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Archives

2012.02.01: BREAKING NEWS: The HLP Welcomes New Attorneys and Opens Office in Lake Success, NY
2012.01.18: OIG Issues "Compliance Program Basics" HEAT Provider Compliance Training Video
2012.01.16: Inpatient Admission v. Outpatient Observation
2012.01.06: CMS Halts Anti-Fraud Projects Among Heavy Provider Opposition
2012.01.05: DME RAC Contingency Fee Up 5% to 17.5%
2012.01.04: AseraCare Hospice Sued by U.S. Over Alleged False Claims Act Violations
2011.12.30: OIG Issues Report: Program Integrity Problems with Newly Enrolled Medicare Equipment Suppliers
2011.12.30: CMS Issues Physician Payments Sunshine Act Proposed Rule
2011.12.30: OIG Soliciting Recommendations for AKS Safe Harbors
2011.12.30: DC Appeals Court Permits Physicians to Challenge Stark Law Regulations
2011.12.30: OIG Releases Report: Questionable Billing Patterns of Portable X-Ray Suppliers
2011.12.28: Professional Component MPPR Will NOT Apply to Group Practices at This Time
2011.12.16: Moving Forward: HHS to Shift its Focus to Prescription Drug Fraud
2011.12.15: OIG Posts HEAT Healthcare Provider Compliance Videos and Audio Podcasts
2011.12.15: Over $2.9 Billion Recovered in Healthcare Fraud in 2011
2011.12.09: OIG Views Favorably Online Service Facilitating the Exchange of Information Between Healthcare Practitioners, Providers and Suppliers
2011.12.01: CMS' Beginner's Guide to the Medicare EHR Incentive Program for Eligible Professionals Released
2011.11.30: CMS Reinstates Previous Rule Regarding Signatures on Requisitions: No Signature Required
2011.11.30: RAC Part A/B Rebilling Demonstration Call Held
2011.11.28: OIG Does Not View Favorably Proposed Arrangement of a Laboratory Management Company Providing Services in PCP Offices
2011.11.23: Marilyn Tavenner to Replace Donald Berwick as CMS Administrator
2011.11.23: Providers and Suppliers Beware: Medicare Patients Now Looking for Fraud, Too
2011.11.22: CMS Announced 90-Day Discretionary Enforcement Period for Compliance with New HIPAA Standards
2011.11.22: Cost of Administering Sipuleucel-T (PROVENGE®) is Now Reimbursable by Medicare
2011.11.22: Supreme Court to Review Healthcare Reform Challenge
2011.11.22: CMS Changes Medicare Overpayment Notification Process
2011.11.21: HIPAA Audit Pilot Program Underway
2011.11.15: RAC Program Further Expanding
2011.11.11: CMS Expands MPPR to Professional Component of Advanced Diagnostic Imaging
2011.11.11: CMS Issues 2012 Final Physician Fee Schedule
2011.11.10: Yet Again, the SGR Comes Knocking and, This Time, with a 27.4% Cut to Physician Services
2011.11.03: Robert S. Iwrey, Esq., Again, Named a d'Business Magazine Top Lawyer in Healthcare in 2012
2011.11.02: The Health Law Partners, PC Recognized as a "Best Law Firm"
2011.10.31: DAB Upholds CMS' Revocation of Provider's Enrollment for Failure to Timely Report Change in Practice Location
2011.10.26: CPAP Supplier Agrees to Pay $578,820 for Failure to Use Licensed Respiratory Therapists for PAP Set-Up's
2011.10.20: BREAKING NEWS: Final Accountable Care Organization ("ACO") Regulations Released
2011.10.18: OIG Takes an Unfavorable View of Proposed Pathology Laboratory/Physician Owned LLC Management Services Contract
2011.10.18: Hospice Provider Charged with Defrauding Medicare for More Than $14 Million
2011.10.18: OIG Views Favorably Ophthalmologist-Optometrist Co-Management Arrangement Relative to Cataract Surgery
2011.10.14: Hospice Face-to-Face Encounter Requirements Clarified
2011.10.04: CMS' FY 2010 Report to Congress On the RAC Program
2011.09.30: Hospitalists Compensation Rose Slightly in 2010
2011.09.28: Medicare Fraud Indictment Results in More Guilty Pleas in $25 Million Health Care Fraud Scheme
2011.09.28: 2012 Amount in Controversy for Medicare Appeals Issued
2011.09.21: Medicare Electronic Submission of Medical Documentation Pilot Program Begins September 2011
2011.09.16: Clinical Labs to Provide Patients Access to Completed Test Reports Under Proposed Rule
2011.09.16: CMS Reminds Providers and Suppliers to Revalidate Provider Enrollment Information
2011.09.15: CMS and OIG Respond to Finance Committee's Letters Regarding PODs
2011.09.15: Medicaid RACs: Final Rule Issued
2011.09.14: The HLP Congratulates Top 14% of Joint Commission's Accredited Hospitals
2011.09.13: Revised RAC Statement of Work Published
2011.09.09: OIG Views Favorably Arrangement to Provide Services Via Telemedicine Technology
