Health Care Law Brief

APRIL 3, 2023

On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ( Rate Announcement ). 1395w-23): Medicare Advantage Organizations (MAOs) are paid a base rate by CMS. Risk Adjustment.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

HIPAA Journal

DECEMBER 31, 2022

Since its passage, Standards have been introduced to improve patients´ rights and safeguard Protected Health Information (PHI). Unauthorized release of PHI to individuals not authorized to receive the information. HIPAA Violation Categories. There are four HIPAA violation categories. Mishandling and mis-mailing PHI.

HIPAA 132

HIPAA Due Diligence Compliance Fraud 132

Provider Trust

MAY 18, 2022

If the answer is yes, then the best mechanism for limiting CMP liability is to screen all persons that perform under that contract or that are in that job category. In January 2015, the OIG settled for $96,259 with a Minnesota Pharmacist, Joseph C. at a provider that furnishes items or services payable by Federal health care programs.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Healthcare Law Blog

MAY 16, 2022

In December 2021, the Centers for Medicare & Medicaid Services (CMS) approved the California Department of Health Care Services’ (DHCS’) request for a five-year extension of its Medicaid section 1115 demonstration and a five-year extension of its Medicaid managed care section 1915(b) waiver.

Medicaid 59

Medicaid Medicaid Nurses Health Care Access 59

Health Law RX

JULY 18, 2023

On June 27, 2023, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its long-anticipated final rule amending the OIG’s civil monetary penalty (CMP) regulations as they relate to information blocking (CMP Final Rule or Rule). The CMP Final Rule was published in the Federal Register on July 3, 2023.

Fraud 52

Fraud Compliance Medicaid Medicaid 52

Redox

DECEMBER 4, 2020

Those challenges can be broken down into two general categories: How do we get it to everyone? Lisa Bari (she/her/hers) @lisabariMore accurate information about the number of distinct IIS in the US: Kate Ricker-Kiefert @k8kiefert@lisabari 64 IIS is for 50 states, 1 district, 8 territories, and 5 city local IIdNovember 17th 2020 2 Likes.

Public Health 52

Public Health Governance Doctors Medicare 52

Drug & Device Law

JANUARY 30, 2023

280 (1995), decision that he joined in 1995 He joined a decision that found no preemption by virtue of a governmental decision not to regulate in Myrick and did not object to boilerplate description of obstacle preemption as an accepted preemption category Then in the 5-4 Geier v. Mensing , 564 U.S. Davidowitz , 312 U.S. Davidowitz , 312 U.S.

FDA 72

FDA Fraud Governance Medicare 72