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Searching Content indexed under Healthcare by Day Pitney LLP ordered by Published Date Descending.
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1
CMS Expands Immediate Jeopardy Standards
"Immediate Jeopardy" is defined by the Centers for Medicare & Medicaid Services (CMS) as "a situation in which the provider's noncompliance with one or more requirements of participation has caused,
United States
12 Apr 2019
2
CMS Launches HIPAA Compliance Review Program
On March 28, the Division of National Standards, at the Centers for Medicare & Medicaid (CMS) announced the launch of its Compliance Review Program to ensure compliance among covered entities
United States
12 Apr 2019
3
CMS Announces Artificial Intelligence Health Outcomes Challenge
On March 27, the Centers for Medicare & Medicaid Services (CMS) announced a new program called the "Artificial Intelligence Health Outcomes Challenge" (AI Challenge)
United States
12 Apr 2019
4
CMS Releases 2019 Exchange Open Enrollment Report
On March 25, the Centers for Medicare & Medicaid Centers (CMS) issued its annual report for the 2019 open enrollment in Health Insurance Exchanges.
United States
12 Apr 2019
5
CMS Issues Alert For Expanded Drug Reporting For Medicare Secondary Payers
On March 26, the Centers for Medicare & Medicaid Services (CMS) published a technical alert titled "Technical Alert: Group Health Plan (GHP) Reporting Change for Prescription Drug Coverage Information
United States
11 Apr 2019
6
Any Willing Provider Laws May Not Apply To Pharmacy Benefit Managers
Many states have enacted any willing provider ("AWP") laws that apply to pharmacy participation in networks. These laws require managed care plans to accept qualified pharmacies
United States
25 Mar 2019
7
HHS: 2018 Was All-Time Record Year For HIPAA Enforcement
The Office for Civil Rights (OCR) at the U.S Department of Health and Human Services (HHS) reported a record year in Health Insurance Portability and Accountability Act (HIPAA) enforcement ...
United States
20 Mar 2019
8
CMS Expands Immediate Jeopardy Standards
"Immediate Jeopardy" is defined by the Centers for Medicare & Medicaid Services (CMS) as "a situation in which the provider's noncompliance with one or more requirements of participation has caused ...
United States
20 Mar 2019
9
DOJ Says Noncompliance With Manuals Is Not Enough For Prosecution – Or Is It?
In December 2018, the Department of Justice (DOJ) formalized its position on limiting the use of guidance documents issued by federal agencies to govern its prosecution decisions.
United States
20 Feb 2019
10
CMS And ONC Release Proposed Rules Regulating Electronic Health Information Blocking
The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) have each released a proposed rule regulating information blocking.
United States
18 Feb 2019
11
Hospitals Should Note New IRS Notice On Highly Compensated Employee Excise Tax
The Tax Cuts and Jobs Act added Section 4960 to the Internal Revenue Code, which imposes an excise tax on remuneration paid to certain highly compensated employees of tax-exempt organizations.
United States
15 Feb 2019
12
New CMS App Helps Medicare Beneficiaries Understand Coverage
On January 28 the Centers for Medicare & Medicaid Services (CMS) launched a new Medicare information mobile app called "What's Covered."
United States
15 Feb 2019
13
White Collar Roundup - January 2019
While focused more on street crime, the First Step Act brings a bevy of changes to sentencing and incarceration in the federal system.
United States
13 Feb 2019
14
HHS Provides Guidance To Health Care Industry On Mitigating Cyber Security Threats
As the health care sector continues to be a target of cyberattacks, the Department of Health and Human Services (DHHS) released new guidance to protect health care organizations from cyberattacks.
United States
30 Jan 2019
15
CMS Expands Value-Based Insurance Program
On January 18, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet announcing a broad array of Medicare Advantage (MA) health plan innovations that will be tested
United States
29 Jan 2019
16
CMS Releases Guidance On MSSP ACO Waiver For SNF 3-Day Rule
In January, the Centers for Medicare and Medicaid Services (CMS) published very helpful guidance on the implementation of the waiver of the Skilled Nursing Facility (SNF) 3-Day Rule for certain Medicare Shared Savings Program (MSSP) ACOs.
United States
29 Jan 2019
17
Good News – Possible Tax Breaks For Nursing Homes And Other Facilities
The Internal Revenue Service (IRS) released final regulations on January 18, including new guidance under Section 199A for the 20% deduction for qualified business income (QBI).
United States
29 Jan 2019
18
CMS Seeks Relaxation Of Kickback & Self-Referral Regulations
The CMS recently published proposed changes to the Anti-Kickback Statute and Stark Law to address concerns that these laws are too restrictive and not current with modern healthcare and therefore are stifling innovation ...
United States
7 Jan 2019
19
FDA Announces Regulation Of Biopharma Apps
The FDA recently published a Notice and Request for Comments regarding a potential proposal to impose less stringent regulations on biopharmaceutical software applications, signifying an area of growth for digital health technology.
United States
7 Jan 2019
20
New CMS Rule Bolsters MA And Part D Negotiations With Drug Manufacturers
On November 26, 2018, the CMS proposed a new rule aimed at lowering the cost of prescription drugs and out-of-pocket expenses under Medicare Advantage and Part D prescription plans.
United States
7 Jan 2019
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