2011.09.08: July 2011 OIG Recovery Act Oversight Monthly Report
2011.09.07: WPS' Service Specific Prepayment Probe Results for Established Patient Office Visits (99213) for Illinois
2011.09.06: Relying on PPACA Provision, 6th Circuit Court of Appeals Rules that Pure Research Performed in 1990s by Residents and Interns is Not Reimbursable
2011.09.02: Metro Detroit Continues to be a Focus of Health Care Fraud Prosecutions
2011.09.02: Independent Diagnostic Testing Facilities Facing OIG Scrutiny
2011.09.01: Health Care Fraud Prosecutions Continue to Rise
2011.08.25: CMS Invites Providers to Apply for Bundled Payment Models
2011.08.25: A Renewed Focus on Medicare's Signature Requirements
2011.08.25: GEICO Alleges $12.1 Million in Insurance Fraud, Seeks $36 Million in Damages
2011.08.24: New York Audit Uncovers Millions of Dollars in Medicaid Overpayments
2011.08.22: HIPAA Audit Procedures to Include Site Visits
2011.08.16: Philadelphia Takedown: 498-Count Indictment; 240 Counts of Healthcare Fraud; 53 Defendants
2011.08.05: AHA Urges CMS to Reevaluate the HIPAA Privacy Rule Accounting of Disclosures Proposed Rulemaking
2011.08.04: OIG Report Addresses Concerns Regarding Hospice Care Provided to Nursing Facility Residents
2011.08.03: Hospice Final Rule Issued
2011.07.29: RAC Audits the Focus of Recent Congressional Hearing
2011.07.21: Law Judge Upholds HHS OIG's Exclusion of Owner of Orlando, Florida Diagnostic Imaging Services Company
2011.07.21: Associations Hail Deficit Plan's 'Doc Fix'
2011.07.19: State of Georgia Investigating Its HIV Unit
2011.07.15: RAC Recoveries Continue To Climb in FY 2011 Q3
2011.07.13: Governor Cuomo Names New Medicaid Inspector General as the New York Legislature Passes New Legislation Governing Health Care Audits
2011.07.12: OIG Finds Majority of Wheelchairs Provided to Medicare Beneficiaries Did Not Fulfill Medical Necessity Guidelines
2011.07.11: CMS Proposes Changes to the EHR Incentive Program for EPs
2011.07.11: Brooklyn Neurologist Pleads Guilty in Health Care Fraud Scheme
2011.07.11: CMS' Proposed Physician Fee Schedule for CY 2012 Revises Bone Density Service Codes
2011.07.11: CMS Proposes Telehealth Changes for CY 2012
2011.07.11: CMS Issues Stark Advisory Opinion, Allows Non-Competition Clause in Proposed Agreement to Meet Requirements of Stark Physician Recruitment Exception
2011.07.11: CMS' Proposed Provision Ends Payment to Independent Laboratories for TC of Certain Physician Pathology Services Beginning CY 2012
2011.07.08: What Happens in Vegas May Not Stay in Vegas
2011.07.08: CMS Examines Impact of 3-Day Payment Window Policy on Wholly Owned or Wholly Operated Physician Practices
2011.07.07: CMS Retracts Requisition Signature Requirement for Clinical Diagnostic Laboratory Tests
2011.07.06: Home Health Care Operator Indicted in Alleged Medicare Fraud Scheme Totaling $20 Million
2011.07.05: CMS Releases Proposed Rule Regarding 2012 Medicare Physician Fee Schedule
2011.07.01: Senate Finance Committee Abandons Proposed Equipment Utilization Rate Increase
2011.07.01: Three Brooklyn Physical Therapy Clinic Employees Plead Guilty in a $3.4 Million Health Care Fraud Scheme
2011.06.30: RAC DRG Coding Vulnerabilities Identified, Guidance for Inpatient Hospitals Addressed by New CMS Article
2011.06.30: 6th Circuit Court of Appeals Panel Upholds the Health Reform Law's Individual Mandate
2011.06.29: Administration Places Health "Mystery Shopper" Initiative on Hold
2011.06.28: Michigan Health Claims Tax Proposed, Relied On in State Budget
2011.06.27: Another Medicare Defrauder Sentenced in Metro Detroit
2011.06.24: Predictive Modeling Technology to Assist CMS in Detecting Medicare Fraud
2011.06.23: Regulators Toughen Up on Doctors
2011.06.22: OIG Addresses CPAP Set-Up Service Arrangements between a DME Supplier and a Sleep Test Provider under the Federal Anti-Kickback Law
2011.06.21: MedPAC Proposes Prior-Authorization Program
2011.06.16: Responding to RAC ADRs
2011.06.16: MGMA Physician Compensation Survey Highlights Released
2011.06.16: Medicare Probe Review Guidance
2011.06.15: MedPAC Recommendation for Reduction in Imaging Services is Being Met with Strong Opposition
2011.06.14: AMA Submits Comments to CMS Regarding ACO Proposed Rule
2011.06.13: Ohio Bill Impacting Pain Clinics Signed into Law
2011.06.13: Health Insurers Diversify in Wake of Industry Reform
