Holly Barker

Holly Barker

Morgan Lewis

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HHS Publishes Final Rule on Exchanges, SHOPs, and Eligibility Appeals

Final regulations required for October 1, 2013 open enrollment are largely unchanged from the proposed rule. On August 30, the Centers for Medicare & Medicaid Services (CMS) of the Department of Health and Human...more

9/11/2013 - Affordable Care Act CMS Employer Mandates Health Insurance Exchanges Healthcare HHS Open Enrollment Shared Responsibility Rule SHOP Program

CMS Rule Complicates Long-Term Care Facility and Hospice Relationships

Final rule aims to improve the quality and consistency of care between long-term care facilities and hospice providers but may increase conflict between facility and provider staff. ...more

7/1/2013 - CMS Compliance Final Rules Healthcare Hospice Long-Term Care Medicaid Medicare New Legislation

HHS OIG Issues Revised Self-Disclosure Protocol

OIG touts substantial benefits of disclosing, provides greater detail for different types of disclosures, and captures 15 years of OIG Self-Disclosure Protocol experience....more

4/18/2013 - Anti-Kickback Statute Damages HHS OIG Self-Disclosure Requirements Stark Law

OIG Recommends Increased CMS Enforcement of SNF Standards

Amid alleged failures of skilled nursing facilities to meet care and discharge planning requirements, OIG identifies substantial payment errors....more

3/22/2013 - Affordable Care Act CMS Compliance Ethics Healthcare Medical Liability Medicare Nursing Homes OIG Overpayment Quality of Care Standards

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