Articles related to Hospital & Health System Counsel

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OIG Signals Expansion to Its Exclusion Authorities

[08/09/23]

Making Care Primary: CMS Announces a New Primary Care Model 

[06/14/23]

Law & Medicine: The Exercise of Discretion

[05/05/23]

Scott Strickland Joins Hall Render

[03/20/23]

The End Is Near – Stark Law Blanket Waivers Set to Terminate May 11

[02/20/23]

No Surprises Act Enforcement Begins

[02/20/23]

CMS Publishes RADV Audit Methodology and Intent to Recover Overpayments

[02/14/23]

New CMS Payment Model Aims to Improve Cancer Care

[07/12/22]

The Price May Not Be Right, But It Will Be Public: CMS Finalizes Price Transparency Rule Requiring Hospitals to Publish Payer-Specific Rates

[11/18/19]

CMS Finalizes New Anti-Fraud Tools Aimed at Affiliations

[09/10/19]

Reminder: Many Hospitals Will Be Required to Report Lab Price Data as Part of PAMA Changes

[09/03/19]

CMS Finalizes Changes for Low Wage Hospitals and Rural Floor

[08/19/19]

Medicare Hospital Co-Location Fix? Not There Yet…

[05/07/19]

Wage Index Fix? CMS Proposes Changes for Low Wage Hospitals and Rural Floor

[04/30/19]

CMS Postpones Rules for Billing Off-Campus Provider-Based Departments Until July 2019

[03/29/19]

Repeated Breaches of ePHI Result in a $3 Million Fine, Capping Off OCR’s “Record Year” of 2018 Enforcement Actions

[02/19/19]

Hospital Wage Index Reform Deja Vu? OIG Releases Report on Vulnerabilities of Wage Index System, Recommends Overhaul of System

[11/30/18]

Hospitals Fined for Allowing Documentary Film Crews to Film Patients Without Consent

[09/24/18]

CMS Removes Compliance Training Requirements for Downstream Providers Under Medicare Advantage and Part D

[07/05/18]

Graduate Medical Education Highlights: 2019 Inpatient Prospective Payment System Proposed Rule

[05/11/18]

Provider-Based Mid-Build Exception Starts to Pay Off for Hospitals

[01/15/18]

OIG Rescission of 2006 Advisory Opinion: An Important Compliance Reminder

[12/11/17]

Meaningful Use Hardship Exception Deadline Approaching

[09/14/17]

OIG Approves Pharmaceutical Manufacturer’s Replacement Program for Spoiled Biologics

[09/06/17]

Providers Victorious in DSH Medicare Advantage Days Case

[07/31/17]

Companion Legislation Repealing Moratorium on Physician-Owned Hospitals Introduced in Senate

[06/21/17]

What Did Leaders Know and When Did They Know It? New DOJ Guidance Offers Key Insights on Effective Compliance Programs

[03/09/17]

CMS Final Rule Implements Section 603 Limitations on Payment for Off-Campus Provider-Based Departments

[11/03/16]

U.S. Hospital Chain Settles Kickback Claims for $513 Million

[10/12/16]

Deadline Looming for Applications for CMS’s Comprehensive Primary Care Plus Payment Model

[08/29/16]

Reminder: Critical Access Hospitals in Counties that Changed to Urban in 2014 Must Reclassify as Rural by September 30, 2016

[08/18/16]

CMS Leaves Many Unanswered Questions in Proposed Rules for Off-Campus Provider-Based Exclusion

[07/08/16]

CMS to Consider Provider-Based Concerns with Budget Act Implementation

[04/06/16]

Reminder: New Billing Requirements for Off-Campus Provider-Based Departments Effective January 1, 2016

[12/21/15]

Medicare Part D Fraud and Specialty Drugs Highlighted in OIG’s 2016 Work Plan

[12/09/15]

Provider-Based: The Visiting Specialist Solution to CMS’s Evolving Exclusive Use Standard

[11/24/15]

Budget Blast: Exclusion of Hospital Payment for “New” Off-Campus Hospital Departments

[11/03/15]

340B Program Omnibus Guidance: A Deeper Dive

[09/03/15]

Breaking: HRSA Releases Preliminary Version of Proposed 340B Omnibus Guidance

[08/27/15]

FDA Delays Enforcement of Dispensers’ Drug Product Tracing Obligations Until November 1, 2015

[07/01/15]

340B Program House Subcommittee Testimony: Overview and Insights

[03/30/15]

OIG Studies Medicare’s Oversight of Hospital Pharmaceutical Compounding Practices in Wake of 2012 Meningitis Outbreak

[02/23/15]

