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30 Jun 2015, 2:43 pm
U.S. should brace for potentially huge increases in their federal minimum wage overtime costs and liabilities if the U.S. [read post]
30 Jun 2015, 10:53 am
With the Obama Administration construing the United States Supreme Court’s King v. [read post]
30 Jun 2015, 8:49 am
Attorney General and the Office of the Inspector General (OIG) of HHS. [read post]
29 Jun 2015, 4:40 pm
CMS recently sent several major proposed Medicare CY 2016 payment rules to the White House Office of Management and Budget (OMB) for regulatory clearance – the last step before publication in the Federal Register. [read post]
29 Jun 2015, 4:39 pm
On June 26, 2015, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2016. [read post]
29 Jun 2015, 4:32 pm
As previously reported, CMS announced a Medicare Shared Savings Program/Accountable Care Organization (ACO) “Investment Model” last fall to better coordinate care in rural and underserved areas where inadequate access to capital could hinder infrastructure development needed for successful population care management. [read post]
29 Jun 2015, 7:13 am
The sweep was led by the Justice Department, HHS, and the FBI. [read post]
26 Jun 2015, 3:08 pm
HHS OIG Data Brief • June 2015 • OEI-02-15-00190. [read post]
26 Jun 2015, 12:25 pm
She also continuously helps employers, insurers, administrative and other service providers, their officers, directors and others to manage fiduciary and other risks of sponsorship or involvement with these and other benefit and compensation arrangements and to defend and mitigate liability and other risks from benefit and liability claims including fiduciary, benefit and other claims, audits, and litigation brought by the Labor Department, IRS, HHS, participants and beneficiaries, service… [read post]
26 Jun 2015, 8:00 am
The process for studying the potential medical benefits of marijuana became more streamlined on Tuesday, when the U.S. [read post]
26 Jun 2015, 6:08 am
An organization may either execute an EBSA Form 700, certifying that it is a nonprofit entity holding itself out as a religious organization and that it opposed providing contraceptive services, or notify HHS in writing with the name of the organization, the nature of the objection, and certain plan information. [read post]
25 Jun 2015, 6:11 pm
. or by HHS,” 45 CFR §155.20. [read post]
25 Jun 2015, 3:02 pm
Businesses brace yourself for health plan enforcement!. [read post]
25 Jun 2015, 7:39 am
An IRS regulation interprets that language as making tax credits available on “an Exchange,” 26 CFR §1.36B–2, “regardless of whether the Exchange is established and operated by a State . . . or by HHS,” 45 CFR §155.20. [read post]
24 Jun 2015, 9:01 pm
(The letter option was added by HHS after the Supreme Court vacated a decision that had held the form violates RFRA as explained here.) [read post]
24 Jun 2015, 11:25 am
H.R. 2507, “Increasing Regulatory Fairness Act of 2015”-- to require the HHS Secretary to establish an annual rulemaking schedule with notice and comment period for updates to MA rates and certain other major MA policy changes. [read post]
24 Jun 2015, 11:21 am
Specifically, MedPAC recommends that:The HHS Secretary direct RACs to focus reviews of short inpatient stays on hospitals with the highest rates of this type of stay; base RAC contingency fees in part on claim denial overturn rates; revise the RAC look-back period; and withdraw the “two-midnight” rule. [read post]
24 Jun 2015, 11:15 am
On June 18, 2015, HHS Secretary Sylvia M. [read post]
24 Jun 2015, 8:01 am
Department of Health and Human Services (HHS) announced on June 18, 2015, that the efforts of the Health Care Fraud Prevention & Enforcement Action Team (HEAT), a joint initiative between the DOJ and HHS to prevent and deter Medicare fraud, resulted in a nationwide Medicare Fraud Strike Force take down with charges against 243 individuals in 17 districts involving $712 million in Medicare fraud claims. [read post]
24 Jun 2015, 8:00 am
Franck has a post titled "Fifth Circuit Taken in by HHS Peek-a-Boo. [read post]