2011.06.10: False Claims Act Allegations Resulted in Florida Radiology Clinic and Others to Pay $3 Million Settlement
2011.06.10: Senators Request Investigation into the Legality of PODs
2011.06.09: Patient Recruiter Sentenced for Involvement in Detroit Medicare Fraud Scam
2011.06.08: The HLP Congratulates Founding Partner Adrienne Dresevic on ABA Health Law Section Administrative Committee Appointment
2011.06.08: New CMS Self-Disclosure Protocol Used to Resolve First Stark Matter
2011.06.07: PCMHs Gain Momentum in New York
2011.06.06: HIPAA Privacy Rule Modifications Proposed by HHS
2011.06.06: AMA Submits Comments to CMS Regarding ACOs, Calls for Interim Final Rule
2011.06.03: CMS Proposes New Rule Allowing Access to Medicare Data for Reports on Providers
2011.06.03: Part D RAC Program Vendor Selected
2011.06.03: Joint Commission PCMH Option Available in July
2011.06.02: AMA Submitted Comments on FTC/DOJ ACO Antitrust Enforcement Policy
2011.06.02: Gentiva Health Services, Inc. Settles with Government for $12.5 Million
2011.06.02: OIG Audit and Legal Action Recoveries Expected to Net $3.4 Billion
2011.06.02: Sleep Center False Claims Case Settles for $650,000
2011.06.01: HHS Hospice Cap Regulation Held Invalid by New Mexico District Court
2011.05.31: The HLP Welcomes New Health Care Attorney
2011.05.31: New Pre-Op Guidance for ASCs
2011.05.30: MGMA's Physician Starting Salary Survey Released
2011.05.27: ACO Proposed Rule's Program Integrity Includes Mandatory Compliance Plans
2011.05.26: Pain Clinic Zoning Ordinance Passed in South Florida Town
2011.05.25: HEAT Provider Compliance Training Materials Now Available
2011.05.19: Potential ACOs Reluctant to Participate Under Proposed Rule
2011.05.18: New Medicare Compliance Newsletter Released
2011.05.16: A Route to Quality Medicare Reform - Insight by CMS' Donald Berwick
2011.05.12: Social Media for Healthcare Providers
2011.05.11: Erroneous Medicare Payments for Radiology Services in Hospital Emergency Departments Exceed the $30 Million Mark in 2008
2011.05.10: CMS' RAC Recoveries Accelerate
2011.05.09: Hospice Wage Index to Rise in FY 2012 under CMS' Proposed Rule
2011.05.09: CMS Issues Final Rule for Credentialing for Telemedicine Services
2011.05.05: OIG Report: Review of Medicaid High-Dollar Payments for Inpatient Services in Michigan from January 1, 2007 Through March 31, 2009
2011.05.03: ASA Posts FAQs on Accountable Care Organizations (ACOs)
2011.05.01: Signature Requirements Fact Sheet Now Available
2011.04.18: HLP's Founding Partner, Adrienne Dresevic, Co-Authored Featured Article in ABA's Health Lawyer
2011.04.18: CVS Pharmacy, Inc. Settles with Government for $17.5 Million
2011.04.18: CMS' RACs Implementing a "Semi-Automated" Claims Review
2011.04.15: OIG Focuses on Mental Health Centers
2011.04.07: The HLP and Decision Health Announce Upcoming June Conference in Las Vegas, Nevada: "Physician-Hospital Alignment Strategies 2011"
2011.04.06: Joel Kahn, M.D. is Named to Two New Medical Director Positions at DMC
2011.04.05: Model Legislation for Balance Billing Adopted by NCOIL
2011.04.04: Face-to-Face Encounter Requirement for Hospice and Home Health Providers Effective NOW
2011.04.01: Alan G. Gilchrist, Esq. Joins The HLP to Lead Civil False Claims and Criminal Defense Practice Group
2011.04.01: The Highly Anticipated ACO Guidance Has Been Issued!
2011.03.31: ACO Proposed Regulations Issued
2011.03.25: OIG Views Favorably Complimentary Transportation Services in Adv. Op. 11-02
2011.03.21: 5th and 9th Circuits Rule the HHS Hospice Cap Invalid
2011.03.19: Advocacy Groups Pushing to Delay Face-to-Face Rule
2011.03.18: Holder and Sebelius in Detroit, MI
2011.03.17: Faculty Physicians Experiencing Increased Salaries
2011.03.15: ACO Regulations May Finally Be Near
2011.03.07: Pharmacist Accused Of Largest Health Care Fraud In Southern District of Indiana
2011.03.04: Recent Guidance from Wisconsin Physicians Services (WPS)
2011.03.02: MI Governor Snyder Makes Changes to Department of Energy, Labor and Economic Growth (DELEG)
2011.03.01: South Florida: Another Pill Mill Target
2011.02.28: CMS: NGS Inappropriately Paid $56.2 Million in 2007
2011.02.22: Cignet Health's Violation of HIPAA Privacy Rule Resulted in $4.3 Million Penalty
2011.02.18: Empire BCBS Now Rewards Physicians for Using Best Practices
2011.02.18: House Judiciary Committee Approves Medical Liability Bill
2011.02.17: Largest Federal Medicare Fraud Takedown. Ever.
