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66 results found

Article

Epstein Becker Green | USA | 26 Sep 2011

DOJ and HHS withdraw approval of 14 state false claim acts, deny approval of 10 more

Section 1909 of the Social Security Act provides a financial incentive for states to enact their own false claims acts.

Article

Arnall Golden Gregory LLP | USA | 19 Sep 2011

Proposed changes to CLIA and HIPAA allowing direct patient access to lab results

On September 12, 2011, the United States Department of Health & Human Services (HHS) announced proposed rules that will enable direct access to laboratory test results by patients.

Article

Alston & Bird LLP | USA | 14 Sep 2011

HHS announces proposed rule on patient access to medical data

On September 12, 2011, HHS Secretary Kathleen Sebelius announced a proposed rule entitled, CLIA Program and HIPAA Privacy Rule; Patients’ Access to Test Reports.

Article

Bricker & Eckler LLP | USA | 12 Sep 2011

What's new for the week of September 12, 2011

Final rules published September 16, 2011 to implement section 6411: Expansion of the Recovery Audit Contractor Program.

Article

Epstein Becker Green | USA | 22 Aug 2011

HHS publishes health insurance premium rate review final rule effective September 1st and list of states with effective rate review programs

On May 23, 2011, the Center for Consumer Information & Insurance Oversight (CCIIO), in the Centers for Medicare & Medicaid Services (CMS) of the United States Department of Health and Human Services (HHS) published its Final Rule implementing Section 2794 of the Public Health Service Act (PHSA).

Article

Hodgson Russ LLP | USA | 29 Jul 2011

Agencies issue amendments to the PPACA claims and appeals processes

The Treasury, DOL, and the Department of Health and Human Services jointly issued amendments to the interim final rules governing the internal claims and appeals and the external review processes required under the Patient Protection and Affordable Care Act (PPACA)

Article

Franczek Radelet PC | USA | 21 Jul 2011

Health care reform significant new changes to claims and appeals requirements

As summarized in a previous FR Alert, non-grandfathered group health plans are subject to new claims and appeals requirements under the Patient Protection and Affordable Care Act, as modified by the Health Care and Education Reconciliation Act of 2010.

Article

Williams Mullen | USA | 14 Jul 2011

Health care reform alert: claims procedure rules for non-grandfathered plans revised

New regulations provide some relief and clarification for plan administrators processing group health plan claims.

Article

Davis Wright Tremaine LLP | USA | 14 Jul 2011

Summary of amended regulations on claims and appeal procedures for group health plans

Health care reform requires non-grandfathered group health plans, both insured and self-insured, to change their internal claims procedures and external review procedures.

Article

Pillsbury | USA | 7 Jul 2011

Health care reform update: new guidance and transitional relief for PPACA claims and external review procedures

The Departments of Labor, Treasury and Health and Human Services have amended the interim final rule issued in July 2010 regarding internal claims and appeals and external review requirements under the Patient Protection and Affordable Care Act ("PPACA").