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Health Law News

Important Alert: Response to Emailed Bomb Threats

[12/13/18]

Posted on December 13, 2018 in Health Law News

Published by: Hall Render

A number of organizations, including many health care and financial organizations, nationwide have reported receiving emails that state that an explosive device has been brought into the recipient’s facility and will be detonated unless a ransom is paid in Bitcoin. Law enforcement authorities are investigating; however, at this point, no explosive devices have been... READ MORE

Nursing Home Fine Upheld for Inadequately Addressing Sexual Interactions Between Cognitively Impaired Residents – Policy Reviews Needed

[12/13/18]

Posted on December 13, 2018 in Health Law News, Long-Term Care, Home Health & Hospice

Published by: Hall Render

Last week, the United States Court of Appeals for the Seventh Circuit (“Court of Appeals”) released an opinion that confirmed a Centers for Medicare & Medicaid Services (“CMS”) assessment of an immediate jeopardy citation and an $83,800 civil money penalty against a nursing home for inadequately addressing sexual interactions between cognitively impaired nursing home... READ MORE

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Department of Justice Announces Important Updates to Yates Memo Requirements

[12/07/18]

Posted on December 7, 2018 in Health Law News

Published by: Hall Render

On November 29, 2018, Deputy Attorney General Rod Rosenstein announced some significant changes to the Department of Justice’s (“DOJ’s”) policies on investigating corporate wrongdoing. These changes pull back some of the guidance that was first announced in a public memorandum issued by former Deputy Attorney General Sally Quillian Yates (“Yates Memo”) in 2015, especially... READ MORE

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The Past Is Prologue: Reviewing Compliance Landmarks from 2018 to Plan for 2019

[12/03/18]

Posted on December 3, 2018 in Health Law News

Published by: Hall Render

Compliance professionals live in a world of constant change. As new laws are passed, new regulations are finalized, and public health crises emerge, compliance professionals are expected to guide their organizations through uncharted territory to the destinations chosen by other leaders. Although predicting the future is impossible, compliance priorities rarely develop in isolation. This article surveys significant compliance landmarks from 2018 to help compliance professionals plan for... READ MORE

New All-Payor Kickback Statute Affects Arrangements Related to Clinical Laboratories, Recovery Homes and Clinical Treatment Facilities

[12/03/18]

Posted on December 3, 2018 in Health Law News

Published by: Hall Render

On October 24, 2018, Congress enacted a new law titled the Eliminating Kickbacks in Recovery Act of 2018 (“EKRA”) as part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018 (“SUPPORT Act”). The SUPPORT Act is a comprehensive law that seeks to combat the opioid... READ MORE

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Hospital Wage Index Reform Deja Vu? OIG Releases Report on Vulnerabilities of Wage Index System, Recommends Overhaul of System

[11/30/18]

Posted on November 30, 2018 in Health Law News

Published by: Hall Render

On November 21, 2018, the Department of Health and Human Services Office of Inspector General (“OIG”) released a report (“Report”) outlining what it believes are multiple deficiencies in the Medicare wage index system. OIG recommended several changes, including revisiting the possibility of comprehensive reform and seeking authority to penalize hospitals that submit inaccurate wage... READ MORE

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CMS Proposes to Require Manufacturers to Disclose Drug Prices in TV Ads

[11/21/18]

Posted on November 21, 2018 in Health Law News

Published by: Hall Render

The Centers for Medicare & Medicaid Services (“CMS”) recently issued a proposed rule (“Proposed Rule”) that would require pharmaceutical manufacturers to disclose the list price for a typical course of treatment of prescription drugs and biologics covered by Medicare or Medicaid in direct-to-consumer television advertisements. This policy development comes just two months after the... READ MORE

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Health Provider News – November 16, 2018

[11/16/18]

Posted on November 16, 2018 in Health Law News

Published by: Hall Render

NATIONAL Amazon adds to its list of HIPAA-eligible machine learning tools Leapfrog releases Fall 2018 safety grades showing medical errors, safety issues prevail in red and blue states Hospital CEOs Agree That Systemness Focus Drives Results Doctors as disruptors? AMA CEO says medicine’s future demands it 93% of MIPS-eligible clinicians to get positive payment... READ MORE

Episode-Based Bundled Payment Models Poised to Make a Comeback

[11/16/18]

Posted on November 16, 2018 in Health Law News

Published by: Hall Render

Health and Human Services (“HHS”) Secretary Alex Azar announced on Thursday, November 8, 2018 that HHS intends to reconsider some of the episode-based payment models that it withdrew almost one year ago. According to Secretary Azar, HHS is exploring new and improved episode-based payment models, including a mandatory bundled payment model for radiation oncology.[1]... READ MORE

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CMS Finalizes Several Changes for Off-Campus Provider-Based Clinics

[11/12/18]

Posted on November 12, 2018 in Health Law News

Published by: Hall Render

On November 1, 2018, the Centers for Medicare & Medicaid Services (“CMS”) released its final rule for the Calendar Year (“CY”) 2019 Medicare Physician Fee Schedule (“MPFS Final Rule”). Among many other changes, CMS finalized maintaining payments for certain non-excepted (non-grandfathered) off-campus provider-based hospital departments (“PBDs”) at 40 percent of the Outpatient Prospective Payment... READ MORE