2011.02.16: Southern District of Florida Unseals 38-Count Indictment for Healthcare Fraud
2011.02.16: NY Pharmacist Charged with Felony, Alleging She Defrauded Medicaid
2011.02.09: OIG Releases Supplemental Materials for Roadmap
2011.02.08: Medicare Part B Contractor Denies 96% of Neurology Claims in Recent Probe
2011.02.03: Facet Joint Injections Considered for RAC Review
2011.02.03: OIG Concerned about Part D Schedule II Drug Reporting
2011.02.03: OIG Launches First-Ever Most Wanted Healthcare Fugitives List
2011.02.03: Efforts to Quash Healthcare Reform: Some Successful, Some Not-So-Successful
2011.02.02: Report Compares For-Profit Hospice with Not-For Profit Hospice Patient Populations
2011.01.28: CMS Issues Revised Interpretive Guidelines for Hospital Conditions of Participation - Anesthesia Providers Affected
2011.01.27: Hospital Inpatient Admission Guidance Published
2011.01.26: New York Regulations Related to Medical Staff Credentialing Revised
2011.01.24: OIG Health Care Fraud and Abuse Control Program Report Issued
2011.01.14: RAC Program Concerns Raised by the American Hospital Association (AHA)
2011.01.10: CMS Launches Physician Compare Website
2011.01.04: WPS Releases Revised Overpayment Notification and Voluntary Refund Forms
2011.01.03: January 3: EHR Registration Begins!
2010.12.30: OIG Uneasy About Medicaid Ambulatory Transport Services
2010.12.20: Medicare Hospice Cap Challenged by Texas Lawsuit
2010.12.19: Compliance Risks Are Real - OIG Report Reflects That The Government Projects Almost $26 Billion In Recoveries And Savings In FY 2010
2010.12.17: December 31: New York's Medicaid Compliance Certification Deadline
2010.12.14: Red Flags No Longer Applicable to Healthcare Practices
2010.12.10: President Obama to Sign One-Year Delay of Doctor Pay Cuts
2010.12.09: False Claims Act Brings in Record Amount for 2010
2010.12.08: Medicaid Prescriptions Hit the Street with Alarming Frequency
2010.12.07: Kansas Hospice Provider Accused of False Claims
2010.11.29: Congress Agrees to One Month Delay in Medicare Cuts
2010.11.22: CMS Seeks Comments On New Standards For ACOs; AMA and Other Health Organizations Respond
2010.11.21: Stark In-Office Ancillary Services Exception Disclosure Requirements Effective January 1, 2011
2010.11.19: Delay in Medicare's 23% Doctor Pay Cuts Approved by Senate
2010.11.18: Legislation Introduced to Extend Medicare Reimbursement Rates
2010.11.12: Hospice Recertification Requirements Under CMS 2011 Home Health Prospective Payment System
2010.11.12: CMS Released 2011 Final Home Health Prospective Payment System
2010.11.10: RAC Frequently Asked Questions Updated
2010.11.09: Medicaid RAC Proposed Rule Issued
2010.11.08: Key Updates from the CMS 2011 Final Physician Fee Schedule
2010.11.04: OIG Issues Additional Advisory Opinions on Managing Hospital Sleep Lab
2010.11.03: CMS 2011 Final Physician Fee Schedule: Interim Final Values For Sleep Codes
2010.11.03: 2011 CMS Final Physician Fee Schedule Released
2010.10.27: The HLP Welcomes New Attorney
2010.10.18: OIG 2011 Work Plan: The Medicare Audits and the Appeals Process
2010.10.15: OIG 2011 Work Plan: Medical Equipment and Supplies
2010.10.14: OIG 2011 Work Plan: Sleep Testing
2010.10.13: OIG 2011 Work Plan: Diagnostic Testing
2010.10.12: OIG 2011 Work Plan: Imaging Services
2010.10.11: OIG 2011 Work Plan: Evaluation and Management Services
2010.10.08: OIG 2011 Work Plan: Hospices
2010.10.07: OIG 2011 Work Plan: Home Health Agencies
2010.10.06: OIG 2011 Work Plan: Hospitals
2010.10.06: OIG Releases Report: "Review of Michigan's Reporting Fund Recoveries for State Medicaid Programs on the Form CMS-64 for the First Quarter"
2010.10.05: OIG 2011 Work Plan
2010.10.04: Arkansas Supreme Court Upholds Lower Court's Decision Rejecting Economic Credentialing for Staff Privileges
2010.10.01: Novartis Pharmaceuticals Settles with DOJ for $420 Million
2010.09.30: OIG Continues to Permit Free Pre-Authorization Services
2010.09.28: Update: FTC, CMS, and OIG October 5th Workshop on ACOs
2010.09.28: Medicare Claims for Hospice Beneficiaries
2010.09.28: HealthCare.gov on Facebook
2010.09.28: OIG Finds Billing Vulnerabilities with Medicare Hospice Benefits
2010.09.27: House Passes Bill to Strengthen OIG Enforcement Under Fraud and Abuse Violations
2010.09.24: CMS Releases Stark Self-Referral Disclosure Protocol
2010.09.23: Physicians Working Collectively to Address Patient Payment Reform
2010.09.20: CMS Posts Preview of Proposed Rules
2010.09.20: Daniel Levinson Testifies on Medicare's Coverage of DMEPOS Suppliers
2010.09.19: The Joint Commission Extending the Accreditation Process to Primary Care Home Option in 2011
2010.09.14: "Per-Click" HospitalSleep Lab Service Arrangement Permissible According to OIG Opinion
2010.09.13: Home Sleep Test Provider Settles False Claims Act Allegations
2010.09.11: FTC, CMS and OIG To Hold October 5th Workshop On ACOs
2010.09.10: CMS Provides Guidance on Hospice Benefits for Children Pursuant to Healthcare Reform
