Caulfield Awarded Healthcare Financial Management Association’s Founders Medal of Honor

By | April 17, 2015

BOULDER—Sharon Caulfield, a health care law attorney with Caplan and Earnest LLC, was recently awarded the prestigious Founders Medal of Honor by the Healthcare Financial Management Association’s Colorado Chapter. Caulfield was presented with the award at a member luncheon during the HFMA Annual Conference on April 16, 2015.

The Founders Medal of Honor recognizes individuals actively involved in HFMA who have […]

Senate Approves Changes to Medicare Physician Fee Schedule

By | April 15, 2015

On April 14, the U.S. Senate approved broad changes to the Medicare Physician Fee Schedule (MPFS), the system by which Medicare pays physicians, and averted 21 percent across-the-board cuts in Medicare fees scheduled to take effect on April 15.

The Senate vote of 92-8 will send the Medicare Access and CHIP Reauthorization Act to President Barack Obama’s desk. The House of Representatives had […]

CMS Releases Statement on Pending Enforcement of Updated Medicare Physician Fee Schedule

By | April 13, 2015

As previously covered, the Medicare Physician Fee Schedule (MPFS) update on April 1, 2015, using the Sustainable Growth Rate (SGR), resulted in a 21% required decrease in all MPFS payments beginning on April 1. Legislation is pending in the United States Senate to repeal the SGR and explore alternative payment options for physician services under Medicare, but with the Senate […]

Medicare Physician Fee Schedules Expired March 31, but Congress, CMS Offer Hope

By | April 3, 2015

Medicare providers are acutely aware that March 31, 2015 marked an important date – the date that the current Medicare Physician Fee Schedule expired.  Enacted in 1997, the Medicare Sustainable Growth Rate (SGR) was intended as a method for the Centers for Medicare and Medicaid Services (CMS) to control the Physician Fee Schedule and to begin to reduce Medicare spending.  […]

Feds Fine Compliance Officer $1 Million, Highlighting Major Risks

By | March 10, 2015

The U.S. Attorney’s Office for the Southern District of New York is seeking a $1 million fine from a compliance officer in connection with a criminal case against his former employer, which paid $100 million in 2012 for a fraud scheme. While the officer was not working in a health care organization, the case highlights the perils health care compliance […]

Caulfield and Ullrich present at LeadingAge Colorado Policy Forum

By | March 9, 2015

BOULDER—March 9, 2015—Caplan and Earnest health care law attorneys Sharon Caulfield and Matt Ullrich recently presented at the LeadingAge Colorado 2015 Policy Forum. They presented to members on legislative health care law updates, handling marijuana issues, integrating LGBTQ residents and elder law matters. LeadingAge Colorado is the state’s largest association representing and advocating for senior living and care providers.


Caulfield’s practice […]

Federal Court Opinion Is a Reminder that Antitrust Concerns Are Alive and Well

By | March 3, 2015

There is a wide round of discussion about consolidation in the health care field in order to meet the updated health care system that is anticipated under the Affordable Care Act. Health care providers are looking to consolidate through joint ventures and mergers, so that they may have the presumed efficiencies of larger organizations and a wider range of providers for […]

Half of Medicare Payments to Shift to Alternative Models by 2019

By | February 2, 2015

In news that affects hospital providers, the United States Department of Health and Human Services recently set goals and a timeline for shifting half of Medicare payments by 2019 to alternative models that are based on the quality, not quantity, of care that providers give patients.

HHS set the goal of tying 30 percent of traditional Medicare payments to quality through […]

Texting Patient Information: BTW, Do U Know the Risks?

By | January 13, 2015

Cindy Pechon also contributed to this post.

Does HIPAA allow health care providers to text protected health information (“PHI”) within an organization or to another health care provider? It is not expressly prohibited by HIPAA, but whether it is safe mostly depends on the adequacy of the controls used to safeguard PHI. Covered Entities, including health care providers, must comply with […]

Three Caplan and Earnest Attorneys Named to 5280 Magazine’s Top Lawyers List

By | January 13, 2015

BOULDER—Caplan and Earnest LLC health care law attorneys Linda Siderius, Sharon Caulfield and Jennifer Sullivan were named a 2015 “Top Lawyer” in 5280 Magazine’s debut listing of Denver’s best attorneys. The attorneys were three of only nine health care law attorneys honored in the magazine.

The listing includes 350 attorneys overall and is based on a rigorous peer-review process in addition […]