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|OIG 2015 Work Plan - Skilled Nursing Facilities|
Ari J. Markenson; Duane Morris LLP;
November 17, 2014, previously published on November 13, 2014Recently, the Department of Health and Human Services Office of the Inspector General (the OIG) released its work plan for 2015. The work plan provides stakeholders with a road map to the OIG’s activities in the coming year as they relate to its enforcement priorities and issues it will...
|Legislation Imposing Limits on Direct Dispensing of Medications to Injured Workers by Physicians Becomes Law in Pennsylvania|
Francis X., Esq. Wickersham; Marshall Dennehey Warner Coleman Goggin P.C.;
November 15, 2014, previously published on November 3, 2014On October 27th, Governor Tom Corbett signed into law House Bill 1846, which will limit the practice of physicians dispensing drugs directly to injured workers. A recent front page article in The Philadelphia Inquirer by Don Saptkin highlighted the significant costs Pennsylvania employers were...
|Alberta Government Invites Feedback on Proposed Changes to Occupational Health and Safety Code|
Justin Turc, Shana Wolch; McCarthy Tétrault LLP;
November 15, 2014, previously published on November 4, 2014The Code applies to most employers in Alberta. Over the last few years, the Government of Alberta has conducted a review of the Code and solicited feedback on areas in want of revision.
|Parents' Medical History May Make Long-Term Care Insurance More Expensive|
Leah Mitchell McElmoyl; Chambliss, Bahner & Stophel, P.C.;
November 15, 2014, previously published on Fall 2014Your parents' health could be one of the many factors that long-term care insurance providers take into account when deciding how much to charge you. One large insurer has started rating applicants based, in part, on the applicant's parents' medical histories.
|CME Payments Largely Remain Excluded From Sunshine Act Reporting|
Brian P. Dunphy; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
November 14, 2014, previously published on November 4, 2014The Centers for Medicare & Medicaid Services (“CMS”) has finalized changes to a number of reporting requirements under the regulations implementing the Physician Payments Sunshine Act (“Final Rule”). When CMS proposed several of these changes in July, my colleague...
|IRS Announces Changes to Mid-Year Cafeteria Plan Elections|
Lauren B. Dunn; Foster, Swift, Collins & Smith, P.C.;
November 14, 2014, previously published on October 28, 2014On September 18, 2014, the Internal Revenue Service ("IRS") issued Notice 2014-55, that expands the permissible mid-year election change rules for cafeteria plans in order to facilitate enrollment in coverage through a Health Insurance Marketplace ("Marketplace"). Notice 2014-55...
|CMS Finalizes OPPS Rule Packaging Pathology Services Ordered for Hospital Outpatients|
Karen S. Lovitch, Lauren Moldawer; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
November 14, 2014, previously published on November 6, 2014As part of the Outpatient Prospective Payment System (OPPS) Rule issued last week, the Centers for Medicare & Medicaid Services (CMS) finalized its proposal to conditionally package certain ancillary services assigned to APCs with a “geographic mean cost” of $100 or less. This...
|Realizing the Potential of Telemedicine in China, Part 2: Data Privacy and Security|
Tianran Yan; Foley Lardner LLP;
November 14, 2014, previously published on November 5, 2014The Chinese market presents a tremendous opportunity for U.S. hospitals and providers, as long as the intricacies of data privacy and security issues are thoroughly understood. This includes Chinese regulations regarding medical records, electronic health record (EHR) storage, and practical...
|Whistleblower Awarded For Uncovering Health Care Fraud|
Katie Nealon; Brayton Purcell LLP;
November 14, 2014, previously published on October 29, 2014This spring in Alabama, a nurse received $15 million for exposing the fraud of a national home healthcare company where she was formerly employed. The company was accused by justice department officials of making false claims for Medicare and other government healthcare insurance programs.
|Office of Inspector General Proposes New Safe Harbors to the Anti-Kickback Statute and Civil Monetary Penalty Rule|
Craig O. Sieverding; Davis, Brown, Koehn, Shors & Roberts, P.C.;
November 14, 2014, previously published on October 8, 2014On October 3, 2014, the US Department of Health and Human Services, Office of Inspector General (“OIG”) issued a Proposed Rule that, among other things, would protect additional payment practices and business arrangements from criminal prosecution or civil sanction under the...