2010.09.09: OIG Permits Hospital to Seek Pre-Authorization for Diagnostic Imaging Services
2010.09.07: HLP's Adrienne Dresevic, Esq. Quoted in Kaiser Health News
2010.09.06: Fifth Circuit Ruling Affirms that Psychologists are Not immune from Fraud and Abuse Scrutiny
2010.08.17: CARE Act Would Create Credentialing Standards for Medical Imaging Personnel
2010.08.12: CMS Clarifies Timely Filing Requirements for Claims Including a Span of Time
2010.08.12: RAC for Region D Posts New Anesthesia Care Package
2010.08.12: Insurers Stepping in to Provide Technology to Doctors
2010.08.05: NY AG investigating health care credit cards
2010.08.04: OIG Advisory Opinion No. 10-11: The OIG Favorably Reviews a Company's Proposal to Encourage Health Care Providers to Use its Online Program to Schedule Meetings by Providing Charitable Donations in the Health Care Providers' Names
2010.08.02: Medicare Strike Force Rounds Up 94 People in $251 Million False Billing Scheme
2010.08.02: CMS Solicits Proposals For Participation In Medicare Imaging Demo
2010.07.28: Radiology Clinic Pays $647,000 to Resolve Lawsuit Alleging it Billed Medicare for Unneeded Tests
2010.07.28: Rite Aid Agrees to Pay $1 Million to Settle HIPAA Privacy Case
2010.07.27: Hospice Proposed Rule Includes Important changes to Hospice Certification Requirements
2010.07.26: Gov. Paterson Orders Lawmakers Back To Discuss Budget, Medicaid
2010.07.21: Hospice Providers Face Claims Scrutiny
2010.07.16: $251M Medicare Bust Includes Detroit
2010.07.16: OIG Plans to Scrutinize Medicare Part D Drug Claims
2010.07.14: Physicians' Perceptions, Preparedness for Reporting, and Experiences Related to Impaired and Incompetent Colleagues
2010.07.14: RAC Vulnerabilities Highlighted in CMS Release
2010.07.13: Secretary Sebelius Announces Final Rules to Support Meaningful Use of Electronic Health Records
2010.07.12: AMA: 20% of Medical Claims Processed Incorrectly by Health Insurers
2010.07.09: New HIPAA Rules Will Require Covered Entities To Issue New Notice of Privacy Practices
2010.07.08: OIG Enters Into $7.3 Million Civil Monetary Penalty Settlement With Physician-Owned Enterprise
2010.07.08: Health Information Privacy and Security Strengthened through New Proposed Rule
2010.07.07: Michigan Health Care Reform Opt-Out Falls Short
2010.07.06: FTC delays enforcement of Red Flag Rules against Physicians
2010.07.05: Proposed Medicare Physician Fee Schedule Contemplates A 6.1% Cut In Physician Reimbursement Rates
2010.06.30: California Physicians Challenge Opt-Out of Physician Supervision Requirement
2010.06.29: OIG Identifies Inpatient Rehabilitation Facility (IRF) Overpayments
2010.06.29: A Renewed Focus on Compliance: Health Care Reform Measures, Increase Audit Scrutiny and More Reasons Why Compliance Matters!
2010.06.28: Disclosure Requirements for In-Office Ancillary Services Exception to the Prohibition on Physician Self-Referral for Certain Imaging Services
2010.06.28: CMS has Released the Proposed Physician Fee Schedule
2010.06.24: MEDPAC Report on In-Office Ancillary Services
2010.06.24: CMS Issues The Medicare Recovery Audit Contractor (RAC) Program: Update to the Evaluation of the Three-Year Demonstration Program
2010.06.23: The FDA Plans to Alter its Rules to Help Facilitate Innovation in Medical Device Development
2010.06.22: System Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404- Maximum Period for Submission of Medicare Claims Reduced to Not More than 12 Months
2010.06.22: Texas Pain Management Physician Arrested Based on Federal Health Care Fraud Indictment
2010.06.22: Oklahoma Court Invalidates HHS Regulation for Calculating Hospice Provider Cap
2010.06.21: Detroit and Wayne County Leaders Seek $20 million for Health Centers
2010.06.20: Senate Unanimously Passes "Doc Fix"
2010.06.18: Temporary Certification Program for EHR Technology Announced
2010.06.18: OIG Advisory Opinion on Freestanding Radiation Oncology Center and Free Services to Cancer Patients
2010.06.18: ASA Asks OIG to Prohibit Anesthesia "Company Model"
2010.06.15: WPS Conducting a Widespread Service-Specific Prepayment Probe
2010.06.14: New York Hospital Associations Predict Healthcare Spending Cuts May Harm Providers
2010.06.13: Congress Exhorted To Avert Medicare Pay Cuts
2010.06.12: New IRS Tax Credit Benefits Small Employers
2010.06.10: CMS Identifies Inpatient Rehabilitation Facility (IRF) Overpayments
2010.06.10: CMS Clarifies Rules Governing Physician Supervision Of Services Provided To Hospital Outpatients
2010.06.08: CMS Publishes Proposed Rule on Privileging of Telemedicine Professionals
2010.06.03: Physician Organizations Challenge Constitutionality of the Health Reform Law
2010.06.01: CMS Issues Guidance On ACOs
2010.05.28: RED FLAGS RULE AND IDENTITY THEFT- ENFORCEMENT DELAYED YET AGAIN
2010.05.26: Anesthesia Guidelines Clarified: CMS Issues Transmittal on May 21, 2010
2010.05.25: AMA and Others File Suit to Block Red Flag Rules
2010.05.25: Ohio Hospital Settles False Claims Act Suit for $108 Million
