CMS and OIG Propose Modifications for EHR Donation Rules
The Legal Intelligencer
Tuesday, May 7, 2013
The utilization of electronic health records (EHR) by medical practitioners has been a policy push by the federal government for a number of years.
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OIG Addresses Physician-Owned Distributorships in Special Fraud Alert
The Legal Intelligencer
Tuesday, April 2, 2013
The U.S. Department of Health and Human Services, Office of Inspector General (OIG) is the enforcer of the federal Anti-Kickback Statute. As part of this function, the OIG has periodically released Special Fraud Alerts to provide guidance on trends in the health care industry and their potential for violation of the federal Anti-Kickback Statute.
Health Care Law
The Legal Intelligencer
Tuesday, March 19, 2013
The Health Care Law Supplement includes articles on accountable care organizations, full-time employee status under health care reform, the Physician Payment Sunshine Act and an online-only package of articles.
Accountable Care Organizations: From Theory to Practice
The Legal Intelligencer
Tuesday, March 19, 2013
The last two years have brought with them radical changes to the way we think about the delivery of health care services. The Affordable Care Act was a catalyst to the development of the accountable care organization (ACO).
'Subrogation' or 'Reimbursement': What Does It Mean Regarding ERISA?
The Legal Intelligencer
Tuesday, March 19, 2013
Many health plans (both insured and self-funded) have vigorously pursued their subrogation and reimbursement rights. Those rights are generally written in broad and sweeping terms.
New Regulations Extend Reach of Health Care Privacy and Security Obligations
The Legal Intelligencer
Tuesday, March 19, 2013
On January 25, the Office for Civil Rights of the Department of Health and Human Services published long-awaited final regulations modifying the privacy, security, enforcement and breach notification rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH), implementing the most significant changes to health care privacy and security law in a decade.
The Interrelationship Between Compliance and Quality of Care
The Legal Intelligencer
Tuesday, March 19, 2013
Compliance and quality are often viewed as two distinct functions. Typically, compliance deals with the rules and proper procedures for billing Medicare and other third-party payers. Conversely, quality functions do not usually concern themselves with reimbursement.
Health Care Reform and the Unionized Employer
The Legal Intelligencer
Tuesday, March 19, 2013
The Patient Protection and Affordable Care Act, also known as health care reform, is now three years old. Employer health plans have had a host of new administrative and coverage requirements to comply with during each of the PPACA's first three years.
Seeing the Light With the Physician Payment Sunshine Act
The Legal Intelligencer
Tuesday, March 19, 2013
On February 1, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited final rule implementing the physician payment transparency provisions, commonly referred to as the Physician Payment Sunshine Act, in the Obama administration's 2010 health care reform legislation.
Impact of Health Care Laws on M&A Transactions
The Legal Intelligencer
Tuesday, March 19, 2013
Most lawyers specializing in mergers and acquisitions (M&A) apply a standard approach to handling acquisitions and divestitures across a broad spectrum of industry contexts, calling in subject-matter specialists as needed to review specific representations and warranties or to address other discrete issues that arise.
