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1 Jun 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law On May 24, 2016, the American Hospital Association (AHA) released a letter claiming that Audits of hospital billing by the Office of Inspector General (OIG) of the US Department of Health and Human Services (HHS) contain numerous legal defects. [read post]
1 Jun 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law On May 24, 2016, the American Hospital Association (AHA) released a letter claiming that Audits of hospital billing by the Office of Inspector General (OIG) of the US Department of Health and Human Services (HHS) contain numerous legal defects. [read post]
1 Jun 2016, 8:27 am by Debra A. McCurdy
.  The CMS announcement was followed shortly by release of an HHS Office of Inspector General (OIG) report that flags problems with the state licensure status of some contract suppliers currently participating in the competitive bidding program. [read post]
31 May 2016, 4:15 pm by Debra A. McCurdy
The OIG has issued its Spring 2016 Semiannual Report to Congress, which describes significant enforcement and investigative activities relating to HHS programs during the first half of FY 2016 (October 1, 2015 – March 31, 2016). [read post]
31 May 2016, 4:08 pm by Debra A. McCurdy
Recent Congressional hearings focusing on health policy topics include the following: House Energy and Commerce Committee hearings on HHS cybersecurity responsibilities, Medicare and Medicaid program integrity, the Administration’s proposed Medicare Part B drug payment model, and patient-focused health insurance reforms. [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
Self-insured employer or union sponsored health plans (Plans), their fiduciaries, third party administrative or other service providers, and sponsors should consult legal counsel for advice about whether their Plans might violate the Privacy Rule of the Health Insurance Portability & Accountability Act (HIPAA) by disclosing individually identifiable claims or other Plan records or data to a state “all payer” claims or other data base in response to a state law or regulation mandating… [read post]
Department of Health and Human Services (HHS) and the FDA to reduce prescription opioid and heroin-related overdose, death and dependence. [read post]
24 May 2016, 4:59 pm by Debra A. McCurdy
The purpose of the Panel is to advise HHS and CMS on ambulatory payment classification clinical integrity and weights and hospital outpatient therapeutic services supervision issues. [read post]
24 May 2016, 3:44 pm by Debra A. McCurdy
The latest agenda includes numerous rules in the pipeline impacting HHS policies, including Medicare payment updates, HRSA 340B drug program policies, FDA drug and device rules, and changes to fraud and abuse authorities, among many others. [read post]
To qualify as a “mid-build” HOPD, the hospital must (1) add the facility as a provider-based, off campus HOPD by submitting a Form CMS 855A Medicare enrollment application, (2) submit written certification from the hospital’s CEO or COO that the HOPD met the definition of “mid-build” before July 1, 2016, and (3) submit an attestation to the Secretary of HHS before July 1, 2016 stating that the HOPD meets the requirements for provider-based facilities under 42… [read post]
24 May 2016, 9:46 am by Kevin S. Little
”  Thus, HHS, through its contractor, determined that Medicare would not reimburse for multi-dosing Lcentis. [read post]
24 May 2016, 9:46 am by Kevin S. Little
”  Thus, HHS, through its contractor, determined that Medicare would not reimburse for multi-dosing Lcentis. [read post]
23 May 2016, 1:08 pm by David M. Brown
Department of Health and Human Services (HHS) of a breach, the entity must also provide notification to the Illinois Attorney General within five business days of notifying HHS. [read post]
23 May 2016, 1:08 pm by David M. Brown
Department of Health and Human Services (HHS) of a breach, the entity must also provide notification to the Illinois Attorney General within five business days of notifying HHS. [read post]
23 May 2016, 12:44 pm by The Federalist Society
Department of Health and Human Services (HHS), relying on the Institute of Medicine, determined that the term encompassed, among other things, all FDA-approved contraceptive methods, including drugs and devices that could induce an abortion. [read post]
22 May 2016, 8:47 am by Nancy E. Halpern, D.V.M.
Published with permission by Rutgers student Rita Baorto, who submitted this paper for “Animal and the Law,” a class I taught during the Spring semester, 2016. [read post]
20 May 2016, 3:32 pm
The HHS Office for Civil Rights ("OCR") has begun issuing notices for Phase 2 HIPAA Audits applicable to covered entities and their business associates. [read post]