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|The Affordable Care Act—Countdown to Compliance for Employers, Week 21: Self-Funded Group Health Plans, the Affordable Care Act and National Health Plan Identifier Numbers (HPIDs)|
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
August 5, 2014, previously published on August 4, 2014The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ushered in broad national standards aimed at improving the efficiency and effectiveness of the U.S. health care system. Referred to generically as “administrative simplification,” these rules govern the areas of...
|FDA Set to Regulate LDTs - Citing Safety Concerns and Advanced Technologies|
Antoinette F. Konski; Foley & Lardner LLP;
August 5, 2014, previously published on August 4, 2014Advances in medical technology have increased the use of diagnostic tests to guide therapeutic decisions for many diseases and conditions, especially in the context of personalized medicine. Citing the need to ensure that certain tests used by health care professionals that diagnose and treat...
|Beware Excluded Individuals and Entities|
Kim Stanger; Holland Hart LLP;
August 4, 2014, previously published on July 30, 2014Federal laws generally prohibit providers from billing for services ordered by, or contracting with, persons or entities that have been excluded from participating in Medicare, Medicaid, or other federal health care programs. Violations may result in significant penalties, including repayment of...
|Insurers May Have New Remedy To Challenge Amount Of Hospital Medical Charges|
Martin Disiere Jefferson Wisdom L.L.P.;
August 4, 2014, previously published on July 18, 2014The Fourteenth Court of Appeals in Houston recently found an insurer had standing to challenge medical charges subject to a hospital lien in a personal injury lawsuit. In Allstate Indem. Co. v. Memorial Hermann Health System, No. 14-13-00307-CV, 2014 WL 2895187 (Tex. App.—Houston [14th Dist.]...
|Encryption - Don’t Leave Home (or Work) Without It|
Robert G. Marasco; Procopio, Cory, Hargreaves & Savitch LLP;
August 4, 2014, previously published on July 29, 2014Encryption is more commonly becoming the recipe to avoiding the harsh consequences of a data breach. Some of those consequences include penalties for violations of the Health Insurance Portability and Accountability Act (“HIPAA”) and similar state laws, governmental enforcement actions...
|CMS Extends Moratoria for the Enrollment of New Home Health Agencies and Ambulance Suppliers and Providers|
Ari J. Markenson; Duane Morris LLP;
August 4, 2014, previously published on August 1, 2014Over the past year, the Centers for Medicare & Medicaid Services (CMS) flexed its regulatory muscle to establish temporary moratoria on the enrollment of certain providers and suppliers under its recent authority pursuant to 42 U.S.C. § 1395cc(j)(7) and 42 CFR § 424.570.
|New Immunization Requirements|
Lamb Barnosky LLP;
August 4, 2014, previously published on July 24, 2014August is National Immunization Awareness Month. We therefore take this opportunity to inform you about current legal requirements for student immunizations and recent changes issued by the New York State Department of Health ("DOH"). These new requirements went into effect on July l,...
|Recent False Claims Act Case Involving Hospitalists' Services Includes Allegations that Company's Compliance Program and Corporate Officers Had Knowledge of Upcoding|
Clay J. Countryman; Breazeale, Sachse & Wilson, L.L.P.;
August 2, 2014, previously published on July 2014On Monday, June 16, 2014, the U.S. Department of Justice (DOJ) filed a complaint intervening in a whistleblower’s suit under the False Claims Act, 31 U.S.C. § 3730(b)(1), against IPC The Hospitalist Company, Inc. and its subsidiaries (IPC) in U. S. District Court for the Northern...
|Department of Health Announces its Second Workshop on Charlotte's Web|
August 1, 2014, previously published on July 30, 2014The Department of Health announced that it will be conducting a workshop to which all persons are invited.
|Docs v. Glocks Development: Glocks Win Round Three|
August 1, 2014, previously published on July 31, 2014In 2011, Florida's Firearm Owners Privacy Act (the "Act") made it illegal for doctors to ask patients whether they own firearms unless the doctor believes the "information is relevant to the patient's medical care or safety, or the safety of others." § 790.338, Fla. Stat....