On July 1, 2013, the American Medical Association (“AMA”) released its semi-annual update to its list of CPT Category III codes. The AMA identified 12 new Category III codes; these codes all are scheduled to become effective as of January 1, 2014. The AMA’s release of its update raises reimbursement coverage issues, as described below. […]
Parrish Law Offices has successfully challenged a non-coverage policy on behalf of two Medicare beneficiaries, resulting in a favorable coverage policy on behalf of all Medicare beneficiaries in the relevant jurisdiction. Specifically, Parrish Law Offices filed challenges to Wisconsin Physicians Services’ non-coverage local coverage determination (“LCD”) on posterior tibial nerve stimulation (“PTNS”). PTNS is a […]
Ms. Parrish is moderating a session entitled, “The Top Ten Issues for Research institutions” at the Annual Meeting for the National Association of College and University Attorneys in Philadelphia, Pennsylvania on June 19, 2013.
Ms. Parrish is making various presentations at the Educating Scientists in Research Ethics for the 21st Century: Trainer-of-Trainers Conference in Annapolis, Maryland on June 3-5, 2013.
Ms. Parrish is presenting on “Research Misconduct” at the Society for Research Administrators in Providence, Rhode Island on May 7, 2013.
Ms. Parrish is participating in the Council of Science Editors’ Annual Meeting in Montreal, Quebec on May 5 and May 6, 2013.
On April 4, 2013, the United States District Court for the Western District of Oklahoma granted summary judgment for a provider of a new type of radiation treatment for cancer, and ordered the Secretary of HHS to compute an appropriate payment on multiple reimbursement claims that the provider had submitted to the Centers for Medicare […]
In August 2011, the United States District Court for the Southern District of Florida granted summary judgment for Advanced Diabetes Treatment Centers’ and ordered the Centers for Medicare & Medicaid Services (“CMS”) to pay for clinical trial monitoring claims that CMS had denied. The Court found not only were CMS’ decisions denying coverage not supported by substantial evidence, no […]