Health Law Blog
  • January 20, 2017

    With 2017 just beginning, covered entities under the Health Insurance Portability and Accountability Act (HIPAA) (P.L. 104-191) need to be aware of current trends in the realm of protected health information (PHI). In a Health Care Compliance Association webinar titled “What’s New on the HIPAA Front?” Vaniecy Nwigwe and Debbie Campos of HHS Office for […]

  • January 20, 2017

    For a covered outpatient drug to be eligible for federal reimbursement under the Medicaid program’s drug rebate requirements, manufacturers must pay rebates to the states. States bill the manufacturers for the rebates to reduce the cost of the drugs to the program. Previous HHS Office of Inspector General (OIG) reviews found that states did not […]

  • January 19, 2017

    With the New Year upon us, it may be time to consider an independent evaluation and assessment of the compliance program. The HHS Office of Inspector General (OIG) calls for this in compliance guidance, when it notes there should be ongoing monitoring and auditing of all operations, including the compliance program. Meeting these standards means the […]

  • January 19, 2017

    Biosimilar manufacturers will soon have a definitive answer on the timing of giving notice of commercial marketing, thanks to the Supreme Court. On January 13, 2017, the Court granted and consolidated Sandoz, Inc.’s petition for writ of certiorari and Amgen, Inc.’s conditional cross-petition for writ of certiorari. The dispute appeals the Federal Circuit’s July 21, […]

Health Compliance Information
  • October 29, 2014

    UDPATED OCTOBER, 2016: The mission of the Centers for Medicare & Medicaid Services’ Recovery Audit Program is to identify and correct Medicare improper payments through efficient detection of both overpayments and underpayments.

  • January 9, 2014

    The momentum is back for ICD-10 risk assessments post Department of Health and Human Services (DHHS) one (1) year delay in implementation date announcement. Although we are still in the 30 day comment period, the industry is ready to continue and/or begin their assessment efforts.

  • January 9, 2014

    More than ever the burning question remains, “Why ICD-10?”  It feels like “heartburn” for most but the increase in hesitancy to adopt this new system appears to be directly related to the announcement of the impending October 2014 delay in the implementation date.  The reason for ICD-10 is more t

  • January 9, 2014

    “OMG” is about the best way to not only get your attention as a reader of this article, but my first thought as I reflect on the breaking news from the HIMSS ICD-10 Leadership Forum in National Harbor, Maryland this week.  Definitely the biggest “take away” is the announcement from CMS that they

  • January 9, 2014

    Dual coding or is it double coding? That is a very good question to ask yourself as you work toward ICD-10 implementation. The difference can be confusing when you first read the phrase, but know this….dual coding can be your avenue to successful ICD-10 transition in your organization. 

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