R. Michael Scarano Jr.

R. Michael Scarano Jr.

Foley & Lardner LLP

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340B Drug Pricing Program Developments in the New Year

On January 9, 2014, the Health Resources and Services Administration (HRSA) posted an update on its current and anticipated 340B drug pricing program (340B) program integrity efforts.1 The update includes a discussion of...more

1/14/2014 - 340B Covered Entities Drug Manufacturers HHS HRSA OIG Prescription Drugs

Provider Reimbursement Review Board Issues Alert 9 and Revised Rules

On March 1, 2013, the Provider Reimbursement Review Board (PRRB or the Board) issued Alert 9, which notified interested parties that the PRRB has made revisions to its Rules and updated its Model Forms. Medicare providers...more

3/27/2013 - CMS Medicare PRRB Reimbursements

Supreme Court Rules Equitable Tolling Cannot Be Used To Extend Deadline For Filing Medicare Part A Reimbursement Appeals

On January 21, 2103, the U.S. Supreme Court unanimously held in Sebelius v. Auburn Regional Medical Center that the Medicare statute does not permit the time period for filing an appeal with the Provider Reimbursement Review...more

2/5/2013 - Appeals CMS Equitable Tolling Medicare Physician Medicare Reimbursements Provider Reimbursement Review Board

HHS Issues Final Omnibus HIPAA/HITECH Rule

On January 17, 2013, the Office for Civil Rights of the U.S. Department of Health and Human Services (HHS) issued the long-awaited omnibus final rule (the Rule) implementing changes in current regulations under the Health...more

1/24/2013 - Business Associates Data Breach Data Protection Disclosure Requirements Enforcement Fundraisers GINA HHS HIPAA HIPAA Omnibus Rule HITECH Marketing OCR PHI Privacy Policy

First-Ever HIPAA Settlement Involving Fewer Than 500 Patients Announced

On January 2, 2013, the U.S. Department of Health and Human Services (HHS) announced a settlement with the Hospice of North Idaho (HONI) for potential HIPAA violations....more

1/8/2013 - Compliance Data Breach Data Protection Health Information Technologies HHS HIPAA HONI Mobile Devices OCR Patient Confidentiality Breaches Settlement

Office of Civil Rights Releases Guidance on De-Identification of PHI Under HIPAA Privacy Rule

On November 26, 2012, the Department of Health and Human Services Office for Civil Rights (OCR) released long-overdue guidance on how covered entities subject to the Health Insurance Portability and Accountability Act (HIPAA)...more

12/4/2012 - De-Identification Healthcare Healthcare Professionals HHS HIPAA HITECH OCR PHI Safe Harbors

California’s Medi-Cal Program Implements Affordable Care Act Fraud, Waste, and Abuse Provisions

On September 29, 2012, California Governor Jerry Brown signed into law a bill that gives the California Department of Health Care Services (DHCS), the state agency which implements the California Medi-Cal (Medicaid) program,...more

11/27/2012 - Affordable Care Act Jerry Brown Medicaid

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