2010.05.24: New CMS Transmittal Regarding the Use of RAs to Report Recoupments
2010.05.21: HLP Founding Partner Quoted in "Physicians Practice"
2010.05.18: Mandatory Compliance
2010.05.16: Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months
2010.05.16: Precipitous Increase in Fraud And Abuse Recoveries To Medicare Trust Fund
2010.05.14: OIG Opinion Approves Free Pre-Authorization Arrangement
2010.05.14: New Report Highlights Federal Efforts to Fight Health Care Fraud
2010.05.13: CMS Program Integrity Rulemaking Process Issued May 5
2010.05.12: PSCs Found to Have Little Effect on Recovery of Medicare Overpayments
2010.05.12: Compliance and Health Care Reform
2010.05.11: HIPAA Security: Risk Analysis Guidance Issued
2010.05.11: New Amendments to Standards for Effective Compliance and Ethics Plans
2010.05.10: Shortage of Primary-Care Physicians
2010.05.07: HITECH Act Expands Requirements for Accounting of Disclosures
2010.05.06: New Requirements for Noninvasive Vascular Testing
2010.05.06: Health Care Reform Bill Creates New Mandatory Compliance Programs
2010.05.05: NY Bill Clarifies Authority of Physician Assistants
2010.05.05: Patient Protection and Affordable Care Act: How its tax provisions impact individuals and businesses
2010.05.04: Smoking Banned in Health Facilities
2010.05.03: Surgeon receives prison sentence for a HIPAA privacy violation
2010.04.28: Updated Signature Guidelines for Medical Review Purposes
2010.04.27: Detroit-Area Man Pleads Guilty to Conspiracy to Commit Health Care Fraud in Kickback Scheme
2010.04.26: HHS-OIG Adds MCFUs Section to Website
2010.04.23: St. Vincent's in Manhattan Begins Selling Real Estate
2010.04.22: Carriers Recouping Overpayments Identified by RACs Must Follow Precise Reporting Instructions
2010.04.20: April 2010 Monthly Review Reiterates HHA Accreditation and Change of Ownership Updates
2010.04.19: Meaningful Use of EHR Technology Expanded
2010.04.16: Congress Extends 0% Update to Medicare Physician Fee Schedule
2010.04.14: House Bill doubles Penalties for Medicare Fraud
2010.04.13: New York AG's Office Recovers More Than $283 Million In Medicaid Fraud
2010.04.08: Physicians Providing MRI/CT/PET Services In-office Must Provide Written Disclosure to Medicare Patients
2010.04.07: CMS Announces Series of Nationwide RAC 101 Calls
2010.04.06: U.S. Justice Department joins lawsuit against Georgia hospital
2010.04.06: John Muir Health data breach
2010.04.03: IRS To Honor Medical Resident FICA Refund Claims
2010.04.01: RAC Vendor For Region D Removes Anesthesia Care Package Issue from Approved List
2010.03.30: CMS's Deletion of "Purchased Interpretations" Causes Problems for Certain Out-of State teleradiology arrangements: Imaging Centers Billing for out-of-State interpretations can Expect Claim Denials
2010.03.30: Impact of the Health Care and Education Affordability Reconciliation Act of 2010 (H.R. 4872)
2010.03.30: Final Interim Rule: Electronic Prescriptions for Controlled Substances
2010.03.25: Florida Medical Center Settles Fraud Suit for $12 Million
2010.03.23: Get Ready: The RAC Program Soon May Be Expanding
2010.03.19: Report on Physician Tax Shows Mixed Results
2010.03.19: Purchase of Detroit Medical Center Announced
2010.03.19: UPDATE: OCR Makes Certain HITECH Enforcement Delay Official
2010.03.18: Joint Commission Approves Revised Medical Staff Bylaws Standard
2010.03.17: OIG Releases Compendium of Unimplemented Recommendations
2010.03.16: Office of Civil Rights Hints it May Delay Enforcement of Security Provisions in HITECH Act
2010.03.16: HHS Announces Additional $162 Million to Promote Meaningful Use of Health Information Technology
2010.03.15: Update on Reimbursement Freeze
2010.03.11: OIG Cracks Down First Months of 2010
2010.03.10: President Obama Emphasizes Support of RAC Program
2010.03.08: ONC Proposes Certification Program for Electronic Health Records Systems
2010.03.05: Concerns About Pete Stark Thwart His Assuming the Chairmanship of the House Ways and Means Committee
2010.03.05: CMS Issues Additional Guidance Regarding Elimination of Consultation Codes
2010.03.04: HLP Receives Direct Clarification Regarding HHA Ownership Changes
2010.03.04: Pete Stark Replaces Charlie Rangel on House Ways and Means Committee
2010.03.03: Congress Extends Freeze in Medicare Reimbursement for 30 Days
2010.03.02: HLP Attorney Dresevic Published on Stark and AKS in RBMA Bulletin
2010.03.02: Medicare Reimbursement Reduction Update
2010.03.01: Michigan Office of Health Services Inspector General Created
2010.02.25: CMS Releases Home Health Agency Transmittal Regarding Accreditation and Change of Ownership
2010.02.24: Michigan Updates in Medicare and Medicaid
2010.02.23: Recovery Audit Contractors (RAC), Fraud Referrals, Recommendations
2010.02.22: HITECH "Business Associate" Provisions Enforcement Delayed
2010.02.22: Medical Society of the State of New York Urges Calls to Congress To Again Prevent 21% Physician Medicare Cut
2010.02.16: Will Physicians Find Permanent Relief From the FTC's "Red Flag Rules"?
