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Matthew Murer

Matthew Murer

Polsinelli


Latest Publications

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Health Reform + Related Health Policy News - May 2013

In This Issue: - Top News ..HHS Releases Hospital Pricing Data in Transparency Effort; Results Show Significant Variation ..States Divided on Medicaid Expansion ..CMS Issues FY 2014 Proposed Rules for...more

5/13/2013 - CMS Contraceptives Health Insurance Exchanges HHS Hospice Hospitals Long-Term Care Medicaid Medicaid Expansion Nurses Proposed Regulation

PODs Beware: OIG Releases Special Fraud Alert

The Office of the Inspector General (OIG) released a Special Fraud Alert on March 26, 2013 warning that physician-owned distributorships (PODs) are "inherently suspect" under the Anti-Kickback Statute (AKS). Generally...more

5/10/2013 - Anti-Kickback Statute Fraud OIG Physician-Owned Distributors

CMS Creates "Open Payments" Website For Reporting Under The Physician Payment Sunshine Act

On April 12, 2013, the Center for Medicare and Medicaid Services (“CMS”) created the “Open Payments” website where reported information under Section 6002 of the Affordable Care Act (“ACA”), commonly referred to as the...more

4/18/2013 - CMS Physician Payments Sunshine Act Websites

Health Reform + Related Health Policy News Update - April 2013

In this Issue: - Top News ..Large Hospital Systems Settles for $25.5 Million for False Claims Act Allegations ..Catholics’ Challenge to Contraceptive Coverage Mandate Dismissed As Not Ripe - States...more

4/17/2013 - CMS Contraceptive Coverage Mandate False Claims Act Healthcare Hospitals IRS Medicaid Expansion Medicare Advantage Physician Payments Physicians Subcontractors Sunshine Act Supervision Sustainability

Physician Payment Sunshine Act Final Rule Released

In This Issue: - Interpretation and Clarification of Key Definitions ..Applicable Manufacturers ..Applicable GPOs ..Covered Drug, Device, Biological or Medical Supply ..Covered Recipients ...more

3/7/2013 - Affordable Care Act CMS Healthcare Manufacturers Medical Devices Pharmaceutical Physicians Sunshine Act

Illinois Jury Found Nursing Home Liable For $28.1 Million In Whistleblower Case Alleging Substandard Care And Resident Abuse

An Illinois district court jury in United States v. Momence Meadows Nursing Center, Inc. recently issued a verdict on February 11, 2013 imposing $28.1 million in civil penalties on the operators of a nursing home. The nursing...more

2/22/2013 - Elder Abuse False Claims Act Fraud Nursing Homes Penalties Quality of Care Standards Whistleblower Protection Policies Whistleblowers Worthless Services Claims

Breaking Down The HIPAA Rule Changes: Part 5 Of 5 - Changes To Patients' Rights Under The Final Rule

In This Issue: - Right to Access Protected Health Information - Restrictions on Health Plan Disclosures - Guidance on How to Comply With the Expanded Patient Rights ..Evaluate Electronic Systems ..Revise...more

2/18/2013 - Covered Entities Electronic Medical Records Health Plan Disclosures HHS HIPAA HIPAA Omnibus Rule HITECH Patient Rights PHI

Breaking Down The HIPAA Rule Changes: Part 4 Of 5 - Uses And Disclosures Of PHI Under The Final Rule; Changes Related To...

In This Issue: - Modifications Related to the Use and Disclosure of PHI for Marketing Purposes - Modifications Related to the Use and Disclosure of PHI for Research Purposes ..Compound Authorizations...more

2/13/2013 - Business Associates Covered Entities Fundraisers HHS HIPAA Omnibus Rule Marketing PHI

Breaking Down The HIPAA Rule Changes: Part 3 Of 5 Modifications To The Breach Notification Rule

In This Issue: - Definition of “Unsecured Protected Health Information” - Notice Requirements - Action Items to Comply with the Breach Notification - Excerpt from Definition of “Unsecured Protected Health...more

2/11/2013 - Business Associates Covered Entities Data Breach HIPAA HIPAA Omnibus Rule HITECH Notice Requirements PHI

