HHS OIG issues updated provider self-disclosure protocol *

USA - April 19 2013
On April 17, 2013, the US Department of Health and Human Services, Office of Inspector General (HHS-OIG) released an updated provider self-disclosure…

Co-authors: Gadi Weinreich, Christopher G. Janney.

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SMART Act brings increased discipline and rationality to government’s Medicare secondary payer recovery process *

USA - January 8 2013
To usher in the New Year, Congress passed H.R. 1845, which contains, in part, the bipartisan Strengthening Medicare and Repaying Taxpayers ("SMART") Act…

Co-authors: Janice Ziegler , Mark Hamelburg.

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Congress extends overpayment recovery period *

USA - January 3 2013
Among the many provisions buried in this week's 150+ page American Taxpayer Relief Act ("ATRA"), one - Section 638 -; amends Section 1870 of…

Co-authors: Gadi Weinreich, Holley Thames Lutz , Christopher G. Janney.

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OCR releases audit protocols for HIPAA security, privacy and breaches *

USA - June 26 2012
The Department of Health & Human Services (HHS) is required under Section 13411 of the HITECH Act to conduct periodic audits to ensure covered entities and business associates are complying with the HIPAA Privacy and Security Rules and Breach Notification standards.

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CMS seeks feedback on protecting Medicare's interests regarding future medicals *

USA - June 19 2012
The US Centers for Medicare & Medicaid Services (CMS) has long taken the position that insurers, Medicare beneficiaries and others have an obligation to "protect Medicare's interests" under the Medicare Secondary Payer (MSP) laws with respect to claims involving liability insurance (including self-insurance), no-fault insurance, and workers compensation insurance (collectively, non-group health plans) when future medical care is claimed or a settlement, judgment, award, or other payment (for convenience, each a "settlement") releases (or has the effect of releasing) claims for future medical care.

Co-authors: Janice Ziegler .

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