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OIG releases updated Self-Disclosure Protocol

King & Spalding LLP
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USA
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April 22 2013

On April 17, 2013, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released an updated Provider Self-Disclosure

AHRQ releases draft report on implantable defibrillators and prevention of sudden cardiac death

King & Spalding LLP
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USA
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March 25 2013

On March 21, 2013, the Agency for Healthcare Research and Quality's (AHRQ) Technology Assessment Program released a draft technology assessment

CMS requests comments on redundant reporting of clinical quality measures

King & Spalding LLP
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USA
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February 11 2013

CMS is seeking input regarding ways in which eligible professionals might use clinical quality measures (CQM) data reported to medical boards

Ohio hospital and heart center to pay $4.4 million to resolve FCA allegations

King & Spalding LLP
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USA
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January 14 2013

The U.S. Attorney's Office for the Northern District of Ohio announced that EMH Regional Medical Center (EMH), a non-profit community hospital system

OIG’s compendium of unimplemented recommendations highlights opportunities for action in FY2013

King & Spalding LLP
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USA
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December 17 2012

The HHS Office of Inspector General (OIG) recently released its 2012 Compendium of Unimplemented Recommendations (the “Compendium”), a report that summarizes significant monetary and nonmonetary recommendations as a result of OIG audits and evaluations that, when implemented, will result in cost savings andor improvements in program efficiency and effectiveness

CMS releases proposed rule on health insurance market reforms

King & Spalding LLP
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USA
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November 26 2012

On November 20, 2012, CMS released a proposed rule implementing several key provisions of the Affordable Care Act (ACA) relating to health insurance market reforms

Seventh Circuit holds certain provider taxes paid by hospitals not fully reimbursable under medicare

King & Spalding LLP
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USA
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October 22 2012

A three-judge panel of the U.S. Court of Appeals for the Seventh Circuit (the “Seventh Circuit” or the “Court”) upheld summary judgment in favor of the Secretary of the U.S. Department of Health and Human Services in a suit brought by nineteen Illinois hospitals (the “Hospitals”) over Medicare reimbursement of provider taxes paid by the Hospitals into a state Medicaid fund

OCR settles breach notification case with Massachusetts provider for $1.5 million

King & Spalding LLP
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USA
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September 24 2012

Massachusetts Eye and Ear Infirmary and Massachusetts Eye and Ear Associates, Inc. (collectively, MEEI), a specialty hospital and physician group practice located in the greater Boston area, agreed to pay the U.S. Department of Health and Human Services (HHS) $1.5 million to settle alleged HIPAA violations associated with the theft of an unencrypted personal laptop containing the electronic personal health information (e-PHI) of approximately 3,500 MEEI patients and research subjects

CMS selects 500 primary care practices to participate in comprehensive primary care initiative

King & Spalding LLP
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USA
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August 27 2012

CMS announced in an August 22, 2012 press release that it had selected 500 primary care practices to participate in the Comprehensive Primary Care Initiative (the “Initiative”), a four-year initiative administered by the Center for Medicare and Medicaid Innovation aimed at fostering a partnership among CMS, state Medicaid agencies, commercial health plans, self-insured businesses and primary care providers to strengthen primary care

MedPAC releases report on Medicare and the health care delivery system

King & Spalding LLP
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USA
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June 18 2012

On June 15, 2012, the Medicare Payment Advisory Commission (MedPAC) released its June 2012 Report to the Congress: Medicare and the Health Care Delivery System (the “Report”

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