12/27/2022 5:05:37 AM CMS Proposes Amending Identified Overpayment Rules to Align with FCA Knowledge Standard By Megan K. Ali The Centers for Medicare & Medicaid Services (“CMS”) has proposed a new rule that, among other changes, would amend the “identified...
12/17/2022 12:54:33 AM HHS OCR Issues Bulletin on HIPAA Compliance for Tracking Technologies By Vicki Tankle Angela Matney Wendy Choi The Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) recently issued a bulletin highlighting...
12/13/2022 7:58:05 PM Home Health Care Services Electronic Visit Verification System Implementation Required by January 1, 2023 By Janine Tougas Craig Anderson Under provisions of the 21st Century Cures Act (Cures Act), providers of Medicaid-funded personal care services (PCS) and home health...
12/9/2022 8:29:29 PM HHS Proposes Rule to Update Retail Pharmacy Standards for Electronic Transactions under HIPAA By Brittney Cafero The Department of Health and Human Services (“HHS”) has proposed a rule that updates retail pharmacy standards for electronic...
10/21/2022 2:05:36 AM CMS Considers National Directory of Healthcare Providers and Services By Nicole Aiken-Shaban Vicki Tankle Andrew Hayes Wendy Choi +1 more... Show less In its latest effort to increase transparency and improve patient access to information about their health care providers the U.S....
10/6/2022 3:08:27 PM Regulators increase scrutiny on preserving business communications on messaging apps By Matthew Loughran Health care and life science companies operating globally should be aware of the increased regulatory scrutiny in the U.S., the UK and...
9/29/2022 2:53:40 AM Analysis of Medicare Prescription Drug Pricing Changes in Inflation Reduction Act By Matthew Loughran The Inflation Reduction Act included some very significant changes to the ways in which the Medicare program handles drug pricing. Among...
9/29/2022 12:58:31 AM FDA Announces Final Guidance on Clinical Decision Support Software By Celeste Letourneau John Kendzior On September 27, 2022, FDA announced the publication of a final guidance document entitled Clinical Decision Support Software, Guidance...
9/28/2022 4:05:37 AM Eighth Circuit Finds “But-For” Causation Standard for AKS-Premised FCA Cases By Ryan Pate The U.S. Court of Appeals for the Eighth Circuit recently weighed in on the causation standard for False Claims Act (“FCA”) cases...
9/19/2022 3:38:57 AM Agencies Look for Input on No Surprises Act Good Faith Estimate Rules By Nicole Aiken-Shaban Matthew Loughran Following closely after the clarifying independent dispute resolution process Final Rule, the four executive branch entities tasked with...
9/12/2022 8:38:54 PM Telehealth Under Scrutiny: OIG Special Fraud Alert and DOJ Enforcement Highlights Suspect Characteristics Associated with High-Risk Telemedicine Arrangements By Nancy Halstead Vicki Tankle James Hennessy Arielle Lusardi +1 more... Show less The Department of Health and Human Services Office of Inspector General (HHS-OIG) recently published a Special Fraud Alert warning health...
8/30/2022 6:46:18 PM OIG Approves Rewards Program for Medicare Advantage Organizations By Scot T. Hasselman Nicole Aiken-Shaban Courtney Potts After a long line of opinions scrutinizing the use of rewards programs offered by providers, the Department of Health and Human Services’...
8/26/2022 9:05:48 PM Departments issue new Final Rule and guidance materials for No Surprises Act IDR process By Nicole Aiken-Shaban Ellen Pighini On August 26, 2022, the Departments of Health and Human Services, Labor, and Treasury (the “Departments”) issued the highly anticipated...
8/1/2022 5:29:39 PM Supreme Court judgment triggers abortion bans in states, legislative action in others By Lesley Reynolds Sarah Cummings Stewart Lara Parkin Matthew Loughran +1 more... Show less The U.S. Supreme Court on July 26 issued its judgment in the case of Dobbs v. Jackson Women’s Health, officially setting in motion...
7/13/2022 6:50:39 PM ONC’s Trusted Exchange Framework and Common Agreement (TEFCA): Impacts on Health Information Networks and Health Care Organizations By Nancy Halstead Vicki Tankle Andrew Hayes Wendell Bartnick +1 more... Show less The U.S. Department of Health and Human Services Office of the National Coordinator for Health Information Technology (ONC) released...
7/6/2022 2:46:53 PM New Guidance by OCR addresses HIPAA and Disclosures of Information relating to Reproductive Health By Craig Anderson On June 29, 2022, the U.S. Department of Health & Human Services’ Office for Civil Rights (“OCR”) issued two pieces of guidance...