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HTMLThe 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.;
Legal Alert/Article
August 5, 2014, previously published on August 4, 2014
The 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...

 

HTMLFDA Set to Regulate LDTs - Citing Safety Concerns and Advanced Technologies
Antoinette F. Konski; Foley & Lardner LLP;
Legal Alert/Article
August 5, 2014, previously published on August 4, 2014
Advances 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...

 

HTMLBeware Excluded Individuals and Entities
Kim Stanger; Holland Hart LLP;
Legal Alert/Article
August 4, 2014, previously published on July 30, 2014
Federal 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...

 

HTMLInsurers May Have New Remedy To Challenge Amount Of Hospital Medical Charges
Martin Disiere Jefferson Wisdom L.L.P.;
Legal Alert/Article
August 4, 2014, previously published on July 18, 2014
The 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.]...

 

Adobe PDFEncryption - Don’t Leave Home (or Work) Without It
Robert G. Marasco; Procopio, Cory, Hargreaves & Savitch LLP;
Legal Alert/Article
August 4, 2014, previously published on July 29, 2014
Encryption 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...

 

HTMLCMS Extends Moratoria for the Enrollment of New Home Health Agencies and Ambulance Suppliers and Providers
Ari J. Markenson; Duane Morris LLP;
Legal Alert/Article
August 4, 2014, previously published on August 1, 2014
Over 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.

 

Adobe PDFNew Immunization Requirements
Lamb Barnosky LLP;
Legal Alert/Article
August 4, 2014, previously published on July 24, 2014
August 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,...

 

HTMLRecent 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.;
Legal Alert/Article
August 2, 2014, previously published on July 2014
On 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...

 

HTMLDepartment of Health Announces its Second Workshop on Charlotte's Web
GrayRobinson P.A.;
Legal Alert/Article
August 1, 2014, previously published on July 30, 2014
The Department of Health announced that it will be conducting a workshop to which all persons are invited.

 

HTMLDocs v. Glocks Development: Glocks Win Round Three
GrayRobinson P.A.;
Legal Alert/Article
August 1, 2014, previously published on July 31, 2014
In 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....

 


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