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Tag: Neil Caesar


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Industry attorney Caesar dies

February 20, 2018HME News Staff

GREENVILLE, S.C. - Neil Caesar, an HME industry attorney and speaker, passed away Feb. 11. The president of the Health Law Center was 60. Caesar died from complications from a lengthy illness. He was a 20-year lung cancer survivor. A long-time and well-known presence at Medtrade events, Caesar was known in the industry for his healthcare experience, but he was also the president of South Carolina's American Civil Liberties Union affiliate; an active Life Member of Mensa, the high-IQ society; and...

Neil Caesar


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Legal landscape: M&A, managed care top hot spots

October 6, 2017Liz Beaulieu, Editor

YARMOUTH, Maine - With increased complexity in the HME industry, comes increased legal ground to cover, say healthcare attorneys, particularly in the areas of mergers and acquisitions, and managed care.In M&A, Jeffrey Baird has seen an increasing number of companies selling their stakes in certain geographic markets or certain product categories, or terminating their competitive bidding contracts.In the case of the former, providers must alert the CBIC and make plans to transition their patients...

competitive bidding, contracting, Jeff Baird, M&A, Neil Caesar


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Legal: Attorneys brace for fallout

March 21, 2016Liz Beaulieu, Editor

YARMOUTH, Maine - With more scrutiny than ever from Medicare for popular back, knee and ankle braces, some HME providers are getting a little too creative to capture business in this market, industry attorneys fear.Some providers who are trying to improve their chances of obtaining and qualifying Medicare beneficiaries for braces are setting up questionable arrangements with companies that provide leads and companies that provide remote physician services, says healthcare attorney Jeff Baird, chairman...

back braces, Jeff Baird, Neil Caesar, orthotics


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'Providers will be less conservative' in Round 2

January 30, 2015Liz Beaulieu, Editor

YARMOUTH, Maine - A new rule that allows HME providers to carve up their competitive bidding contracts could make for more aggressive bidding in the Round 2 re-compete, industry attorneys say.CMS has lifted “the prohibition against subdividing a contract that would allow a contract supplier to sell a distinct company that furnishes a specific product category or (serves) a specific competitive bidding area.”“I think providers will be less cautious, conservative and fearful about...

carve up, Jeff Baird, Neil Caesar


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Obscure court ruling could set powerful precedent

December 13, 2013Elizabeth Deprey

WASHINGTON - A 5th Circuit Court ruling over runny eggs could be just the ammunition HME providers need in cases involving ambiguous CMS guidelines.“People think this case is humorous because of the underlying facts, but it has implications for all types of Medicare providers,” said Edward Vishnevetsky, an associate with Munsch Hardt in Dallas. “This is the first time we've seen a court not defer to CMS's interpretations.”Prompting the ruling was an appeal filed by Elgin Nursing...

ALJs, CMS guidelines, denials, Edward Vishnevetsky, local coverage determinations, Neil Caesar


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Opinion greenlights post-discharge services

October 18, 2013Liz Beaulieu, Editor

WASHINGTON - An advisory opinion from the Office of Inspector General (OIG) provides a framework for how HME providers can offer services to reduce hospital readmissions without violating the anti-kickback statute.The biggest takeaway: Providers cannot supply these services to hospitals for free.“The hospital has to pay,” said Elizabeth Hogue, a private practice attorney in Burtonville, Md. “That was crucial to the OIG's approval.”Advisory Opinion No. 13-10 was requested by...

brown & fortunate, Elizabeth Hogue, Health Law Center, Jeff Baird, Neil Caesar, OIG, readmissions, the health care group


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Subcontracting: 'Everybody's doing it'

April 19, 2013Liz Beaulieu, Editor

YARMOUTH, Maine - Industry attorneys sum up the bulk of the activity in the wake of CMS's announcement of the contracts suppliers for Round 2 with one word: subcontracting.“It's the biggest thing going on,” said Edward Vishnevetsky, an associate with Munsch Hardt in Dallas. “Providers want to know, how do we create proper subcontracting agreements?”The interest is coming from both contract and non-contract suppliers, attorneys say, but more often than not, the latter...

CMS, competitive bidding, Edward Vishnevetsky, Jeff Baird, Medicare, Neil Caesar, round 2


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Executive Session

The 10 most interesting people in HME

July 30, 2010Mike Moran

People love lists. I love lists. Why is that? What is it about a list that makes you automatically want to scan it? Whenever you see a list of the richest people in the world, don't you more often than not bury your nose in it to see who is rich and just how rich they are? I do. The same goes for those lists of the most beautiful people that celebrity-driven rags run on a regular basis. I guess it's just human nature to like lists, which are a bit like gossip, and, as we know, most of us like (love?)...

Asela Cuervo, Cara Bachenhemier, Denise Fletcher, Executive Session, Hymie Pogir, Invacare, Invacare, lists, Neil Caesar, Roll Call


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