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A (Second) Lawsuit Seeks to Compel Statutory Timeframe for Administrative Law Judge Review of Medicare Claims Appeals

On August 26th, the Center for Medicare Advocacy filed a nationwide class action lawsuit against the Secretary of Health and Human Services. The complaint alleges that, as implemented, the Medicare administrative review...more

9/12/2014 - Class Action CMS Due Process Fifth Amendment HHS Medicare OMHA Secretary of HHS

Bundled Payments under the Affordable Care Act Continue to Gain Influence

The Center for Medicare and Medicaid Services (CMS) recently announced that it will add roughly 4,100 providers to the 2,400 existing providers testing the possible use of Medicare bundled payment contracts. Providers must...more

8/12/2014 - Affordable Care Act Bundling Rules CMS Employee Benefits Healthcare

High Rates of Unhealthy Enrollees in ACA Exchanges

Perhaps putting added pressure on insurers as they prepare to set rates for 2015, new evidence suggests that people enrolled in health plans under the Affordable Care Act have higher rates of serious health conditions than...more

7/3/2014 - Affordable Care Act Enrollment Health Insurance Health Insurance Exchanges Healthcare

House committee questions authority of a DHHS staff division to regulate health IT

Is the Office of the National Coordinator for Health Information Technology (ONC) overstepping its statutory authority in pursuing enhanced regulatory activity? A June 3, 2014 letter from the House Committee on Energy and...more

6/11/2014 - Data Protection EHR FCC FDA Healthcare Information Technology ONC PHI

HHS releases new software for updating (but not replacing) HIPAA security risk assessment toolkits

Last week, the Department of Health and Human Services (HHS) released a new, free, downloadable tool to assist small and medium-size health care provider offices to conduct security risk assessments (SRA)....more

4/15/2014 - Healthcare Professionals HHS HIPAA Physicians Security Risk Assessments Software

Enforcement of the Two-Midnight Rule Delayed Again

Last week President Obama signed into law a measure to extend Medicare physician pay rates for one year and to extend the enforcement delay of the “Two-Midnight” rule through March 2015. Medicare Recovery Audit Contractors...more

4/8/2014 - Audits Healthcare MACs Medicare RACs

Interstate Medical Licensing Compact Could Pave a Smoother Path for Telemedicine Providers

One of the largest hurdles to the growth of telemedicine – streamlined physician licensure in multiple states – soon may be addressed. The Federation of State Medical Boards (FSMB) will vote on adopting the federation’s...more

3/28/2014 - Healthcare Licensing Rules Telemedicine

CMS Announces Participants in Bundled Payments for Care Improvement Initiative

The Centers for Medicare & Medicaid Services (CMS) recently announced that over 500 organizations will begin participating in the Bundled Payments for Care Improvement initiative. The large number of participating...more

3/1/2013 - ACOs Bundled Payments CMS Medicaid Medicare

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