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29 Jun 2016, 10:13 am by Debra A. McCurdy
CMS has released its proposed rule to update the Medicare home health prospective payment system (HH PPS) for 2017. [read post]
29 Jun 2016, 10:04 am by Mark Faccenda (US) and Chaula Mehta (US)
   Major provisions of the proposed rule include: Using HHS’ final appeal decisions as precedent. [read post]
29 Jun 2016, 9:00 am by Julie LaVille Hamlet
Department of Health & Human Services ("HHS") recently issued a final rule that implements the nondiscrimination provisions under Section 1557 of the Affordable Care Act (the "Final Rule"). [read post]
28 Jun 2016, 5:13 am by Amber Walsh
The HHS Office for Civil Rights (OCR) has begun its second phase of audits of covered entities (CEs) and their business associates. [read post]
27 Jun 2016, 2:12 am by Embajador Microjuris al Día
El jefe de la Oficina de Asuntos Globales de la HHS, Jimmy Kolker, señaló que Estados Unidos será capaz de acceder a la gran experiencia cubana en el tratamiento de enfermedades tropicales transmitidas por el mosquito aedes aegypti, pues esta tiene uno de los centros adscritos a la Organización Mundial de la Salud, que trabajan en la lucha contra el dengue. [read post]
24 Jun 2016, 4:31 pm by Howard Friedman
The ACLU today filed suit in a California federal district court alleging that officials in the U.S. [read post]
24 Jun 2016, 2:29 pm by Mark Casper
The ACLU contends that the Office of Refugee Resettlement (ORR), through HHS, has approved grants to the US Conference of Catholic Bishops (USCCB), and other groups with similarly held religious or... [read post]
23 Jun 2016, 10:21 am by Cynthia Marcotte Stamer
A $180,000 wrongful termination settlement that Foothill Packing, Inc. just paid to settle Department of Labor charges illustrates the potential Catch-22 tightrope that employers must walk when choosing between citizens and resident aliens with visas for hiring and firing decisions. [read post]
23 Jun 2016, 7:03 am by Ben Vernia
  In addition, the HHS Centers for Medicare & Medicaid Services (CMS) is suspending payment to a number of providers using its suspension authority provided in the Affordable Care Act. [read post]
22 Jun 2016, 4:10 am by Howard Friedman
HHS' Office of General Counsel, after consulting with the Department of Justice, has advised that such a rescission would raise substantial questions about the constitutionality of the Weldon Amendment.Los Angeles Times reports on OCR's ruling. [read post]
An ADLT is a CDLT covered under Medicare Part B that is offered and furnished only by a single laboratory meeting one of the following three criteria: (1) the test is an analysis of multiple biomarkers of DNA, RNA, or proteins combined with a unique algorithm to yield a single patient-specific result; (2) the test is cleared or approved by the FDA; or (3) the test meets other similar criteria established by HHS. [read post]
20 Jun 2016, 4:23 pm by Sabrina I. Pacifici
Department of Health and Human Services (HHS) to encompass multiple child care funding streams, including: federal discretionary child care funds authorized by the Child Care and Development Block Grant (CCDBG) Act, federal mandatory child care funds authorized by Section 418 of the Social  Security Act (sometimes referred to as the “Child Care Entitlement to States”), state maintenance-of-effort (MOE) and matching funds associated with the Child Care Entitlement to States,… [read post]
20 Jun 2016, 2:48 pm by Cynthia Marcotte Stamer
By: Cynthia Marcotte Stamer Home health care providers and prescribers beware:  Home health care providers and prescribers remain top targets of interest for the health care fraud investigation and enforcement actions of the Department of Health & Human Services (HHS) and Department of Justice (DOJ). [read post]
20 Jun 2016, 11:57 am by Debra A. McCurdy
The Department of Health and Human Services (HHS) attributes the growth in appeals in part to the expanded recovery audit claim denials entering the appeals process in FY 2011, along with a greater propensity among providers and suppliers to appeal denied claims. [read post]
20 Jun 2016, 9:01 am by Debra A. McCurdy
Among other things, the bill would: provide grants to increase access to treatment for children with mental disorders and individuals with serious mental illness; promote evidence-based models in mental health care; clarify Medicaid coverage provisions related to mental health services; promote compliance with mental health and substance use disorder coverage parity requirements; direct the Secretary of HHS to clarify the circumstances under which disclosure of protected health information… [read post]
20 Jun 2016, 3:08 am by Debra A. McCurdy
The HHS OIG has updated its FY 2016 Work Plan to reflect new and/or completed items since initial release of the FY 2016 Work Plan in November 2015. [read post]
14 Jun 2016, 10:41 am by Elizabeth Litten
  [Note: HHS treats legally married same-sex spouses as “family members” under HIPAA — see special topic publication available here.] [read post]