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Health Care Enforcement Quarterly Roundup | Q3 | September 2018
In the latest installment of Health Care Enforcement Quarterly Roundup, we examine key enforcement trends in the health care industry that we have observed over the past few months. In this issue,
United States
9 Oct 2018
2
Health Care Enforcement Quarterly Roundup Q3 | September 2018
In the latest installment of Health Care Enforcement Quarterly Roundup, we examine key enforcement trends in the health care industry that we have observed over the past few months.
United States
9 Oct 2018
3
Health Care Enforcement Quarterly Roundup (October 2018)
In the latest installment of Health Care Enforcement Quarterly Roundup, we examine key enforcement trends in the health care industry ...
United States
9 Oct 2018
4
OIG Seeks Comments On Anti-Kickback Statute And Beneficiary Inducements As Part Of Its Regulatory Sprint To Coordinated Care
On August 24, 2018, the OIG, Department of HHS published a request for information, seeking input from the public on potential new safe harbors to the Anti-Kickback Statute and exceptions to the beneficiary inducement...
United States
31 Aug 2018
5
CMS Seeks Comments On Stark Law Reforms Needed To Reduce Obstacles To Innovation
On June 25, 2018, the Centers for Medicare and Medicaid Services (CMS) published a request for information, seeking input from the public on how to address any undue regulatory impact...
United States
10 Jul 2018
6
DOJ Settlement With Home Health Providers Underscores Strategic Considerations For Self-Disclosure
Home Health Providers did not admit any liability under the terms of the settlement agreement.
United States
26 Oct 2017
7
Physician Compensation Scrutiny Continues In Recent FCA Settlement
A hospital system in Missouri recently agreed to settle with the US Department of Justice (DOJ) for $34 million to resolve claims related to alleged violations of the Stark Law.
United States
27 Jun 2017
8
CMS Finalizes Stark Law Amendments
On November 16, 2015, the Centers for Medicare and Medicaid Services (CMS) published the 2016 Medicare Physician Fee Schedule final rule with comment period in the Federal Register at 80 Fed. Reg. 70,886
United States
25 Nov 2015
9
CMS Proposes Stark Law Amendments, Requests Comments On Whether Stark Law Is Barrier To Health Care Reform
The Centers for Medicare & Medicaid Services (CMS) recently published a notice of proposed rulemaking to amend its regulations implementing and interpreting the Stark Law.
United States
22 Jul 2015
10
OIG Proposes Expanding Anti-Kickback Statute Safe Harbors And Revising Civil Monetary Penalty Regulations
The OIG of the U.S. Department of Health and Human Services published a proposed rule containing revisions to the Anti-Kickback Statute safe harbors.
United States
8 Oct 2014
11
OCR Issues Final Modifications To The HIPAA Privacy, Security, Breach Notification And Enforcement Rules To Implement The HITECH Act
On January 25, 2013, the Office for Civil Rights (OCR) of the U.S. Department of Health and Human Services (HHS) published a final rule.
United States
27 Feb 2013
12
HIPAA De-Identification Guidance
Office of Civil Rights has released additional guidance addressing the de-identification of protected health information in accordance with the HIPAA Privacy Rule.
United States
18 Dec 2012
13
Essential Health Benefits Proposed Rule: Additional Detail With Few Surprises
The essential health benefits proposed rule, issued on November 20, 2012, defines the so-called Essential Health Benefits Package, composed of essential health benefits, cost-sharing limitations and actuarial value requirements.
United States
7 Dec 2012
14
Key Hospital Pay-For-Performance Programs Are Now In Effect
The Hospital Value-based Purchasing Program and Hospital Readmission Reduction Program, two key pay-for-performance programs created by the Patient Protection and Affordable Care Act (PPACA), went into effect this month.
United States
22 Oct 2012
15
CMS Issues Final Rule On Incorrectly Classified SCHs
On August 1, 2012, the Centers for Medicare & Medicaid Services posted the Inpatient Prospective Payment System final rule for fiscal year 2013.
United States
22 Aug 2012
16
CMS Proposes Changes To Medicare Inpatient Prospective Payment System For Fiscal Year 2013
The Centers for Medicare & Medicaid Services (CMS) has posted a more than 1,300-page proposed rule that would update Medicare’s Inpatient Prospective Payment System for fiscal year 2013.
United States
22 May 2012
17
Fourth Circuit Vacates Stark Damages Award; Provides Interpretation Of Key Stark Law Provisions
On March 30, 2012, the U.S. Court of Appeals for the Fourth Circuit published its long-awaited decision in the case of United States ex rel. Drakeford v. Tuomey Healthcare Sys., No. 10-1819 (4th Cir. 2012).
United States
25 Apr 2012
18
CMS Publishes Proposed Rule On Reporting And Returning Medicare Overpayments
The Centers for Medicare & Medicaid Services released a proposed rule implementing section 6402(a) of the U.S. Patient Protection and Affordable Care Act regarding reporting and returning overpayments under the Medicare program.
United States
28 Feb 2012
19
CMS Proposes Quality Reporting Program For Ambulatory Surgery Centers
Recently, the U.S. Centers for Medicare & Medicaid Services proposed to begin implementing a quality reporting program for ambulatory surgery centers that could lead to a true pay-for-performance program for outpatient freestanding surgical facilities.
United States
21 Jul 2011
20
Proposed Physician Fee Schedule Update Implements Key Reform Provisions
The Centers for Medicare & Medicaid Services (CMS) published its annual regulatory update to the Medicare Physician Fee Schedule (the proposed 2011 update), including rules implementing key provisions of the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act).
United States
31 Aug 2010
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