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Sample HIPAA business associate agreement provisions published
- King & Spalding LLP
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- USA
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- January 28 2013
On January 25, 2013, HHS published sample business associate agreement provisions on its website to help covered entities and business associates
HIPAA Omnibus Final Rule released
- King & Spalding LLP
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- USA
- -
- January 22 2013
The HHS Office for Civil Rights (OCR) released the long-awaited HIPAA Omnibus Final Rule on January 17, 2013. The Omnibus Final Rule modifies: The
Transcript available for National Provider Call on FY 2014 Medicare DSH changes
- King & Spalding LLP
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- USA
- -
- January 22 2013
On January 8, 2013, CMS hosted a National Provider Call to discuss the changes to Medicare disproportionate share hospital (DSH) payments under
National provider call on FY 2014 Medicare DSH changes
- King & Spalding LLP
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- USA
- -
- January 14 2013
On January 8, 2013, CMS hosted a National Provider Call to discuss the changes to Medicare disproportionate share hospital (DSH) payments under
Statistical uncertainty in the Medicare shared savings program
- King & Spalding LLP
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- USA
- -
- January 7 2013
CMS has released the results of a recent analysis, published in Vol. 2, No. 4 of the Medicare & Medicaid Research Review, entitled Statistical Uncertainty
CMS announces 90-day grace period for compliance with eligibility and claim status operating rules under HIPAA
- King & Spalding LLP
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- USA
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- January 7 2013
CMS's Office of E-Health Standards and Services (OESS) has announced on January 2, 2013, that it will not initiate any enforcement action prior to March
CMMI announces preliminary list of affected MS-DRGs to be tested in models 2 through 4 of the Bundled Payments for Care Improvement initiative
- King & Spalding LLP
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- USA
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- December 10 2012
On November 30, CMS’s Center for Medicare & Medicaid Innovation (CMMI) announced its preliminary list of 48 clinical episodes (and included MS-DRGs) it will test in Models 2 through 4 of its Bundled Payments for Care Improvement (BPCI) Initiative
OIG approves proposal to provide volunteer non-skilled services to terminally ill patients
- King & Spalding LLP
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- USA
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- November 12 2012
In Advisory Opinion No. 12-17, posted November 9, 2012, OIG concluded that a proposal by a non-profit, hospital-based hospice agency (“Requestor”) to provide non-skilled community services to terminally ill patients who do not meet the eligibility requirements for hospice services would not trigger sanctions under the patient inducement statute or the anti-kickback statute
CMS announces calculation error in readmissions adjustment factors
- King & Spalding LLP
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- USA
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- October 8 2012
In a correction notice published in the October 3, 2012 Federal Register, CMS stated that it erroneously included admission data predating the “applicable period” for the FY 2013 Hospital Readmissions Reduction Program when it calculated the Readmissions Adjustment Factors released in the FY 2013 Hospital IPPS Final Rule
Grassley is investigating 340B revenue
- King & Spalding LLP
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- USA
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- October 8 2012
Senator Charles E. Grassley (R-IA), ranking member on the Senate Judiciary Committee, has sent letters to three non-profit hospitals in North Carolina after recent articles published in two state and local newspapers announced the results of an investigation allegedly showing that these hospitals’ negotiated insurance rates are generating large profits on chemotherapy drugs purchased through the 340B drug discount program
