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17 Jul 2022, 7:57 pm by Kurt R. Karst
  Currently, a health care provider identifies any discarded quantity from such a vial in the claim using a JW modifier, and Medicare Part B pays for both the utilized and the discarded amount. [read post]
15 Jul 2022, 3:15 am by Tori Hawekotte
Department of Health and Human Services (HHS) to ensure access to medication abortion, contraception, and emergency medical care by promoting awareness of patients’ rights and information about federally funded reproductive health care providers. [read post]
14 Jul 2022, 1:32 pm
Department of Health and Human Services (HHS) Office of Inspector General (OIG) has issued the latest edition of the Health Care Fraud and Abuse Control Program (HCFAC) Annual Report. [read post]
7 Jul 2022, 11:18 pm by Josh Blackman
Hochul (12/13/21): This case involved a New York policy that required health care workers to receive a vaccine. [read post]
7 Jul 2022, 9:14 pm by Devontae Torriente
Rural emergency hospitals were established in 2020 to provide care to areas most severely affected by health care inequities. [read post]
5 Jul 2022, 12:05 pm by Patrick A. Malone
The federal Centers for Medicare and Medicaid Services (CMS) has ordered parties that act as health payers to make public a wealth of economic information that previously had been closely held, NPR and the Kaiser Health News service reported: “[H]ealth insurers and self-insured employers must post on websites just about every price they’ve negotiated with providers for health care services, item by item. [read post]
1 Jul 2022, 11:12 am by Aleksandra Vold and Amy Fouts
Jackson Women’s Health Organization Secretaries Becerra, Walsh and Yellen Underscore Contraceptive Coverage Requirements for Private Insurance Statement from CMS Administrator Chiquita Brooks-LaSure on Access to Reproductive Health Care Most recently, on June 29, HHS OCR issued two guidance pieces (“HIPAA Privacy Rule and Disclosures of Information Relating to Reproductive Health Care,” available at… [read post]
24 Jun 2022, 9:48 am by Christopher J. Walker
  Program Review Group attorneys provide legal advice on policies, regulations, and guidance issued by CMS, the nation’s largest health care payer, and the Office of the National Coordinator for Health Information Technology (ONC), which stands at the forefront of the nation’s health IT efforts. [read post]
21 Jun 2022, 12:56 pm by Nicole Aiken-Shaban and Ellen Pighini
Please reach out to the authors of this post or to the health care attorneys at Reed Smith if you have any questions. [read post]
14 Jun 2022, 1:07 pm by Brent Wieand
Despite the great responsibility of nurses in this health care setting, many nursing homes fall short of providing adequate nurse staffing which places residents at risk of injury according to PA Nursing Home Lawyers. [read post]
3 Jun 2022, 2:07 pm by Andrew Hamm
Biden, the justices face a petition asking them to review on the merits the Biden administration’s vaccine policy for health care workers. [read post]
27 May 2022, 4:01 pm by Christine Clements and Arushi Pandya*
  Health care coding experts reviewed case files for all cases and physician reviewers examined medical records for a subset of the cases. [read post]
 CMS promotes the Final Rule as advancing “CMS’ strategic vision of expanding access to affordable health care and improving health equity in Medicare Advantage (MA) and Part D through lower out-of-pocket prescription drug costs and improved consumer protections. [read post]
24 May 2022, 11:28 pm by Robert Liles
This is a prime example of why it is essential that you take ALL claims audit requests (even those from a MAC) seriously and engage qualified health care legal counsel for assistance. [read post]
23 May 2022, 4:25 pm by Caitlin Lentz
  Specifically, the alert analyzed a provider who offered a contract for “additional services” for a monthly/yearly fee and concluded that services that the provider considered additional were potentially (at least partially) covered services, including: “coordination of care with other providers,” “a comprehensive assessment and plan for optimum health,” and “extra time” spent on patient care.… [read post]
20 May 2022, 9:56 am by Robert Liles
The Veterans Health Administration, Office of Community Care (collectively referred to as the “VHA”) is the section within the VA that is responsible for managing programs that allow veterans to receive medical care, including acupuncture services, from local, non-VA employed, community health care providers. [read post]
17 May 2022, 6:53 am by DLP Law
The CEO of the National Association of Health Care Assistants continues to advocate for a focus on CNAs no matter how CMS approaches changing these rules. [read post]
12 May 2022, 6:59 am by Robert Liles
The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) are actively providing audit support, technical assistance, and investigative coordination to the states’ fraud-fighting efforts. [read post]