12/18/2024 4:03:43 PM OIG Issues Voluntary Compliance Guidance for Nursing Facilities By Sonia Nguyen Allie Klimkiewicz A year after issuing its General Compliance Program Guidance, the Department of Health and Human Services Office of Inspector General...
12/12/2024 5:17:25 PM OCR Sets Precedent with Settlement Over Impermissible Disclosure of Reproductive Health Information By Nancy Halstead Vicki Tankle Angela Matney Garrison Ambrose +1 more... Show less The U.S. Department of Health and Human Services Office for Civil Rights (“OCR”) will start to enforce compliance later this month with...
12/3/2024 12:00:00 PM Medicare overpayment rule standard changes finalized in 2025 CMS Physician Fee Schedule By Scot T. Hasselman Nancy Halstead Tom Greeson Nicole Aiken-Shaban Kaitlyn Dunn Peter Terreri Matthew Loughran +4 more... Show less In the final 2025 Medicare Physician Fee Schedule, which is set to be published in the Federal Register on December 9, the Centers for...
11/15/2024 5:52:09 AM Proposed Rule Could Enhance Contraceptive Coverage If It Survives New Administration By Brittney Cafero Ellen Pighini On October 21, 2024, the U.S. Department of Health and Human Services, Labor Department, and the Treasury Department (collectively “the...
11/13/2024 1:59:01 PM 2024 Election Results Could Mean Significant Restrictions on Reproductive Rights By Scot T. Hasselman Lesley Reynolds Whitney Petrie Matthew Loughran +1 more... Show less The 2024 elections created a bit of a mixed result for reproductive rights in the United States. A number of states passed ballot...
10/9/2024 4:01:25 AM New California law to regulate automated claims processing using modern technology, like AI By Wendell Bartnick Vanessa Perumal California’s new law, SB 1120, set to take effect on January 1, 2025, regulates how health care service plans (HCSPs) and disability...
10/7/2024 1:01:26 AM CMS Ramps up Process for Identifying Private-Equity Ownership of SNFs By Carol Loepere Brittney Cafero Matthew Loughran This month, the Centers for Medicare & Medicaid Services (CMS) has begun an off-cycle revalidation process directed at all...
10/1/2024 3:50:07 AM Are False Claims Act Whistleblower Cases Unconstitutional? By Selina Coleman Matthew Loughran Are the qui tam provisions of the False Claims Act an unconstitutional delegation of authority to private citizens? One federal court,...
9/26/2024 6:52:21 PM OIG Issues Unfavorable Opinion on Medicare Advantage Gainsharing Arrangements By Brittney Cafero The Office of Inspector General of the Department of Health and Human Services (OIG) has published an unfavorable advisory opinion...
9/24/2024 8:39:50 PM Private organizations benefit from HHS plan for state and local governmental AI use By Wendell Bartnick Vanessa Perumal Garrison Ambrose The U.S. Department of Health and Human Services (HHS) has published its Plan for Promoting Responsible Use of Artificial Intelligence in...
9/13/2024 2:27:20 AM HHS OIG won’t enforce antifraud statutes against patient assistance program By Roswill Mejia The Department of Health and Human Services Office of Inspector General (“OIG”) recently issued a favorable advisory opinion regarding...
9/3/2024 7:52:42 PM Artificial Intelligence raises important legal and policy considerations for patient data and clinical trials By Matthew Loughran The use of artificial intelligence (AI) in research and development and the research and development of AI solutions themselves create...
8/5/2024 3:23:52 AM OIG Issues Opinions On Arrangements Involving Gene Therapy Treatments By Craig Anderson The Department of Health and Human Services Office of Inspector General (OIG) recently issued two advisory opinions related to proposed...
7/23/2024 7:46:53 PM CMS Revisits Medicare Overpayment Standards in 2025 Physician Fee Schedule By Nancy Halstead Hatmaker Pawlitz Peter Terreri In its recently released 2025 proposed Medicare Physician Fee Schedule (“MPFS”), the Centers for Medicare & Medicaid Services (“CMS”)...
7/16/2024 3:09:36 PM HHS Finalizes Rule on Health Care Provider Information Blocking Penalties By Nancy Halstead Vicki Tankle Garrison Ambrose Matthew Loughran +1 more... Show less The Centers for Medicare & Medicaid Services (“CMS”) and the Office of the National Coordinator for Health Information Technology (“ONC”)...
7/3/2024 9:38:53 PM Reed Smith Provides Analysis of Chevron’s End and Its Impact on Regulated Industries By Matthew Loughran The fallout from last week’s Loper Bright/Relentless opinion by the U.S. Supreme Court that prospectively eliminated Chevron deference is...