On March 15, 2010, the Joint Commission announced revisions to Medical Staff Standard MS.01.01.01 (formerly known as MS.1.20). The revisions are based on the unanimous recommendations of an 18-member expert task force representing the American College of Physicians, American College of Surgeons, American Dental Association, American Hospital Association, American Medical Association, Federation of American Hospitals […]
Last week, the OIG released it’s Compendium of Unimplemented Recommendations that “consolidates significant unimplemented monetary and nonmonetary recommendations addressed to the Department of Health & Human Services (HHS) to provide information to interested parties about outstanding recommendations….” While these have not been implemented, it is something we want our clients and readers to be aware […]
While the HITECH Act technically went into effect last month, on February 17, 2010, HHS’s Office of Civil Rights (“OCR”) has yet to issue guidance and regulations about the implementation of new privacy and security requirements contained in the HITECH Act. Because of this failure, OCR has been hinting that it may delay enforcement of […]
HHS announced that it would “provide approximately $162 million to 16 states and qualified designated entities (SDEs) to facilitate non-proprietary health information exchange that adheres to national standards.” Those states receiving part of that $162 million are Florida, Maryland, New Jersey, South Carolina, Iowa, Idaho, North Dakota, Alaska, Nebraska, South Dakota, Connecticut, Mississippi, Indiana, Montana, […]
As an update to our March 3 post, the US Senate has passed H.R. 4213 – The American Workers, State, and Business Relief Act –, which if passed by the House of Representatives and signed into law, would extend the freeze to the Sustainable Growth Rate through September 30, 2010. Currently, the physician reimbursement freeze […]
The Office of Inspector General (OIG) has continued to indict, prosecute, and convict members of the healthcare community for allegedly violating the Civil Monetary Penalty (CMP) statue and the False Claims statute. Some notable prosecutions are below: – On February 2, 2010, Maria Aloise, the president and owner of Atenas Medical Equipment, Inc. (Atenas), was […]
The Medicare Recovery Audit Contractor (“RAC”) program has a strong supporter in President Obama. On March 10, 2010, Obama signed a White House Memorandum, which states his support of the use of “high-tech bounty hunters,” such as RACs and Medicaid Integrity Contractors (“MICs”), to help root out health care fraud in government-run Medicare and Medicaid […]
The Office of the National Coordinator for Health Information Technology (“ONC”), an office of the Department of Health and Human Services, released a proposed rule creating a program to certify electronic health records (“EHR”) systems. The rule creates both a temporary and a permanent certification system, designed to assure users to that EHR systems and […]
Rep. Sander Levin, an expert on trade issues, has been tapped to take over the House Ways and Means Committee after Rangel stepped down and Rep. Pete Stark stepped aside. It has been widely reported that concerns by fellow members of the House Ways and Means Committee over Rep. Pete Stark’s politics, background and history […]
As HLP previously reported, in December, CMS issued MLN Matter 6740 announcing that consultation codes would no longer be used to reflect the different locations where services were provided. This week, CMS issued additional guidance regarding billing for those services that would previously been coded as consultations. This guidance includes a Questions and Answers on […]
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