2010.02.12: Florida Appeals Court Finds That Non-Contracted Providers Cannot Balance Bill Patients When an HMO is Liable
2010.02.11: MIPAA Accreditation for Providers of Advanced Diagnostic Imaging Services
2010.02.09: HLP Welcomes New Health Care Corporate Attorney
2010.02.09: CMS Rescinds POS Reimbursement Rules for Diagnostic Tests
2010.02.08: Home Health Agencies and Ownership Changes
2010.02.04: Incentive Payments for Meaningful Use of EHR Technology Does NOT Apply to Anesthesiologists
2010.02.01: CMS Initiates New Demonstration Programs in Indiana and in North Carolina
2010.01.18: OIG Report Found 81% of Hospice Claims Failed to Meet Documentation Requirements
2010.01.15: UPDATE: Telemarketing by Durable Medical Equipment Suppliers is Still Prohibited
2010.01.13: Ramifications of Federal Estate Tax Appeal
2010.01.12: Health Law Partners To Publish Monthly "Regulatory Review" Column in Link, The Online Journal of the AHRA
2010.01.11: Health Care Law Call for Articles
2010.01.08: Sebelius to "Galvanize" Public Health System
2010.01.07: American Society of Nuclear Cardiology Takes Legal Action to Halt Implementation of the 2010 Medicare Physician Fee Schedule
2010.01.06: Kickback Settlement Includes Publishing Names of and Payments to Physicians
2010.01.05: CMS Amends Supervision Requirement for Outpatient Therapeutic Services and Outpatient Diagnostic Services in the 2010 OPPS
2009.12.30: Meaningful Use Regulations Issued by CMS: BREAKING NEWS
2009.12.29: False Claims Suit Settled in Michigan
2009.12.18: Medicare Eliminates Use of Consultation Codes
2009.12.17: Physician Disruptive Behavior Can Lead to Staff Privileging Actions
2009.12.16: Compliance Update: Teaching CRNAs and Two Concurrent Cases
2009.12.15: Sixth Circuit Affirms Conviction and Sentence of Anesthesiologist for Fraud and Endangering Patients
2009.12.14: Medicare Makes Major Changes to Coverage Requirements for Inpatient Rehabilitation Services
2009.12.10: HLP Expands
2009.12.10: Michigan Supreme Court Deciding HIPAA's Impact in Liability Cases
2009.12.09: HIPAA Violation Results in Sixteen Firings in Houston
2009.11.25: 2010 Medicare Fee Schedule Announced
2009.11.24: Health Care Data Breach
2009.11.23: CMS Delays PECOS
2009.11.10: 2010 Home Health PPS Final Rule Addresses Program Integrity Issues
2009.11.05: Red Flags Rule Deadline Extended...Again
2009.10.30: New HIPAA Rules Posted Today
2009.10.29: Physician Tax? No, Thank You
2009.10.28: Part B Physicians Must Sign Dictated Medical Records
2009.10.27: HIPAA Violators Sentenced
2009.10.27: Red Flags Exceptions Passed in House
2009.10.16: Bill Introduced to Exempt Category of Small Businesses from Compliance with Red Flags Rule
2009.10.15: $8.3 Million Settlement between University of Medicine and Dentistry of New Jersey Alleging Stark and Anti-Kickback Violations
2009.10.02: OIG Work Plan for FY 2010 Has Been Released
2009.10.01: Billing Claims Involving Hospice Coverage
2009.09.25: America's Healthy Future Act of 2009
2009.09.24: Arizona Heart Hospital Settles with the HHS and the OIG
2009.09.13: OIG Releases Reports Regarding Hospice Claims and Medicare Coverage Requirements
2009.08.24: HITECH Act Breach Notification Final Rule Published
2009.08.18: DME CONSIGNMENT CLOSETS LIMITED
2009.08.17: RAC FOR REGION D PUBLISHES APPROVED AUDIT ISSUES
2009.08.06: OIG Report Reveals Weakness in "Incident To" Rule
2009.08.05: Recovery Audit Contractor ("RAC") Vendor for Region C Publishes Approved Audit Issues
2009.08.03: HIPAA Designated to Office for Civil Rights
2009.08.03: OIG Permits Hospitals to Discount Medicare Inpatient Deductibles
2009.07.31: OIG Allows Pharmaceutical Manufacturer to Create Free Physician Assistance Program
2009.07.30: OIG Allows Joint Venture of Ambulatory Surgery Center by a Hospital and LLC
2009.07.29: UPDATE: The Red Flags Rule Postponed!
