News & Analysis as of

Reporting Requirements Health Care Providers Department of Health and Human Services (HHS)

Health Care Compliance Association (HCCA)

Overlapping surgeries: Time for a compliance checkup?

Overlapping surgeries is a practice that has been used for many years by healthcare providers (such as hospitals and surgical centers). This practice generally refers to situations where one lead attending surgeon is...more

Holland & Knight LLP

Finalized HTI-1 Interoperability and Information Blocking Updates Have Taken Effect

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The U.S. Department of Health and Human Services' (HHS) Office of the National Coordinator for Health Information Technology (ONC) published its Health Data, Technology, and Interoperability: Certification Program Updates,...more

Alston & Bird

HHS Final Rule Brings Sweeping, Complex Changes for Substance Use Records

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A new HHS Final Rule overhauls the federal Part 2 regulations on the confidentiality of substance use disorder (SUD) records. Our Heath Care Health Care and Privacy, Cyber & Data Strategy Groups unpack how the changes will...more

BakerHostetler

Federal Government Addresses AI Transparency and Safety in Healthcare

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On Oct. 30, President Biden signed an executive order calling for a coordinated government approach to establish new safeguards for AI safety and security in healthcare. In response to the executive order, on Dec. 14 the...more

Mintz - Health Care Viewpoints

HHS Proposes Appropriate Disincentives for Health Care Providers That Commit Information Blocking

In coordination with the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS) and Office of the National Coordinator for Health Information Technology (ONC) proposed a...more

Goodwin

Government Continues to Explore Role of 340B Contract Pharmacies

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The 340B Drug Pricing Program (the “Program”) allows certain healthcare providers (“covered entities”) to purchase pharmaceuticals from drug manufacturers at discounted rates. Some covered entities do not have an internal...more

McDermott Will & Emery

Special Report - A Million Reasons to Share: OIG’s Final Rule on Information Blocking Enforcement

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On July 3, 2023, the US Department of Health and Human Services Office of Inspector General (OIG) published its long-awaited final rule implementing the 21st Century Cures Act provisions authorizing OIG to investigate claims...more

Sheppard Mullin Richter & Hampton LLP

CMS Releases Updates to Hospital Pricing Transparency Rule

On April 26, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a fact sheet on Hospital Price Transparency Enforcement Updates (the “Fact Sheet”) under the Hospital Price Transparency Rule (the “Rule”)....more

McGuireWoods LLP

Provider Relief Fund Reporting Guidance: Provider Relief Fund Late Reporting Requests for Extenuating Circumstances Accepted April...

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Two Weeks Left: Approaching Deadline to Report Period 4 Provider Relief Fund Payments - Most healthcare providers received Provider Relief Fund (PRF) funding (as described in greater detail in a previous McGuireWoods...more

Bass, Berry & Sims PLC

Payment Due: HRSA Seeks Repayment of Provider Relief Funds for Non-Compliance

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The Health Resources and Services Administration (HRSA) is seeking repayment of Provider Relief Fund (PRF) payments from providers who failed to submit the required report(s) on their use of the funds. Recipients were...more

Health Care Compliance Association (HCCA)

Compliance Today - December 2022. Intersection of ESG, health equity, and 501(r) compliance

Compliance Today - December 2022 - We are at a critical moment of change when it comes to truly addressing health inequities in this country. With the intersection of environmental, social, and governance (ESG) reporting and...more

McGuireWoods LLP

Provider Relief Fund Reporting Guidance: Provider Relief Fund Late Reporting Requests for Extenuating Circumstances Accepted April...

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May 18 Deadline to Request Late Reporting for Provider Relief Fund Period 2 - The U.S. Department of Health and Human Services (HHS) announced a deadline extension for providers that received $10,000 or more in the second...more

Williams Mullen

Physician Group Monitoring of “Open Payments”

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Is your physician group monitoring the Open Payments database? Each June, the Centers for Medicare and Medicaid Services (CMS) releases data showcasing the payments made by reporting entities to physician groups and other...more

McDermott Will & Emery

HHS Announces Provider Relief Fund Late Reporting Pathway

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Beginning on April 11, 2022, providers that failed to satisfy Provider Relief Fund (PRF) Period 1 or Period 2 reporting deadlines may apply to submit a late report based on one of six extenuating circumstances, including...more

Tucker Arensberg, P.C.

HHS Requesting Physician COVID Relief Payback of $100 Million

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HHS sent notices to noncompliant physicians and facilities on March 10, 2022 giving them 30 days to return funds paid to healthcare providers who have not complied with the agency’s reporting requirements....more

McGuireWoods LLP

Provider Relief Fund Reporting Guidance: Looming Deadlines to Report Provider Relief Fund Period 2 Payments and COVID-19 Vaccine...

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Looming Deadlines to Report Provider Relief Fund Period 2 Payments and COVID-19 Vaccine Claims - The U.S. Department of Health and Human Services (HHS) reporting portal remains open only through March 31, 2022, at 11:59...more

Arnall Golden Gregory LLP

Upcoming Annual Deadline for HIPAA Small Breach Reporting: March 1, 2022

HIPAA-covered entities should note the quickly approaching March 1, 2022 deadline for reporting breaches of unsecured protected health information that occurred in 2021 and involved fewer than 500 individuals. This article...more

McGuireWoods LLP

Provider Relief Fund Reporting Guidance: HHS to Reopen Provider Relief Fund Period 1 Reporting Dec. 13–20

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HHS to Reopen Provider Relief Fund Period 1 Reporting Dec. 13-20 - The U.S. Department of Health and Human Services (HHS) reporting portal includes a new statement appearing to give providers an additional week in...more

Bradley Arant Boult Cummings LLP

CARES Act Provider Relief Fund Reporting Requirements and Government Scrutiny

The federal government established many new funds in 2020 to assist health care providers with the financial burden of COVID-19. One such fund, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) Provider...more

Goodwin

An Emerging State Trend: Increasing Oversight of Physician Group Practice Transactions

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On October 1, 2021, Nevada became the latest of a small but growing number of states extending regulatory oversight of healthcare transactions involving physician practices. Over the past decade, several states have passed or...more

McDermott Will & Emery

HHS Announces Provider Relief Fund Period 1 Reporting Grace Period and Phase 4 Distribution

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On September 10, 2021, the US Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) made several important announcements regarding the Provider Relief Fund (PRF) and its approaching...more

Husch Blackwell LLP

Healthcare Providers To Receive $25.5 Billion In Relief Funds

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On September 10, the Biden-Harris Administration, in conjunction with the Department of Health and Human Services (HHS), announced that $25.5 billion in relief funds will be distributed to healthcare providers through the...more

Butler Snow LLP

HHS Issues Additional Guidance Regarding CARES Act Provider Relief Fund Reporting

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HHS’s most recent guidance specifies the  deadlines within which health care providers must use and report on Provider Relief Fund payments and  provides much needed additional clarification concerning how and when health...more

Burr & Forman

Health Care E-Note - July 2021

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Helpful Hints - HHS Releases Revised Reporting Requirements and Timeline for Provider Relief Fund Payments - On June 11, 2021, the U.S. Department of Health and Human Services released revised reporting requirements...more

Arnall Golden Gregory LLP

Provider Relief Funds: New FAQs Shine a Light on Appeals and Reporting Deadlines

With both providers and the Department of Health & Human Services (HHS) focused on the Provider Relief Fund (PRF) reporting requirements since the beginning of 2021, relatively few Frequently Asked Questions (FAQs) issued by...more

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