizens and legal residents to maintain “minimum essential health coverage” for themselves and their dependents Exceptions: Specified faiths with religious conscience exemption                     Cost of coverage exceeds 8% of household income                     Income below the federal poverty level (“FPL”)                     Income below the threshold to file an income tax return                     Native […]

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Fraud-Fighting Provisions in the Affordable Care Act Remain Intact

While most of the publicity surrounding the Patient Protection and Affordable Care Act (PPACA) has been focused on the individual mandate and various health insurance reforms, the PPACA also contained many significant provisions aimed at curbing health care fraud and abuse.  In light of the Supreme Court’s decision upholding the PPACA (with the exception of […]

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Group Health Plans Face More Changes Under the Affordable Care Act

On June 28, 2012, the U.S. Supreme Court issued its much-anticipated decision that upheld nearly all of the provisions of the Patient Protection and Affordable Care Act (PPACA).  PPACA imposed many new requirements designed to expand the scope of coverage and benefits offered to employees and their dependents through group health plans.  Many of the […]

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Health Care Reform: Critical Provisions for Employers

Now that the Supreme Court has upheld the Affordable Care Act, employers must direct their attention to the key provisions that affect their businesses going forward.  Employers will need to focus on their group health plans and determine compliance with the reform’s requirements.  Furthermore, employers must be prepared to communicate the applicable provisions with their […]

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Veteran Litigator Fritz Riesmeyer Joins Seigfreid Bingham

Seigfreid, Bingham, Levy, Selzer & Gee, P.C. announced today that Frederick H. (“Fritz”) Riesmeyer, II has joined the firm’s litigation department as a Shareholder. “Fritz will be a great addition to our litigation department and a tremendous asset for our clients,” said Joe Hiersteiner, Managing Director of Seigfreid Bingham. “We are very pleased that he […]

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John Peryam Joins Seigfreid Bingham

Seigfreid, Bingham, Levy, Selzer & Gee, P.C. is pleased to announce that John Peryam has joined the firm.  Peryam will practice as Of Counsel in the Corporate and Real Estate groups. Peryam most recently served as an Associate at another firm in Kansas City where he represented clients in a broad range of issues including […]

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Jack Selzer Receives NAEDA Lifetime Achievement Award

The North American Equipment Dealers Association (NAEDA) presented its prestigious Lifetime Achievement Award to Jack R. Selzer at their annual meeting in Phoenix, Arizona. “NAEDA’s Lifetime Achievement Award is presented to individuals who have contributed significantly to the success of equipment dealers throughout North America,” said Paul Kindinger, NAEDA CEO.  “Jack’s knowledge of the many […]

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The Physician Payments Sunshine Act: What the CMS Proposed Rule Means for Physicians and Practice Administrators

On December 14, 2011, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule implementing Section 6002 of the Affordable Care Act – also called the “Physician Payments Sunshine Act”. This proposed rule, entitled “Transparency Reports and Reporting of Physician Ownership or Investments,” requires certain manufacturers of drugs, devices, and biologics to report to CMS […]

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OIG Advisory Opinion May Facilitate Provider Referrals and Use of Electronic Health Records

On December 7, 2011, the Office of Inspector General issued an advisory opinion approving a fee-based health care provider referral arrangement. Even though payments under the proposed arrangement implicated the federal anti-kickback statute, OIG concluded that the arrangement would not violate the statute. The requestor of the advisory opinion (the “Requestor”) is a web-based provider of administrative […]

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Kansas Court: Physician’s Unjust Enrichment Claim Not Precluded by Stark Law

A Kansas court, in what appears to be the first reported opinion on the issue, recently determined that the “Stark law” would not bar the claim of a physician for unjust enrichment for services performed for a hospital and for which he was not compensated. Judge Richard D. Rogers of the United States District Court for […]

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