February was an interesting month, with one case showing how OIG advisory opinions can be taken too far, another considering fraud under a corporate integrity agreement, and a court applying burden-shifting for the first time at the appellate level in FCA retaliation cases. Cases reviewed from February are: US ex rel. Boggs v. Bright Smile Family…Read More
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MedPAC Considers SNF Bundled Payments, Therapy Cap Changes
Posted on March 13, 2012 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Medicare Payment Advisory Commission (MedPAC) is an independent Congressional advisory agency that makes formal recommendations to Congress in March and June of each year. MedPAC was created to advise Congress on issues affecting the administration of the Medicare Program. While Congress is not obligated to follow MedPAC’s recommendations, the recommendations are heavily considered. This month,…Read More
Oregon nursing assistant jailed for posting resident photos to Facebook
Posted on March 12, 2012 in Litigation Analysis
Published by: Hall Render
The penalty for using Facebook or a cell phone at work can be more than termination. Last month, an Oregon jury convicted Nai Mai Chao, a nursing assistant, of misdemeanor invasion of personal privacy for taking disturbing photos of elderly or disabled patients and posting them to her Facebook wall. She spent eight days in…Read More
CMS Hosting Overview Call re Stage 2 Proposed Rule
Posted on March 12, 2012 in Health Information Technology
Written by: Alisa C. Kuehn
CMS is hosting a National Provider Call on Monday, March 12, from 12:30 – 2:00 pm ET for eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs), which will include an overview of the proposed rule for Stage 2 criteria for Meaningful Use under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. Registration Information: In…Read More
Additional Guidance Issued on Essential Health Benefits
Posted on March 9, 2012 in Health Law News
Written by: Betner, Brian C.
This installment of Hall Render’s Health Law Broadcast series on health care reform is designed to provide you with the insight, analysis and practical suggestions with respect to the various reform initiatives that will affect your organization. The U.S. Department of Health and Human Services (“HHS”) recently issued additional guidance regarding the essential health benefits…Read More
340B Update: HRSA Issues Program Notice Addressing Ongoing 340B Program Audits
Posted on March 9, 2012 in Health Law News
Written by: Nova, Todd A.
On March 5, 2012, the Health Resources and Services Administration (“HRSA”) issued a new Program Notice (“Notice”) that provides additional insight into the recent audits of entities participating in the 340B Program (“Covered Entities”). The Notice, which HRSA characterizes as a restatement of current policy, represents the clearest public statement to date of HRSA’s 340B…Read More
Financial Impact of Breached PHI Study Released
Posted on March 7, 2012 in Health Information Technology
Published by: Hall Render
On Monday, March 5th, the American National Standards Institute (“ANSI”) issued its long-awaited report, “Financial Impact of Breached Protected Health Information” (http://webstore.ansi.org/phi/). The Report provides a good summary of the current state of health data privacy and security in the U.S., HIPAA legislative history, and some potential measures that can be taken to strengthen the protection of…Read More
Revised EHR Certification Standards and Modifications to Certification Program Proposed Regulations Published
Posted on March 7, 2012 in Health Information Technology
Written by: Jeffrey W. Short
The Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology Proposed Regulations were published in their official version in today’s Federal Register. Although these proposed regulations have been available in the unpublished format, the publication in the Federal Register…Read More
Stage 2 Proposed Meaningful Use Regulations Published
Posted on March 7, 2012 in Health Information Technology
Written by: Jeffrey W. Short
The Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 2 Proposed Regulations were published in their official version in today’s Federal Register. Although these proposed regulations have been available in the unpublished format, the publication in the Federal Register begins the time period for submitting comments to the proposed regulations. All comments to these…Read More
Disability Law Remains Uncertain as the Anniversary of the ADAAA Regulations Approaches
Posted on March 7, 2012 in HR Insights for Health Care
Written by: Jennifer H. Gonzalez
As we approach the one-year anniversary of the ADAAA regulations, we have caught only a glimpse of the true effect of these legal changes. We have seen a string of multi-million dollar settlements from the EEOC involving class disability claims, culminating in Verizon’s payout of $20 million for an allegedly “illegal” and “inflexible” no-fault attendance…Read More
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