OIG Provides More Exclusion Guidance Through Recent Advisory Opinion

[02/19/15]

DOJ Announces that 2014 Sets Record for FCA Recoveries and Whistleblower Lawsuits

[11/21/14]

CMS Approves First Physician-Owned Hospital Expansion Request

[11/03/14]

CMS Extends Publication Timeline of Final Rule for Waivers in Connection with the Medicare Shared Savings Program

[10/20/14]

Medicare’s Shifting Landscape: New Labor Market Areas May Jeopardize Special Rural Status for Certain Hospitals and Create New Opportunities for Others

[08/08/14]

A Balancing Act: Pending Legislation Seeks to Improve Prescription Drug Access While Curbing Abuse

[08/04/14]

FDA Will Stop Enforcing Regulatory Requirements for Many Medical Image and Data Systems

[07/11/14]

Practical 501(r) Compliance: Constraints on Patient Charges and Collection Activities

[07/10/14]

Practical 501(r) Compliance: Reviewing and Rethinking the Financial Assistance Policy

[07/09/14]

Practical 501(r) Compliance: Why Hospital Organizations Should Comply Now with the Proposed Regulations

[07/07/14]

Privileged Compliance Investigations: A Strategy for Avoiding Retained Overpayment FCA Actions

[07/02/14]

CMS Proposes to Adopt Updated Life Safety Code Standards

[06/02/14]

Implications of the U.S. District Court Opinion Vacating the 340B Program’s “Orphan Drug” Final Rule and Regulations

[05/29/14]

OIG Proposes Substantial Changes to Its Civil Monetary Penalty Rules

[05/21/14]

Calendar Year Nonprofits Take Notice – Form 990 Returns Are Due May 15th

[05/07/14]

OIG Releases Report Recommending Reduction of OPPS Payment Rates to ASC Rates

[05/01/14]

Physicians Targeted in Tax Return Refund Fraud

[04/25/14]

Patients to Have Direct Access to Laboratory Test Results

[02/12/14]

Urgent Reminder to Physician-Owned Hospitals: Action Required by March 1, 2014

[02/11/14]

MedPAC Recommends Decreasing Payments for Hospital Outpatient Services

[02/06/14]

Summary of the OIG 2014 Work Plan

[02/04/14]

CMS Publishes 2014 Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule

[12/09/13]

CMS Publishes 2014 Physician Fee Schedule Final Rule

[12/06/13]

President Signs Compounding Pharmacy Bill – First Related FDA Guidance Published

[12/01/13]

The Drug Quality and Security Act: Implications of the Proposed New Law for Compounding Pharmacies and the Pharmaceutical Supply Chain

[11/26/13]

CMS Issues Proposed Rule Establishing Medicare FQHC Prospective Payment System

[09/30/13]

New Guidance for Annual Reporting Requirement for Physician-Owned Hospitals: First Annual Report Due December 1, 2013

[09/18/13]

2014 IPPS Final Rule – CMS Clarifies Inpatient Admission Criteria to Reduce Payment Uncertainty

[08/14/13]

Sunshine Act Compliance Begins: CMS Provides Related Payment Tracking Apps, Q&As and Other Resources

[08/09/13]

HRSA Issues 340B Program Orphan Drug Final Rule and Regulations

[07/24/13]

Obama Administration Takes Its Foot off the Gas Pedal, Announces One-Year Delay of the Employer Mandate

[07/03/13]

OIG Issues Updated Guidance for Exclusions

[05/10/13]

Health System Pays Close to $4 Million to Resolve Self-Disclosed Stark Violations

[05/06/13]

OIG Issues Updated Self-Disclosure Protocol

[04/22/13]

IRS Issues CHNA Proposed Regulations and Guidance on 501(r) Noncompliance Penalties

[04/16/13]

Michigan Strengthens Its Certification Requirements for Sign Language Interpreters

[04/11/13]

HRSA Extends 340B GPO Exclusion Guidance Compliance Deadline from April 7, 2013 to August 7, 2013

[04/08/13]

New Proposed Regulations on Code Section 501(r) Released

[04/04/13]

Final Sunshine Rule Requires Reporting of Physician Ownership in GPOs and Health Products Manufacturers

[03/13/13]

OIG Report Shows Many Co-Located LTCHs Fail to Notify of Co-Located Status; LTCHs Face Potential Overpayment Risk

[03/07/13]

Allina Health DSH Case Implications: DSH Payments and 340B Eligibility

[02/14/13]

CMS Revises Its Policy Regarding Therapy Caps for Critical Access Hospitals

[02/06/13]

Time Equals Money: Recent Change to Medicare Overpayment Recovery Period

[01/24/13]

Qui Tam Ruling May Result in Part D Sponsors and Pharmacy Benefit Managers Increasing Their Audit Activities

[01/07/13]

The American Taxpayer Relief Act of 2012: More Changes to Medicare Therapy Caps and Payments

[01/04/13]

Opportunities for Pharmacies and Long-Term Care Facilities in the new DEA Proposed Rule for Controlled Substance Disposal, but what about Hospitals?

