Malpractice does not equal murder
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Supreme Court unanimously sides with American Hospital Association, 340B hospitals over outpatient drug reimbursement rates; 340B hospitals estimated to potentially recoup billions of dollars
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Fifth Circuit, HHS Keep No Surprises Act dispute resolution provision in limbo; Delays expected
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ESG and health care: Where does it fit?
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CMS issues updated guidance for certified facilities on COVID-19 vaccine requirement as public health emergency continues
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U.S. Supreme Court halts OSHA vaccine-or-test rule; Upholds CMS vaccine mandate
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Legal updates on challenges to CMS vaccination mandate may cause more uncertainty
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Hold the press! Federal court issues national injunction blocking CMS vaccine mandate for health care workers
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Long-awaited federal vaccine mandates are here!
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COVID-19 vaccines now available for most children and all teens
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More federal courts dismiss legal challenges to hospital vaccine mandates
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Reducing workers’ compensation and OSHA liability during COVID-19 and beyond
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Health care facilities and nursing homes awaiting CMS requirements for staff COVID-19 vaccinations
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FDA full approval of Pfizer vaccine should reduce risk of employer mandates
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2022 Medicare OPPS/ASC Proposed Rule includes updated reimbursement rates, new policies, and reversals of recent policy changes
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CMS proposes changes to Medicare rules governing certain Evaluation and Management visits
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CMS proposes changes to Stark Law regulations and Open Payments Program
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HHS updates interoperability standards to support sexual orientation and gender identity
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Hospital price transparency rule penalties may increase
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Ohio’s new hospital licensure law
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Skilled nursing facility operator settles false claims case involving allegations that the company failed to report and return overpayments
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Supreme Court makes certiorari determinations on two Medicare-related cases
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First rules implementing surprise medical billing law issued
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Ohio law governing EMS stroke protocols revised to include new guidelines and training
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State of emergency in Ohio lifted
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HHS releases new buprenorphine practice guidelines, relaxing waiver requirements
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Ohio House Bill 6 affects changes to COVID-19 vaccine and test administration and certain temporary licenses
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CMS begins enforcement of Hospital Price Transparency Rule
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DOJ announces $22 million False Claims Act settlement with the University of Miami for provider-based and lab billing issues
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CMS proposes changes to Promoting Interoperability program in IPPS Rule
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New ACGME recognition for non-standard training of J-1 exchange visitor physicians
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Ohio bill codifies changes to reporting requirements for hospitals related to defendant competency issues in criminal cases
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Highlights from the Medicare Program 2022 Proposed Rule for Acute Care Hospitals Inpatient Prospective Payment System
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Court upholds Ohio law criminalizing physician participation in abortions based on Down syndrome
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Information blocking compliance – Are you ready for April 5?
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Federal court sides with Eli Lilly challenge to HHS expansion of 340B discounts
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Has COVID-19 forced the telehealth genie out of the bottle?
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HIPAA Privacy Rule revisions in 2021
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Information Blocking in 2021
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Status of MFN drug pricing program remains uncertain
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The Stark Law and Anti-Kickback Statute final rules: Top 10 takeaways
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The uncertain future of the price transparency rule in 2021
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Recent kickback cases yield almost $20 million in settlements for the United States
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CMS issues mid-build audit determinations for provider-based locations
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ACGME offers additional COVID-19 guidance for graduate medical education programs
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CLER COVID-19 site visits to be conducted in 2021
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Florida pediatrician pleads guilty to conspiring to falsify clinical trial data in research study for asthma medication for children
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ODH issues guidance on redistributing COVID-19 vaccine doses
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CMS to begin reprocessing hospital claims for 2019 clinic visits provided at excepted off-campus provider-based departments
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Providers should account for extra doses of COVID-19 vaccines in their vaccination plans
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Court of Appeals rules against hospitals in price transparency case
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OCR continues aggressive HIPAA Right of Access enforcement activities
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Biddle claims are here to stay, the Ohio Supreme Court holds
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Ohio Department of Health to allow sex marker changes on birth certificates
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Second stimulus bill contains “surprise” billing measure
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HHS OCR announces results of most recent round of HIPAA audits
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CMS announces proposed rule to improve electronic data exchange and streamline prior authorization
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What health care providers need to know as COVID-19 vaccines arrive in Ohio
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Major changes to HIPAA Privacy Rule proposed
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CMS releases Hospital 2021 OPPS final rule
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Will you be ready when the COVID-19 vaccines arrive?
