Medicare Reimburses for Cognitive Care Planning Servi

Medicare Reimburses for Cognitive Care Planning Services More than 5 million individuals in the United States are currently affected by Alzheimer’s disease or other related dementias, with more than 510,000 of those patients living in Michigan.[i] Across this country the care and support for these 5 million individuals are borne by more than 15 million family caregivers who, it is […]

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New Human Trafficking Educational Requirements For Michigan Health Care Professionals

The prevalence of human trafficking has reached alarming levels in the United States. In an effort to address this widespread crisis, individuals licensed or registered by the Michigan Department of Licensing and Regulatory Affairs (nurses, professional counselors, physicians, social workers, massage therapists, etc.) have a new continuing educational requirement which must be met when seeking initial or renewal of an individual’s […]

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HIPAA: When Are Mobile App Developers Business Associates?

With the explosion of electronic health technology aimed at improving patient health outcomes, it was only a matter of time before the Department of Health and Human Services (“HHS”)  weighed in regarding the electronic health technology’s impact on the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).  HHS launched a new platform in October 2015 at http://HIPAAQsportal.hhs.gov (click on […]

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HIPAA Privacy Rule Modified To Identify Those Prohibited From Possessing Firearms

On January 6, 2016, the Department of Health and Human Services issued a Final Rule that modifies the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) Privacy Rule to allow a subset of covered entities to disclose to the National Instant Criminal Background Check System (“NICS”) the  names of individuals who are mentally unfit to purchase or possess firearms.  […]

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IRS Extends Reporting Dates Of Health Insurance Coverage Statements For Large Employers and Insurance Plans Under the Affordable Care Act

The Affordable Care Act requires health insurance issuers, self-insuring employers, government agencies, other providers of health insurance coverage, and applicable large employers (employers that employed 50 or more full-time employees, including full-time equivalent employees during 2015) to file and furnish annual information returns and statements based on health coverage offered or not offered in 2015. On December 28, 2015 the […]

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Professional Counselors May Directly Submit Claims for Reimbursement to Certain Blue Cross Blue Shield Insurance Programs Beginning in January 1, 2016

Blue Cross and Blue Shield of Michigan has announced that effective January 1, 2016, licensed professional counselors that participate in Traditional, TRUST (PPO) and Mental Health and Substance Abuse Managed Care networks will receive direct reimbursement for covered mental health services provided within the scope of their licenses.  Reimbursement will be at eighty (80%) percent of the respective network’s fee […]

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Internal Revenue Service Finalizes 2015 Reporting Forms for Employers and Health Insurers

Pursuant to the Affordable Care Act, employers with 50 or more full-time employees and health insurers, including employers with self-insured health plans are required use applicable forms to mandatorily report to the IRS in 2016.  The Internal Revenue Service finalized the forms and instructions in September 2015.  Employers will use 1094-C (Transmittal Form) and 1095-C (Reporting of Health Insurance Offer and Coverage) […]

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United States Supreme Court Upholds Tax Subsidies To Individuals In All States

On June 25, 2015 the Supreme Court of the United States (“SCOTUS”), in a 6-3 decision in the King v Burwell case, ruled in favor of individuals who purchase health insurance in federal Exchanges. The crux of the case came down to four words in the Affordable Care Act (“ACA”) which allowed individuals who are qualified to receive tax credits […]

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The Affordable Care Act – Employer Challenges in 2015. Is Your Business On Track?

This week marks five years since the Affordable Care Act (“ACA”) was passed.   Over the last five years some ACA provisions impacting employers have been implemented, while future changes affecting employers are on the horizon. Since January 1, 2015, employers with 100 or more employees are required to either provide affordable and qualified health insurance coverage to at least 75 […]

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Affordable Care Act’s Tax Credits Comes Before the Supreme Court

On March 4, 2015, the United States Supreme Court will hear oral arguments in King v. Burwell.  The issue in the case is the legality of an Internal Revenue Service’s (IRS) decision to extend tax credits to individuals who purchased health insurance through federal insurance Exchanges and federally facilitated insurance Exchanges (“federal Exchanges”). Michigan has partnered with the federal government […]

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