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24 Dec 2019, 4:10 am
As explained in the HHS Fact Sheet on the new rules, health plan issuers will now be required to:(1) send an entirely separate monthly bill to the policy holder for only the portion of premium attributable to coverage of certain abortion services, and (2) instruct the policy holder to pay the portion of their premium attributable to coverage of certain abortion services in a separate transaction.... [read post]
23 Dec 2019, 2:00 pm
The Act would bar HHS from ending auto-enrollment in ACA Exchange qualified health plans (QHPs). [read post]
20 Dec 2019, 11:37 am
” The HHS OIG audit findings indicate that many diagnoses on which MAOs rely to receive risk-adjustment payments are inaccurate and/or unsupported. [read post]
20 Dec 2019, 9:30 am
The Department of Health and Human Services (HHS) has released two proposed rules intended to increase the availability of organs for transplantation and improve the accountability of organ procurement organizations (OPOs), in conformance with President Trump’s Executive Order on Advancing American Kidney Health. [read post]
19 Dec 2019, 9:05 pm
Department of Health and Human Services (HHS) proposed two new rules intended to increase the availability of organs by removing financial barriers to organ donation and improving accountability of organizations involved in organ procurement. [read post]
19 Dec 2019, 1:40 pm
Over 20,000 ACLU supporters submitted comments to HHS opposing this rule, and if it goes into effect, we will sue. [read post]
19 Dec 2019, 8:33 am
Putting sovereign immunity issues aside, what exactly are the plaintiffs afraid that the IRS or the HHS Secretary will do to them? [read post]
18 Dec 2019, 10:03 am
” Meanwhile, HHS-OIG Special Agent in Charge Scott J. [read post]
17 Dec 2019, 8:36 am
Health and Human Services Office of the Inspector General (HHS/OIG), the FBI and the IRS.Based on the investigation, Schaaf faced allegations of routinely inflating reported mileage; charging for services after the clients had canceled their appointments; and falsifying the nature of services provided in order to maximize reimbursement amounts.* * * [read post]
17 Dec 2019, 6:11 am
” Former HHS privacy official Joy Pritts “said the government isn’t tough enough in policing patient privacy breaches” and “cited an April announcement from HHS that lowered the maximum annual fine, from $1.5 million to $250,000, for what’s known as ‘corrected willful neglect. [read post]
16 Dec 2019, 3:13 pm
§ 1320d-5(a)(3), HIPAA authorizes OCR as the designated representative of the Secretary of HHS to impose CMPs against a covered entity for post-February 18, 2009 HIPAA Privacy or Security Rule violations. [read post]
16 Dec 2019, 3:11 pm
Department of Health and Human Services (HHS): * revised policies and procedures related to patient access that identify how Korunda calculates a reasonable, cost-based fee; * training materials related to individual access rights, and then provide training to all workforce members; * lists of requests for access (including date the request is received, the date the request is completed, the format requested, the format provided, the number of pages (if paper), the cost charged, including… [read post]
16 Dec 2019, 3:11 pm
Department of Health and Human Services (HHS): * revised policies and procedures related to patient access that identify how Korunda calculates a reasonable, cost-based fee; * training materials related to individual access rights, and then provide training to all workforce members; * lists of requests for access (including date the request is received, the date the request is completed, the format requested, the format provided, the number of pages (if paper), the cost charged, including… [read post]
15 Dec 2019, 11:51 pm
Jane Lambert Chancery Division (HH Judge Hacon) Fromageries Bel SA v J Sainsbury Plc [2019] EWHC 3454 (Ch) (12 Dec 2019) This was an appeal against Mr Allan James's decision of 13 Feb 2019 that the registration of the above 3-dimensional sign under trade mark number UK2060882 was invalid. [read post]
10 Dec 2019, 9:05 pm
At the end of October, the federal judge hearing the class-action case ordered HHS to pay nearly $1.6 billion in damages to the class. [read post]
10 Dec 2019, 4:02 pm
Total U.S. national healthcare spending in 2018 grew 4.6 percent according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). [read post]
7 Dec 2019, 9:54 am
This involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other regulatory, contractual and other… [read post]
5 Dec 2019, 9:05 pm
Department of Health and Human Services (HHS) announced that it will provide free access to the HIV prevention drug PrEP for people without prescription drug insurance coverage. [read post]
4 Dec 2019, 12:53 pm
A few months later, an HHS rule indicated that the ACA requires the department “to make full payments” to insurers, but – based on that year’s appropriations bill and similar riders that followed in subsequent years – HHS declined to reimburse insurers to offset the losses at the level that, according to the insurers, Section 1342 contemplated. [read post]
3 Dec 2019, 3:13 pm
According to its latest Semiannual Report to Congress, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) expects fiscal year (FY) 2019 investigative recoveries from criminal and civil actions to top $5 billion – up from $2.9 billion in FY 2018. [read post]
