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18 May 2012, 1:14 pm by Cynthia Marcotte Stamer
The Office of Inspector General (OIG) of the Department of Health & Human Services (HHS) is recommending a “strong response” to improve Medicare Part D oversight of retail pharmacy prescriptions by the Centers for Medicare & Medicaid Services (CMS) based on findings of a recent study. [read post]
27 Jun 2012, 4:39 pm by Rachel Grunberger
  This is HHS’s first HIPAA enforcement action against a State agency, and HHS stated in the press release that it “expect[s] organizations to comply with their obligations under [the HIPAA rules] regardless of whether they are private or public entities. [read post]
11 Aug 2015, 2:29 pm by Cynthia Marcotte Stamer
According to FAQS About Affordable Care Act Implementation (Part XXVIII) the transparency reporting rules the Departments plan to issue for non-QHP issuers and non-grandfathered group health plans in the future may differ from those prescribed in the August 11, 2015 HHS proposal under section 1311(e)(3) of the Affordable Care Act, and will take into account differences in markets, reporting requirements already in existence for non-QHPs (including group health plans), and other relevant… [read post]
31 Oct 2022, 5:41 am by Joseph J. Lazzarotti
But, we did not want to let the month go by without some recognition; and we are grateful to the HHS Office for Civil Rights (OCR) for this always timely reminder for HIPAA covered entities and business associates – have a written incident response plan! [read post]
5 Sep 2012, 3:24 am by David S. Dessen, Esq.
Specifically, the Court held that the Secretary of HHS was authorized to employ statistical sampling and extrapolation as set forth in Health Care Financing Administration (HCFA, now known as CMS) Ruling 86-1 since the Medicare Act did not prohibit statistical sampling and such a procedure was consistent with the Secretary’s duty to prevent overpayments. [read post]
5 Sep 2012, 3:24 am by David S. Dessen, Esq.
Specifically, the Court held that the Secretary of HHS was authorized to employ statistical sampling and extrapolation as set forth in Health Care Financing Administration (HCFA, now known as CMS) Ruling 86-1 since the Medicare Act did not prohibit statistical sampling and such a procedure was consistent with the Secretary’s duty to prevent overpayments. [read post]
5 Sep 2012, 3:24 am by David S. Dessen, Esq.
Specifically, the Court held that the Secretary of HHS was authorized to employ statistical sampling and extrapolation as set forth in Health Care Financing Administration (HCFA, now known as CMS) Ruling 86-1 since the Medicare Act did not prohibit statistical sampling and such a procedure was consistent with the Secretary’s duty to prevent overpayments. [read post]
23 Jun 2010, 5:34 am by Stanley D. Baum
According to a new government Fact Sheet, the Departments of Health and Human Services ("HHS"), Labor, and Treasury have now issued regulations to implement a new Patient's Bill of Rights under the recently enacted Affordable Care Act. [read post]
20 Feb 2024, 5:46 pm by Matthew Loughran
The Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury (collectively, “the departments”) recently confirmed that they will hold firm to the March 14, 2024 extended deadlines for initiating both new and previously initiated batched disputes or single disputes involving air ambulance services in the No Surprises Act Independent Dispute Resolution (IDR) portal. [read post]
27 Jul 2012, 11:15 am by Lucas A. Ferrara, Esq.
Obama administration announces ground-breaking public-private partnership to prevent health care fraud Yesterday, Washington - Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder announced the launch of a ground-breaking partnership among the federal government, State officials, several leading private health insurance organizations, and other health care anti-fraud groups to prevent health care fraud. [read post]
27 Sep 2017, 9:00 pm by Dan Flynn
Department of Health and Human Services (HHS), which has oversight responsibilities for FDA. [read post]
5 Sep 2012, 3:24 am by David S. Dessen, Esq.
Specifically, the Court held that the Secretary of HHS was authorized to employ statistical sampling and extrapolation as set forth in Health Care Financing Administration (HCFA, now known as CMS) Ruling 86-1 since the Medicare Act did not prohibit statistical sampling and such a procedure was consistent with the Secretary’s duty to prevent overpayments. [read post]
11 Feb 2013, 9:01 pm by Marci A. Hamilton
The HHS rules also rest on the fact that the vast majority of Americans disagree with the bishops. [read post]
  For example, in August 2016, the HHS announced its largest settlement to date with Advocate Health Care for $5.55M. [read post]
8 Feb 2018, 1:49 pm by Nancy Sheliga
The Department of Veterans Affairs (VA) and the Centers for Medicare & Medicaid Services (CMS) have announced a partnership to leverage CMS’s program integrity tools to detect and prevent fraud within VA programs. [read post]