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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]
13 Nov 2014, 8:13 pm
The Office of Inspector General of HHS recently announced that it had settled with two health care providers allegations that the companies employed individuals who had been excluded from participating in federal health care programs. [read post]
13 Nov 2014, 7:11 pm
As part of the settlement announced today, the companies agreed to be bound by the terms of an enhanced and extended corporate integrity agreement with the Department of Health and Human Services-Office of Inspector General (HHS-OIG) in an effort to avoid future fraud and compliance failures. [read post]
13 Nov 2014, 9:26 am
Examples of some recent publications that may be of interest include: Stamer Kicks Off Dallas HR 2015 Monthly Lunch Series With 2015 Federal Legislative, Regulatory & Enforcement Update New DOL, IRS & HHS FAQ Confirms Employers Can’t Pay, Use HRAs to Reimburse Employees For Individual Policy Premiums Review Health Plans With Reference-Based Reimbursement Designs Under New Agency FAQ Guidance IRS Raises Health FSA Contribution Limit For 2015 IRS Guidance… [read post]
12 Nov 2014, 8:15 pm
This brings me to the second headline: “HHS Watchdog Details 2015 Plans to Scrutinize Medical Billing. [read post]
12 Nov 2014, 8:17 am
And HHS, in Section 1321, is told to establish “such [capital E] Exchange. [read post]
12 Nov 2014, 6:49 am
According to HHS, in June the average premium was $346 per month. [read post]
11 Nov 2014, 5:39 pm
Ten Ways the 2014 Election May Affect Privacy and Data Security Law – Washington, DC attorney Jeff Kosseff of Covington & Burling on the firm’s blog, InsidePrivacy Cap and Trade to Reduce Carbon Emissions in Washington Is SO 1990s – Seattle lawyer Elaine Spencer of Graham & Dunn on the firm’s blog, Science, Law & the Environment HHS releases reminder about HIPAA rules in wake of Ebola outbreak – St. [read post]
11 Nov 2014, 12:24 pm
Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is reminding health care providers, health plans, health care clearinghouses (Covered Entities) and their business associates that the privacy rules of the Health Insurance Portability & Accountability Act (HIPAA) requiring Covered Entities and their business associates to limit the use, access and disclosure of patient’s protected health information (PHI) continue to apply during emergency situations… [read post]
11 Nov 2014, 11:57 am
Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is reminding health care providers, health plans, health care clearinghouses (Covered Entities) and their business associates that the privacy rules of the Health Insurance Portability & Accountability Act (HIPAA) requiring Covered Entities and their business associates to limit the use, access and disclosure of patient’s protected health information (PHI) continue to apply during emergency situations and… [read post]
11 Nov 2014, 11:57 am
Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is reminding health care providers, health plans, health care clearinghouses (Covered Entities) and their business associates that the privacy rules of the Health Insurance Portability & Accountability Act (HIPAA) requiring Covered Entities and their business associates to limit the use, access and disclosure of patient’s protected health information (PHI) continue to apply during emergency situations and… [read post]
11 Nov 2014, 11:56 am
Along those same lines, HHS explicitly allows the disclosure of protected health information to disaster relief organizations such as the American Red Cross. [read post]
11 Nov 2014, 8:42 am
A state court may look to standards applied by the Federal Communications Commission (“FCC”), the Federal Trade Commission (“FTC”), the Department of Health and Human Services (“HHS”), or some other federal agency asserting jurisdiction over privacy and data security matters, and decide whether the applicable standard or standards are preempted by state law. [read post]
10 Nov 2014, 3:47 pm
Well known for her leadership on workforce, health and pension policy through her extensive work with clients as well as through her high profile involvements as the Founder and Executive Director of the Coalition for Responsible Healthcare Policy and its PROJECT COPE: the Coalition on Patient Empowerment, a founding Board member of the Alliance for Health Care Excellence, a Fellow in the American College of Employee Benefit Counsel, the American Bar Association (ABA), and the State Bar of Texas… [read post]
