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15 Jun 2015, 1:01 pm by Ben Vernia
  This false information was used by HHS and Medicaid programs to calculate reimbursement rates to CNMC. [read post]
15 Jun 2015, 5:36 am by Debra A. McCurdy
H.R. 2507, “Increasing Regulatory Fairness Act of 2015” (amended) – a bill 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]
15 Jun 2015, 5:36 am by Debra A. McCurdy
Require HHS to develop a comprehensive strategy for claims review determinations made on a prepayment, post-payment, or prior-authorization basis, focusing on identifying and reducing high-impact claim errors. [read post]
11 Jun 2015, 8:17 am by Debra A. McCurdy
The agenda lists numerous pending HHS proposed and final rules in a range of policy areas, including Medicare payment updates, 340B drug pricing policies, and changes to fraud and abuse authorities, among many others. [read post]
11 Jun 2015, 8:12 am by Debra A. McCurdy
The OIG points out that self-disclosure cases resulted in over $19.5 million in HHS receivables during this period. [read post]
11 Jun 2015, 8:11 am by Debra A. McCurdy
The HHS OIG has updated its FY 2015 Work Plan to reflect new and/or completed items since release of its Work Plan in October 2014. [read post]
10 Jun 2015, 2:02 pm
"HHS Chief Burwell, House GOP Square Off Over Health-Law Case; Two sides fine tune messages ahead of Supreme Court's decision on Affordable Care Act": Louise Radnofsky of The Wall Street Journal has this report. [read post]
10 Jun 2015, 12:16 pm by Debra A. McCurdy
" Looking ahead, the HELP Committee has scheduled a June 16 hearing to discuss what HHS can do to improve electronic health record user experience. [read post]
8 Jun 2015, 10:48 am by Steven Boutwell
  According to the IRS, DOL, and HHS, employer payment plan arrangements described above fail to satisfy (1) the ACA’s prohibition against annual limits on the dollar amount of essential health benefits covered under the plan and (2) the ACA’s requirement that non-grandfathered plans cover certain preventative services without imposing any cost sharing. [read post]
6 Jun 2015, 2:28 pm by bvernia
According to the OIG-HHS’s press release: Tracy Nemerofsky – a Palm Beach Gardens, Florida private business owner – agreed to be excluded from participation in all Federal health care programs for a period of five years. [read post]
5 Jun 2015, 7:33 pm
HHS Secretary Burwell has a solution to avert the losses.Lower premiums and make up the losses on volume.Secretary of Health and Human Services Sylvia Mathews Burwell argued Thursday that premium hikes floated by health insurance companies this week will likely end up being lower once they are finalized. - The HillEither Ms Burwell is looney or she thinks we are.Original content copyright © InsureBlog [read post]
4 Jun 2015, 5:54 pm
"HHS's Burwell Sees Spike in Uninsured if Supreme Court Rules Against Health Law; Health and Human Services secretary says health law has improved care quality and affordability": Louise Radnofsky and Thomas M. [read post]
2 Jun 2015, 8:07 am by Theodore J. Kobus III
Some of the regulators companies may encounter following a data breach are listed below: Industry Regulators Most Active Healthcare and Business Associates Department of Human Services Office for Civil Rights (HHS OCR) Department of Health and Human Services Centers for Medicare Medicaid Services (HHS CMS) State Attorneys General (SAGs) Local Departments of Health (DOH) Insurance Companies State Departments and Offices of Insurance (DOI) National Association of Insurance… [read post]
1 Jun 2015, 2:42 am by Jon Gelman
HHS agreed with two of GAO's recommendations, but disagreed with using rulemaking to inform the public of RUC-identified services. [read post]
29 May 2015, 8:32 am by David Carney
The HHS is represented by lawyers from the Department of Justice (DOJ), who review the legal aspects of the claim. [read post]
29 May 2015, 7:46 am by Debra A. McCurdy
Today HHS published a request for public comments regarding the health plan identifier (HPID), including the requirements regarding health plan enumeration, and the requirement to use the HPID in electronic health care transactions. [read post]
29 May 2015, 6:20 am
As the HH spokesperson put it: "We believe that we can create the most impactful change by working together. [read post]
27 May 2015, 11:55 am
The DOL, the Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS) jointly issued a final rule implementing the HIPAA nondiscrimination provisions for wellness programs. 71 Fed. [read post]