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20 Jun 2016, 2:48 pm
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
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
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
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]
15 Jun 2016, 5:50 am
HHS has in the past released guidance following emergencies such as Hurricane Katrina. [read post]
14 Jun 2016, 10:41 am
[Note: HHS treats legally married same-sex spouses as “family members” under HIPAA — see special topic publication available here.] [read post]
14 Jun 2016, 10:41 am
[Note: HHS treats legally married same-sex spouses as “family members” under HIPAA — see special topic publication available here.] [read post]
13 Jun 2016, 12:37 pm
FDA intends to issue long-awaited proposed regulations governing the licensing of prescription drug wholesale distributors and third-party logistics providers (“3PLs”) this December, according to the updated 2016 HHS regulatory agenda. [read post]
13 Jun 2016, 5:34 am
The Massachusetts Attorney General apparently declined even to investigate those allegations.In September, 2015, plaintiff filed a complaint against the following defendants: 1) Maura Healey (`Healey’), the Attorney General of the Commonwealth of Massachusetts, 2) Steven Hoffman (`Hoffman’), the Deputy Chief of the Medicaid Fraud Division at the Office of the Attorney General, 3) Chris Cecchini (`Cecchini’), an investigator at the Office of the Attorney General, 4) Adele Audet… [read post]
12 Jun 2016, 7:00 am
The issue here is the validity and effect of certain portions of the will of HH, and the correctness of the directions contained in a decree of the surrogate of Kings county as to the disposition of certain moneys of his estate. [read post]
11 Jun 2016, 8:53 am
The bill, SB 10 [text] , allows the healthcare exchanges set up in the state to seek a waiver from the Department of Health and Human Services (HHS) [official website] to ensure that individuals who are able to afford healthcare but cannot due to their immigration status are legally able to purchase plans offered in... [read post]
10 Jun 2016, 8:17 am
On June 1, 2016, Senators responded to the proposed rule by writing a letter to the Secretary of HHS, urging HHS to increase this patient cap to 500 patients in its final rulemaking. [read post]
10 Jun 2016, 5:59 am
The post HHS Regs – To Comment or Not? [read post]
8 Jun 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has reported that it expects recoveries of more than $2.77 billion—nearly $554.7 million in audit receivables and about $2.22 billion in investigative receivables—from October 1, 2015 to March 31, 2016, the agency said in its Semiannual Report to Congress. [read post]
8 Jun 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has reported that it expects recoveries of more than $2.77 billion—nearly $554.7 million in audit receivables and about $2.22 billion in investigative receivables—from October 1, 2015 to March 31, 2016, the agency said in its Semiannual Report to Congress. [read post]
8 Jun 2016, 10:00 am
., Board Certified by The Florida Bar in Health Law The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has reported that it expects recoveries of more than $2.77 billion—nearly $554.7 million in audit receivables and about $2.22 billion in investigative receivables—from October 1, 2015 to March 31, 2016, the agency said in its Semiannual Report to Congress. [read post]
6 Jun 2016, 12:16 pm
Department of Health & Human Services (HHS), Office of Inspector General (OIG) recently issued its Semiannual Report to Congress regarding the OIG’s success in detecting and obtaining recoveries as a result of fraud, waste and abuse in Federal healthcare programs. [read post]
6 Jun 2016, 12:16 pm
Department of Health & Human Services (HHS), Office of Inspector General (OIG) recently issued its Semiannual Report to Congress regarding the OIG’s success in detecting and obtaining recoveries as a result of fraud, waste and abuse in Federal healthcare programs. [read post]
6 Jun 2016, 8:57 am
ProMedica Michigan breaches: Two hospitals in Michigan operated by ProMedica are under investigation by HHS for breaches apparently involving employee snooping. [read post]
4 Jun 2016, 5:52 pm
HHS – “Poverty in the United States: 50-Year Trends and Safety Net Impacts presents analyses of the impact of the safety net on poverty rates and a close look at populations experiencing high risks of poverty during the 50 years since the War on Poverty began. [read post]