Medicare, HHS | JD Supra Law News

Increased Spotlight on Emergency Department Facility Coding by CMS, HHS and DOJ

by Gregory Brodek | Duane Morris LLP on 5/16/2013

Although the professional component of coding for evaluation and management services ("E&M Services") has been scrutinized over the years, until recently, little attention has been given to coding practices for the facility...more

Health Care Reform Update -- May 13, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/15/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

HHS OIG Issues Report on Hospice General Inpatient Care Billing

by Howard Young | Morgan Lewis on 5/9/2013

Report makes no formal recommendations, but OIG notes that lengths of stay and frequency of general inpatient care are issues requiring further scrutiny....more

Health Care Reform Update -- May 6, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/8/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups Scheduled....more

HHS Extends Sunset Date for Stark Exception and Anti-Kickback Safe Harbor for EHR Donations

by Daniel F. Gottlieb | McDermott Will & Emery on 4/19/2013

The Centers for Medicare & Medicaid Services and the U.S. Department of Health and Human Services issued proposed rules that would extend the sunset date for the Stark Law exception and the federal Anti-Kickback Statute safe...more

Health Care Reform Update -- April 2, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 4/3/2013

In This Issue: Implementation of the Affordable Care Act (ACA); Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

6th Circuit Rules in Favor of HHS on Dual-Eligible Exhausted Benefit Days Issue

by King & Spalding on 4/2/2013

On March 27, 2013, the 6th Circuit, sitting en banc, issued its decision in Metropolitan Hospital v. U.S. Department of Health and Human Services, Case Nos. 11-2465\2466. At issue in the case was whether the HHS Secretary’s...more

Final Regulations Governing Closure of Long Term Care Facilities

by Howard Sollins | Ober|Kaler on 3/29/2013

The federal Centers for Medicare and Medicaid Services (CMS) published a final regulation to further implement section 6113 of the federal health reform law, the Patient Protection and Affordable Care Act. The March 19, 2013,...more

Health Care Reform Update -- March 25, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/26/2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Health Care Reform Update -- March 19, 2013

by Mintz Levin - Health Law on 3/20/2013

In This Issue: Leading the News – Budgets and the Continuing Resolution (CR); Implementation of the Affordable Care Act; Other Congressional and State Initiatives; Other HHS and Federal Regulatory Initiatives; Other...more

Health Care Reform Implementation Update - March 14, 2013

by Mark Alderman | Cozen O'Connor on 3/14/2013

Last week, the Department of Health and Human Services (HHS) conditionally approved state partnership marketplaces in Iowa, Michigan, New Hampshire and West Virginia; Accountable Care Organizations wrote to the Centers for...more

Health Care Reform Update -- March 11, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/12/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Medicare and Sequestration – What Happens Now?

by Debra McCurdy | Reed Smith on 3/5/2013

Due to continuing budget gridlock in Washington, sequestration has been triggered – meaning automatic cuts to a wide range of federal programs, including Medicare payments to providers and health plans. While the Centers for...more

Health Care Reform Update -- March 4, 2013

by Gary Bacher, Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/5/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

President Obama Issues Sequestration Order, CMS Has Yet to Publish Implementation Instructions

by King & Spalding on 3/5/2013

On March 1, 2013, President Obama issued a sequestration order directing the Office of Management and Budget (OMB) to administer across-the-board cuts to federal spending. Concurrently, OMB issued a report to Congress...more

Health Care Reform Implementation Update - February 27, 2013

by Mark Alderman | Cozen O'Connor on 2/27/2013

As Washington and the rest of the country brace for cuts from the sequester to kick in on March 1, Florida Gov. Rick Scott surprised many and confirmed others' predictions by announcing his state will expand its Medical...more

Health Care Enforcement in 2012: A Year in Review

by Hope Foster, Samantha Kingsbury, Tracy Miner, Jessica Sergi, Stephanie Willis | Mintz Levin - Health Law on 2/26/2013

Last year was another busy year in health care fraud enforcement. In 2012, the Office of Inspector General for the Department of Health and Human Services (HHS-OIG) reported total expected recoveries of $6.9 billion from all...more

New HIPAA Rules Regarding Genetic Information Affect Employers, Group Health Plans, Health Insurers and Healthcare Providers

by Lisa Clark, Harry Silver | Duane Morris LLP on 2/26/2013

Genetic Information Under HIPAA - While the final rule supplementing and modifying the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, Breach Reporting and Enforcement Rules—78 Fed. Reg....more

Expect Increased Medicare Denials for Incarcerated Beneficiaries and Unlawful Aliens

by Leslie Demaree Goldsmith | Ober|Kaler on 2/22/2013

The Department of Health and Human Services’ Office of Inspector General (OIG) recently published two reports finding Medicare improperly paid providers millions of dollars for incarcerated beneficiaries and unlawful aliens...more

The Healthcare Industry And The Voluntary Disclosure Process

by Michael Volkov on 2/21/2013

It is always important to consider how different parts of the government handle voluntary disclosures. The FCPA enforcement initiative has been largely the result of the voluntary disclosure process, and the government...more

HHS and DOJ Release Annual Report on Health Care Fraud and Abuse Control Program, Which Recovered $4.2 Billion in FY 2012

by King & Spalding on 2/20/2013

On February 13, 2013, the U.S. Department of Health and Human Services (HHS) and the Department of Justice (DOJ) released their annual report for fiscal year 2012 on the Health Care Fraud and Abuse Control Program (HCFAC). ...more

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Medicare › Dept. of Health and Human Services

Increased Spotlight on Emergency Department Facility Coding by CMS, HHS and DOJ

Health Care Reform Update -- May 13, 2013

HHS OIG Issues Report on Hospice General Inpatient Care Billing

Health Care Reform Update -- May 6, 2013

HHS Extends Sunset Date for Stark Exception and Anti-Kickback Safe Harbor for EHR Donations

Health Care Reform Update -- April 2, 2013

6th Circuit Rules in Favor of HHS on Dual-Eligible Exhausted Benefit Days Issue

Final Regulations Governing Closure of Long Term Care Facilities

Health Care Reform Update -- March 25, 2013

Health Care Reform Update -- March 19, 2013

Health Care Reform Implementation Update - March 14, 2013

Health Care Reform Update -- March 11, 2013

Medicare and Sequestration – What Happens Now?

Health Care Reform Update -- March 4, 2013

President Obama Issues Sequestration Order, CMS Has Yet to Publish Implementation Instructions

Health Care Reform Implementation Update - February 27, 2013

Health Care Enforcement in 2012: A Year in Review

New HIPAA Rules Regarding Genetic Information Affect Employers, Group Health Plans, Health Insurers and Healthcare Providers

Expect Increased Medicare Denials for Incarcerated Beneficiaries and Unlawful Aliens

The Healthcare Industry And The Voluntary Disclosure Process

HHS and DOJ Release Annual Report on Health Care Fraud and Abuse Control Program, Which Recovered $4.2 Billion in FY 2012

Hospitals And Fraud Enforcement

Report Highlights Record-Breaking Year of Enforcement for HHS and DOJ

Health Care Reform Implementation Update - February 13, 2013

Prospective and Retrospective Implications of the Jimmo Settlement Agreement for Skilled Care Providers

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