On April 2, 2020, the Office of Civil Rights (OCR) issued a notification stating that it will not impose penalties for violations of certain provisions of the Health Insurance Portability and Accountability Act (HIPAA)...more
In an August 30, 2019 press release, CMS announced the launch of a new tool, which CMS has titled the “Market Saturation and Utilization Data Tool.” The tool is available here through the CMS website. CMS’s stated purpose for...more
9/4/2019
/ CBSA ,
Census Bureau ,
Centers for Medicare & Medicaid Services (CMS) ,
Clinical Laboratories ,
Fraud Abuse and Waste ,
Health Care Providers ,
Healthcare Facilities ,
Home Health Care ,
Long Term Care Facilities ,
Mental Hospitals ,
Skilled Nursing Facility ,
Statistical Analysis ,
Telemedicine
On July 29, 2019, CMS released the Calendar Year (CY) 2020 Physician Fee Schedule (PFS) proposed rule (the Proposed Rule). The Proposed Rule updates payment policies, payment rates, and quality provisions for services...more
8/8/2019
/ Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Health Care Providers ,
Medicare ,
Medicare Shared Savings Program ,
Mental Health ,
Open Payments ,
Physician Fee Schedule ,
Physicians ,
Proposed Rules ,
Public Comment ,
Stark Law ,
Telehealth
On July 11, 2019, CMS released a proposed rule that would rescind certain state reporting requirements relating to Medicaid (the Proposed Rule) that potentially could make it easier for states to reduce Medicaid benefits and...more
CMS published a final rule today in the Federal Register updating the Program of All-Inclusive Care for the Elderly (PACE). The updated rule makes several changes intended to expand the flexibilities of the interdisciplinary...more
On May 7, 2019, the United States Department of Justice (DOJ) delivered new guidance on how potential False Claims Act (FCA) defendants can receive leniency in exchange for proactively disclosing misconduct and taking other...more
5/16/2019
/ Cooperation ,
Corporate Misconduct ,
Department of Justice (DOJ) ,
Federal Contractors ,
Financial Conduct Authority (FCA) ,
Health Care Providers ,
New Guidance ,
Qui Tam ,
Relators ,
Remedial Actions ,
Voluntary Disclosure