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9 Nov 2012, 9:00 am
., Board Certified by The Florida Bar in Health Law On November 1, 2012, the American Hospital Association (AHA) filed a lawsuit against the US Department of Health and Human Services (HHS) claiming that private auditors hired to crack down on improper Medicare payments are denying hospitals millions of dollars in medically necessary care, this is according to a number of sources. [read post]
9 Nov 2012, 9:00 am
., Board Certified by The Florida Bar in Health Law On November 1, 2012, the American Hospital Association (AHA) filed a lawsuit against the US Department of Health and Human Services (HHS) claiming that private auditors hired to crack down on improper Medicare payments are denying hospitals millions of dollars in medically necessary care, this is according to a number of sources. [read post]
7 Nov 2012, 8:52 am
Further, there is no indication of a report having been filed with HHS, but once again “absence of evidence is not evidence of absence. [read post]
4 Nov 2012, 10:31 pm
The Legatus court recognized this predicament and HHS’s obvious difficulty in promulgating a final rule in the next nine months. [read post]
4 Nov 2012, 7:12 pm
The findings of a 2011 report by the HHS (Department of Health and Human Services) Office of Inspector General reveal that almost 9 of every 10 Medicare claims for antipsychotic medicines for nursing home residents were for elderly people suffering from dementia. [read post]
2 Nov 2012, 4:04 pm
Department of Health and Human Services (HHS) in the U.S. [read post]
2 Nov 2012, 2:42 pm
HHS/CMS did not concur with the following GAO recommendations: a. [read post]
2 Nov 2012, 11:29 am
The important difference is that voluntary disclosure is optional; reporting a PHI security breach that is a List Breach to HHS is mandatory, with potential materially adverse consequences for failure to comply. [read post]
1 Nov 2012, 3:31 pm
The American Hospital Association ("AHA") and four hospitals (collectively, the "Plaintiffs") have filed a lawsuit against the Department of Health and Human Services ("HHS"), alleging that the Centers for Medicare and Medicaid Services ("CMS", a sub-agency of HHS), through its Medicare RAC Program, has inappropriately refused to pay for Medicare Part B services that it acknowledges were reasonably and medically necessary. [read post]
31 Oct 2012, 7:46 pm
Walsh has extensive knowledge of issues concerning health care fraud, off-label promotion, and clinical study fraud, with a particular emphasis on potential False Claims Act liability and exclusion by the HHS Office of Inspector General. [read post]
Proposed Settlement Agreement Filed in Federal Court Which Could Change SNF and Home Health Coverage
31 Oct 2012, 11:41 am
The clarified standards would allow for coverage of skilled SNF, HH, and OPT services for maintenance of a patient's condition even if there is no restoration or improvement potential. [read post]
30 Oct 2012, 8:44 pm
The briefing states that in 2004, DEA requested that the Secretary of HHS make a scientific and medical evaluation and rescheduling recommendation for combination hydrocodone products. [read post]
30 Oct 2012, 10:00 am
Click here to read the entire report from the HHS OIG. [read post]
30 Oct 2012, 10:00 am
Click here to read the entire report from the HHS OIG . [read post]
30 Oct 2012, 6:31 am
Under the Patient Protection and Affordable Care Act (ACA), the Department of Health and Human Services (HHS), in conjunction with the states, must annually review “unreasonable” health insurance premium increases in the small group and individual market. [read post]
29 Oct 2012, 9:41 pm
HH: Tonight as the storm rages, the Old Guard is at the Tomb of the Unknown Soldier. [read post]
29 Oct 2012, 1:29 pm
My interview with Senator McCain from today's program: 10-29Hewitt-McCain HH: I begin, however, with a story front and center in America’s consciousness, what happened in Benghazi. [read post]
29 Oct 2012, 9:54 am
HHS has also begun to move forward with its auditing of HIPAA compliance. [read post]
29 Oct 2012, 8:06 am
Repeal of §371.1000, Provider Re-Enrollment or Provider Contract Modification; §371.1621, Provider Enrollment; §371.1623, Criminal History Checks; §371.1625, Use of Criminal History Information; and §371.1627, Administrative Review of Rejection of Provider Enrollment by Reason of Criminal History, and new §§371.1001, 371.1003, 371.1005, 371.1007, 371.1009, 371.1011, 371.1013, and 371.1015, Provider Disclosure and Screening Requirements for Medicaid and other… [read post]
28 Oct 2012, 6:56 pm
Health Care Reform: HHS: NEW RULES FOR ELECTRONIC PAYMENTS WILL SAVE DOCTORS BILLIONS, 18 No. 3 Westlaw Journal Health Care Fraud 5, Westlaw Journal Health Care Fraud September 26, 2012 New federal rules covering electronic claims payments will "cut red tape" and could save health care providers and insurers $9 billion over the next 10 years, the U.S. [read post]