Diane Felix

Diane Felix

Armstrong Teasdale LLP

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Latest Publications


Why the Final CMS Rule Could Have Been Worse

Long-term care providers and organizations involved with post-acute care will find a lot to dislike in the 713-page final rule released by the Centers for Medicare & Medicaid Services (CMS) on September 28, 2016. The final...more

10/5/2016 - CMS Credentialing Health Care Providers Healthcare Hospitals Long Term Care Facilities Long-Term Care Medicaid Medicare Physicians

HIPAA Breaches: Size Doesn't Necessarily Matter

The U.S. Department of Health and Human Services Office of Civil Rights (OCR) made headlines this month with a record $5.55 million HIPAA settlement reached with Advocate Health Care System, Illinois’ largest health care...more

8/31/2016 - Data Breach Electronic Medical Records Health Care Providers HIPAA Hospitals Mobile Devices OCR PHI Risk Assessment Settlement

Supreme Court Issues Long-Awaited Key Decision on False Claims Act

The U.S. Supreme Court (SCOTUS) issued a decision today in a case that has important implications for healthcare providers and other organizations that bill the U.S. government for goods or services. (Universal Health...more

6/17/2016 - Conditions of Payment False Claims Act (FCA) False Implied Certification Theory Federal Contractors Implied Certification Materiality Medicaid Qui Tam SCOTUS Universal Health Services Inc v United States ex rel Escobar Unlicensed Medical Providers Whistleblowers

The False Claims Act: Do You Really Have Just 60 Days to Repay?

One of your employees informs you of a potential overpayment from Medicare. Do you really only have 60 days from that point to determine if it is indeed an overpayment and repay it? The Patient Protection and Affordable...more

8/11/2015 - Affordable Care Act CMS False Claims Act (FCA) Hospitals Medicare Overpayment Overpayment Recovery Time Limits

Comprehensive Proposed New Rules Announced for Long-Term Care Facilities

"Far reaching," "massive in scope," and "sweeping," are just a few of the terms that have been used to describe a 403-page proposed rule for Medicare and Medicaid nursing homes, which was released Monday (July 12) by the U.S....more

7/16/2015 - HHS Long Term Care Facilities Long-Term Care Medicaid Medicare Nursing Homes Proposed Legislation

Healthcare Law Update

Governing boards of health care organizations can greatly benefit from reading a recently released educational document that presents practical tips for board members responsible for overseeing their organizations’ compliance...more

7/3/2015 - Anti-Kickback Statute Board of Directors Chief Compliance Officers Compliance False Claims Act (FCA) Health Care Providers Healthcare Healthcare Fraud New Guidance Risk Assessment Risk Management Stark Law

Conflicting Rulings on Health Insurance Subsidies Raise Concerns Among Insurers and Providers

On Tuesday, July 23rd 2014, separate federal circuit court panels issued conflicting rulings regarding whether the government could subsidize health insurance premiums for Americans enrolled in federally-run health exchanges....more

7/28/2014 - Affordable Care Act Employer Mandates Halbig v Burwell Health Insurance Health Insurance Exchanges Healthcare Healthcare Reform King v Burwell Popular Subsidies Tax Credits

Two Recent Directives from the Centers for Medicare and Medicaid Services (CMS) Could Add to the Pain for Medicare and Medicaid...

First, CMS announced on April 5, 2013, that due to the across-the-board federal budget reductions (aka “sequestration”), effective immediately, State Survey Agencies must obtain approval from the CMS Regional Office before...more

4/12/2013 - Civil Monetary Penalty CMS Long-Term Care Sequestration

HIPAA Final Omnibus Rule – published Jan. 25, 2013

Six Points Health Care Professionals and Organizations (and those who do business with them) Need To Know NOW: - Possible fines have increased dramatically. Under prior law, fines were capped at $100 per violation, with...more

2/13/2013 - Business Associates Covered Entities Data Breach Data Protection Health Care Providers HIPAA HIPAA Omnibus Rule Notice Requirements Privacy Policy Subcontractors

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