Health Reform + Related Health Policy News Update - February 6, 2013

In This Issue: - Top News ..CMS Announces Round 2 Competitive Bidding Single Payment Amounts ..CBO Lowers SGR Repeal Cost by $100 Billion ..Republicans Press HRSA on 340B Audits ..HHS Proposes...more

2/7/2013 - CMS Competitive Bidding Contraceptive Coverage Mandate FDA GAO Health Insurance Exchanges HHS Medicaid Shared Responsibility Rule Sunshine Act

Breaking Down The HIPAA Rule Changes: Part 2 Of 5 - Changes Affecting Who Is A Business Associate And New Business Associate...

In This Issue: - Expansion of, Clarifications to, and Explicit Inclusions in the Definition of BA - BAs’ Direct Liability Under the Final Rule - BAAs: Required Provisions Under the Final Rule and the Compliance...more

2/6/2013 - Business Associates Compliance Covered Entities HHS HIPAA HIPAA Omnibus Rule HITECH PHI Privacy Rule Subcontractors

Breaking Down The HIPAA Changes: Part 1 Of 5 What Covered Entities And Business Associates Need To Do To Comply With The Final...

In This Issue: - Brief Overview of Key Modifications in the Final Rule - Suggested Action Items for Compliance with the Final Rule ..Covered Entities ..Business Associates - Consequences of Noncompliance...more

2/1/2013 - Business Associates Compliance Covered Entities Data Breach Enforcement HHS HIPAA HITECH Notice Requirements PHI Third-Party

Health Reform + Related Health Policy News Update: January 30, 2013

In This Issue: - Top News ..CMS, IRS Issue Proposed Rules on Health Insurance Mandate, Minimum - Essential Coverage ..Insurers Weigh Options for Exchange Participation ..Quality Improvements in Care...more

1/31/2013 - Affordable Care Act CMS DOL Health Insurance HHS HIPAA Individual Mandate IRS

Notable Healthcare Provisions Passed In The American Taxpayer Relief Act Of 2012

In This E-Alert: - Notable ATRA Provisions - Medicare Extensions - Other Health Provisions - Other Health Extensions - Excerpt from Notable ATRA Provisions: Medicare Physician Payment Update...more

1/30/2013 - American Taxpayer Relief Act CMS Extensions MPFS Overpayment

Health Reform + Related Health Policy News Update - January 24, 2013

In This Issue: - OMB Directs Department Heads to Prepare for Sequestration - HHS Finalizes Omnibus HIPAA Rule, Enhances Privacy Requirements - SCOTUS Says Equitable Tolling Not a Factor in DSH Case - Report...more

1/25/2013 - Data Protection DSH Equitable Tolling HIPAA HIPAA Omnibus Rule HITECH Hospitals Medicaid Medicare OMB Pay-For-Delay Pharmaceutical SCOTUS Sequestration

Final Omnibus HIPAA Rule Released By HHS

On January 17, 2013, the U.S. Department of Health and Human Services (HHS) issued an advance copy of the final omnibus rule which implements changes to the Health Insurance Portability and Accountability Act of 1996, and the...more

1/22/2013 - Data Breach Data Protection Enforcement GINA HHS HIPAA HIPAA Omnibus Rule HITECH Notice Requirements OCR Privacy Policy

Health Reform + Related Health Policy News Update - January 16, 2013

In This Issue: - Fiscal Cliff Deal Lengthens Medicare Overpayment Recovery Period - Cutting Medicaid Provider Tax May Shift Costs to States, CRS Finds - MedPAC Finalizes Payment Recommendations, GAO Solicits...more

1/18/2013 - American Taxpayer Relief Act CDC CMS Fiscal Cliff GAO Health Advisor Medicaid Medicare MedPAC OIG Overpayment SMART

Health Reform + Related Health Policy News - November 28, 2012

In This Issue: - CMS Releases FY 2012 Financial Report; Misses Target forReductions in Improper Payments - CMS Releases Guidance on Medicaid/CHIP Issues - HHS Secretary Extends Deadline for Decision on...more

12/3/2012 - CMS FDA Health Insurance Exchanges HHS Medicaid Medical Devices Medicare OIG

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