2009.07.24: Recovery Audit Contractors And Medicare Audits: What Can Hospitals and Health Systems Expect as the RAC Program Expands Nationwide?
2009.07.23: Recent Developments and Key Legal Issues Impacting Diagnostic Imaging Services, Part 2
2009.07.22: Recent Developments and Key Legal Issues Impacting Diagnostic Imaging Services, Part 1
2009.07.21: The Continued Relevance of the Stark Law's IOASE: In-Office Imaging Arrangements Remain Viable
2009.07.20: CBO Says Healthcare Bill is NOT Budget Neutral
2009.07.16: 2010 Proposed Physician Fee Schedule - Advanced Imaging Updates
2009.07.14: The Blue Has Given Us the Green to See the Long-Awaited Healthcare Bill
2009.07.10: Following Other States, Michigan's Attorney General Looks to Implement a Michigan Office of Medicaid Inspector General
2009.07.09: The Red Flags Era is Approaching, Are You Ready?
2009.07.09: Attention All Anesthesiologists - The 2010 CMS Proposed Physician Fee Schedule Has Been Posted!
2009.07.02: OIG Permits Giving Free Nutritional Supplements to End-Stage Renal Disease Patients
2009.07.02: OIG Says OK to Paying Groups for Imposing Cost-Saving Opportunities
2009.07.02: MA and VT Ban Gifts to Doctors
2009.07.02: Significant Medicare Payment Cuts Contemplated Under Obama Health Plan
2009.06.30: Defendants Sentenced for Medicare Fraud Scheme
2009.06.26: New York's Mandatory Compliance Regulations are Hot Off the Press
2009.06.25: Medicare Fraud Sting Operation in Detroit
2009.06.24: President Obama Announced Deal with Pharmaceutical Companies and Signed Anti-Smoking Bill
2009.06.23: OIG Posts Four Audit Reports & Administrative & Civil/Criminal Enforcement Actions
2009.06.22: New Florida Law Requiring Doctors and Pharmacists Report Prescriptions to an Electronic Database
2009.06.19: CMS Updates Medicare Policy Regarding Outpatient Observation
2009.06.18: CMS Delays Recovery Audit Contractor (RAC) Medical Necessity Reviews
2009.06.17: Stark Law Article Published by Partners in AHRA
2009.06.16: Medical Identity Theft on the Rise
2009.06.15: Obama to Talk to AMA Regarding Future of Healthcare
2009.06.12: Florida Allows Insurance Companies to Pay Out-of-Network Physicians Directly
2009.06.11: Update of the Michigan Medical Marihuana Act
2009.06.10: The OIG Cracks Down On Fraud and Abuse Cases
2009.06.09: Medicaid Enrollment Up; Physician Acceptance of Medicaid Patients Down
2009.06.08: Health Law Partner to Present at World Research Group's Healthcare Management Conference
2009.06.03: Civil False Claims Act Liability Expanded
2009.05.26: Out of Network Billing Under Increased Scrutiny
2009.05.22: PRG-Schultz CFO to Leave
2009.05.20: Health Care Fraud Prevention and Enforcement Action Team Announced
2009.05.19: New ASC Conditions for Coverage Have Taken Effect
2009.05.14: RAC Presentation Published by CMS
2009.05.14: New RAC FAQ Posted by CMS
2009.05.13: Medicare Trust Funds Expected to Deplete Sooner than Last Year's Projection
2009.05.12: Health Law Partner Presents to Oakland County Medical Society and Oakland County Bar Association
2009.05.11: Reimbursement Rates Cut for Michigan Medicaid Providers
2009.05.06: HHS Issues HITECH Act Guidance for Securing PHI Relative to Breach Notification Regulations
2009.05.04: Michigan Medicaid False Claims Act Approved by OIG
2009.05.01: "Red Flag Rules" Enforcement Delayed
2009.04.30: New OIG Advisory Opinion Published
2009.04.29: HHS Secretary Confirmed
2009.04.28: Electronic Health Records Bill Introduced
2009.04.27: The In-Office Ancillary Services Exception's Continued Relevance
2009.04.27: The Federal Stark Law and Anti-Kickback Statute Addressed in OIG's Open Letter Refining Self-Disclosure Protocol
2009.04.27: Changes to COBRA Included in Stimulus Package
2009.04.27: Recovery Audit Contractors ("RACs") Authorized to Engage in Statistical Sampling
2009.04.27: Federal Stark Law Frequently Asked Question Addresses Lithotripsy
2009.04.27: Michigan Medical Marijuana Process Begins April 6, 2009
2009.04.27: Non-Random Pre-Payment Medical Review Rule Finalized
2009.04.27: Health Law Partner Presents to Radiology Business Management Association
2009.04.27: Michigan Recovery Audit Contractor ("RAC") Provider Outreach Scheduled for April 10, 2009
2009.04.27: Recovery Audit Contractor ("RAC") Program Challenged by Hospital System
2009.04.27: Stark, Anesthesia and the Federal False Claims Act
2009.04.27: OIG, Medicare Payments and Pain Management Procedures
2009.04.27: The Red Flag Rules and Health Care Providers
2009.04.27: Medicare "Incident To" Services Under Continued Scrutiny
2009.04.27: HITECH Act - HIPAA Privacy and Security Expanded by the Stimulus Bill
2009.04.27: Are Mandated Compliance Programs A New Trend?

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