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20 Nov 2014, 4:04 am
The OIG has released its compilation of “2014 Top Management & Performance Challenges,” highlighting the following 10 most significant management and performance challenges now facing HHS: Implementing, Operating, and Overseeing the Health Insurance Marketplaces Ensuring Appropriate Use of Prescription Drugs in Medicare and Medicaid Protecting an Expanding Medicaid Program from Fraud, Waste, and Abuse Fighting Waste and Fraud and Promoting Value… [read post]
19 Nov 2014, 10:03 pm
On November 6, 2014, CMS published a final rule to update the Medicare home health prospective payment system (HH PPS) for CY 2015. [read post]
19 Nov 2014, 10:54 am
The recent Ebola outbreak has prompted the HHS Office for Civil Rights (OCR) to release a new bulletin for covered entities and business associates regarding their privacy obligations under HIPAA in emergency situations. [read post]
19 Nov 2014, 7:11 am
Generally, when you visit a healthcare facility or receive any health treatments, you expect a certain level of privacy. [read post]
19 Nov 2014, 7:11 am
Generally, when you visit a healthcare facility or receive any health treatments, you expect a certain level of privacy. [read post]
19 Nov 2014, 7:11 am
Generally, when you visit a healthcare facility or receive any health treatments, you expect a certain level of privacy. [read post]
18 Nov 2014, 10:56 am
This enforcement discretion period will allow HHS to consider recent recommendations by the National Committee on Vital and Health Statistics (NCVHS) that covered entities not use the HPID in the HIPAA transactions. [read post]
18 Nov 2014, 10:23 am
The GAO cites a variety of shortcomings with current HHS transparency websites and tools, including that they lack information on topics of considerable relevance to consumers, such as patient-reported outcome measures and patient out-of-pocket costs, and they do not organize cost and quality information in a way that enables consumers to readily understand and compare provider performance or customize how the information is presented to enable consumers to identify the best… [read post]
17 Nov 2014, 11:36 am
Stamer also regularly represents clients and works with Congress and state legislatures, EBSA, IRS, EEOC, OCR and other HHS agencies, state insurance and other regulators, and others. [read post]
17 Nov 2014, 11:05 am
The IRS and HHS have now warned plans that they will fix the calculator, and the definition:"[C]ertain group health plan benefit designs that do not provide coverage for in-patient hospitalization services are being promoted to employers. [read post]
17 Nov 2014, 10:05 am
It is unclear how if at all the extension announced by HHS for reporting will impact the timing of these calculations. [read post]
17 Nov 2014, 8:37 am
Department of Health and Human Services (HHS) will make sense. [read post]
16 Nov 2014, 10:00 pm
The United States Department of Health and Human Services ("HHS") Office of Inspector General ("OIG") released its Fiscal Year 2015 Work Plan ("2015 Plan") on October 31, 2014. [read post]
16 Nov 2014, 10:00 pm
The United States Department of Health and Human Services ("HHS") Office of Inspector General ("OIG") released its Fiscal Year 2015 Work Plan ("2015 Plan") on October 31, 2014. [read post]
16 Nov 2014, 2:22 pm
" Burwell evaded: "Certainly right now in terms of the work that we're doing at HHS, we are doing our work and focusing on what we are doing and our modeling. [read post]
16 Nov 2014, 5:08 am
On November 4, the FBI announced that a Cicero, New York chiropractor had agreed to pay over $375,000 and enter into a three-year integrity agreement with the Office of Inspector General of HHS, to resolve allegations that he submitted claims for medically unnecessary procedures and “upcoded” others (charged a higher-reimbursement procedure code than the one appropriate for the services rendered). [read post]
16 Nov 2014, 12:08 am
On November 4, the FBI announced that a Cicero, New York chiropractor had agreed to pay over $375,000 and enter into a three-year integrity agreement with the Office of Inspector General of HHS, to resolve allegations that he submitted claims for medically unnecessary procedures and “upcoded” others (charged a higher-reimbursement procedure code than the one appropriate for the services rendered). [read post]
15 Nov 2014, 8:22 am
Department of HHS (Health and Human Services) notes that nearly one out of every 10 of the approximate 50 million elderly adults living in America are neglected, abused, or exploited every year. [read post]
14 Nov 2014, 4:54 pm
Circuit today upheld HHS accommodations to religious nonprofits that object to complying with contraception requirements under agency regs and the ACA. [read post]
14 Nov 2014, 6:08 am
Department of Health and Human Services, Office of Inspector General’s (“HHS-OIG”) New York Region, announced today that the United States has settled civil fraud claims under the False Claims Act against VISITING NURSE SERVICE OF NEW YORK, VNS CHOICE, and VNS CHOICE COMMUNITY CARE (collectively, “VNS”) related to the enrollment of ineligible members in the VNS Choice managed long-term care plan (“Choice MLTCP”). [read post]