[12/28/12]

2013 Non-Monetary Compensation to Physicians (And Chance to Review 2012)

[12/19/12]

Proposed Drug Shortage Bill Threatens 340B Drug Discounts for Injectables

[12/13/12]

CMS Publishes CY 2013 Home Health Prospective Payment System Final Rule

[12/13/12]

OIG Advisory Opinion 12-14: OIG Approves Retail Rewards Program That Includes Purchases at In-Store Pharmacies

[10/19/12]

Governance Recommendations

[10/16/12]

Governance Recommendations

[10/09/12]

Potential Prescription Drug Audit Areas Highlighted in the OIG’s Fiscal Year 2013 Work Plan

[10/05/12]

Exceptional Governance Features

[10/02/12]

OIG Reminds Pharmacies of Proper Schedule II Billing Practices

[09/28/12]

DOJ Barrier-Free Health Care Initiative

[09/26/12]

Key Findings – Board Culture

[09/25/12]

Second in Series on Medicare DSH Payment Issues

[09/19/12]

Key Findings – Board Processes

[09/18/12]

Pharmacies and Drug Distributors Take Note: DEA Revokes Registration of Two CVS Pharmacies

[09/14/12]

Key Findings – Board Structure and Composition

[09/11/12]

Medicare Therapy Caps: Changes Effective October 1, 2012 and the Impact on Hospital Outpatients and Others

[09/11/12]

Benchmarks of Effective Governance

[09/04/12]

Public and Private Scrutiny of Hospital and Health System Governance

[08/28/12]

CMS Publishes CY 2013 OPPS/ASC Proposed Rule – Summary of Key Provisions

[08/24/12]

New Governance Study Highlights Areas for Improvement for Boards of Nonprofit Hospitals and Health Systems

[08/08/12]

The Joint Commission Seeks Comments on Primary Care Medical Home Certification Process for Hospitals

[08/02/12]

CMS Publishes FFY 2013 Inpatient PPS Final Rule

[08/02/12]

IRS Proposed Regulations on New Requirements for Charitable Hospitals: Part IV – The Billing and Collection Provisions

[06/28/12]

IRS Proposed Regulations on New Requirements for Charitable Hospitals: Part III – Limitations on Charges

[06/27/12]

IRS Proposed Regulations on New Requirements for Charitable Hospitals: Part II – The Financial Assistance Policy Provisions

[06/26/12]

IRS Issues Proposed Regulations Clarifying New Requirements for Charitable Hospitals

[06/25/12]

HRSA Releases 340B Program Audit Guidance

[06/21/12]

OCR Provides Update on HIPAA Security and Privacy Audit Program

[06/13/12]

OIG Study Perceives Questionable Part D Billing by Retail Pharmacies

[05/14/12]

IRS Comments on Exempt Organization Governance Study and Significant Diversion of Assets

[04/27/12]

What’s Going on with the CMS Self-Referral Disclosure Protocol? – Recent Developments

[04/06/12]

Rural Health Clinic Medicare Deeming Authority Approved

[03/27/12]

340B Update: HRSA Issues Program Notice Addressing Ongoing 340B Program Audits

[03/09/12]

Federal Mandate for No-Cost Women’s Contraceptive Services Continues to Receive Scrutiny

[02/24/12]

The 2011 Form 990: Part V – Miscellaneous Changes and Items of Note

[02/17/12]

CMS Issues Proposed Rule to Implement Statutory Obligation to Report and Return Overpayments

[02/17/12]

The 2011 Form 990: Part IV – Schedule K

[02/16/12]

The 2011 Form 990: Part III – Schedule J

[02/15/12]

The 2011 Form 990: Part II – Schedule H

[02/14/12]

The 2011 Form 990: Part I – The Core Form and Instructions

[02/13/12]

2012 Non-Monetary Compensation to Physicians

[12/19/11]

CMS Holds Open Door Forum for Part A to Part B Rebilling Demonstration Project

[11/30/11]

Medicare Changes to the 3-Day Payment Window Rule Impact Physician Billing in 2012

[11/08/11]

Possible Rural Health Clinic Deeming Authority on the Horizon – Comments Requested

[11/08/11]