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CMS and OIG finalize major changes to Stark and Anti-Kickback regulations: What health care entities need to know
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CMS and OIG issue long-awaited final rules changing the Stark Law, Anti-Kickback Statute and Beneficiary Inducement Civil Monetary Penalty Law
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New rules in Ohio affecting consult agreements with pharmacists
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ONC extends Information Blocking compliance deadlines
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Ohio Medicaid telehealth changes made permanent
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OCR announces second-largest HIPAA breach settlement
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OCR settles five additional cases in HIPAA Right of Access Initiative
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Ohio Supreme Court rules that the savings statute cannot save a late second filing
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OCR recommends IT asset inventory for HIPAA compliance
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Governor signs qualified immunity bill for COVID-19 related lawsuits
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COVID-19 Update: CMS announces resumption of survey activities
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Medicare to begin requiring orders for repeat COVID-19 and related tests
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CMS issues new COVID-19 guidance, including nursing home staff testing requirements
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COVID-19 Update: OCR updates guidance on contacting former COVID-19 patients about blood and plasma donation to add health plans
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CMS to require a positive COVID-19 viral test result for additional 20 percent Medicare payment
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Deadline approaching to submit promoting interoperability hardship exception to avoid payment adjustment
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Court of appeals rules that HHS has the authority to cut 340B hospitals’ Medicare payments for outpatient drugs by 28.5 percent
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COVID-19 Update: CMS waivers continue as public health emergency extended, debate grows on which waivers should become permanent
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HIPAA settlement highlights importance of mobile device encryption
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Wide-ranging executive orders regarding pharmaceutical pricing and availability
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Medicare program resuming fee-for-service audits and DMEPOS prior authorization program paused during COVID-19 pandemic
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IRS moves CHNA due dates to December 31, 2020
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SAMHSA announces changes to substance abuse treatment records in 42 CFR Part 2
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D.C. Circuit upholds Medicare policy of paying hospital outpatient provider-based locations and physician offices the same, reversing lower court
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Telehealth services expanded in Ohio by new executive order
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CMS announces restart of Review Choice Demonstration for Ohio home health agencies
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The FTC and the DOJ finalize new vertical merger guidelines
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ACGME sponsoring institution emergency categorization
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Anticipating COVID-19 enforcement action: Risks for providers
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COVID-19 Update: OCR issues guidance on contacting former COVID-19 patients about blood and plasma donation
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Medicare to require prior authorization for certain outpatient department services starting July 1, 2020
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Increased reimbursement for hospital stays for Medicare beneficiaries with COVID-19 diagnosis likely to lead to audits and False Claims lawsuits
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CMS issues first of two final rules changing the Medicare Advantage and Medicare Prescription Drug Program
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Expanded CMS survey activities to begin, nursing home survey activities to increase
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All surgeries and procedures may resume, according to Ohio governor
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Surprise COVID-19 medical bills: What providers can and cannot do
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Transition to a single graduate medical education (GME) accreditation system
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COVID-19 Update: Ohio issues final plan for health care isolation centers
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ACGME issues procedures for investigation and enforcement of non-compliance with its COVID-19 requirements
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CMS issues nursing homes best practices toolkit to combat COVID-19
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COVID-19 Update: Final rule adopted requiring long-term care facilities to report COVID-19 data
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COVID-19 Update: CMS allows hospitals to provide swing bed services
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COVID-19 Update: Providers beware – OCR reiterates that HIPAA restrictions on disclosures to the media apply during the pandemic
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COVID-19 Update: The impact of COVID-19 on health care private equity due diligence
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COVID-19 Update: New CMS changes that impact medical education
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COVID-19 Update: Medicare to waive more testing, telehealth, hospital requirements
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COVID-19 Update: ODH issues order allowing providers to resume some non-essential surgeries and procedures
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COVID-19 Update: CMS issues explanatory guidance on Stark Law blanket waivers
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COVID-19 recovery: Financial aid and resources for hospitals and health care providers
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COVID-19 recovery: Legal considerations for hospitals and health systems planning for post-pandemic operations
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Clinical research flexibilities during the COVID-19 public health emergency
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COVID-19 Update: CMS and ONC delay interoperability rules
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COVID-19 Update: ODH announces elective surgery order
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COVID-19 Update: Beware of cooperation in the labor market
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COVID-19 Update: Pandemic implications for GME programs
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COVID-19 Update: CMS issues guidelines on providing non-emergent and non-COVID-19 health care
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COVID-19 Update: Providers participating in COVID-19 clinical trials now eligible for MIPS credit
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COVID-19 Update: CMS issues guidance on transferring long-term care residents
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COVID-19 Update: CMS and Ohio Board of Pharmacy issue new and updated regulatory waivers
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COVID-19 Update: New Ohio orders require nursing homes and residential care facilities to notify residents of COVID-19 cases and require first responders to be told of COVID-19 cases
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COVID-19 Update: DOL, HHS and Treasury issue FAQs for group health plans and insurers on COVID-19 testing and provider visits
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ONC interoperability rule: Notable exceptions to upcoming information blocking prohibition
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COVID-19 Update: OCR announces HIPAA enforcement discretion for community-based testing sites
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COVID-19 Update: OCR issues bulletin on civil rights laws during public health emergency
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COVID-19 Update: OIG extends Kickback Statute protection to arrangements covered by blanket COVID-19 Stark law waivers
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COVID-19 Update: Data sharing requests and orders for hospitals
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COVID-19 Update: New guidance on HIPAA issues
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COVID-19 Update: CMS issues new 1135 blanket waivers
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COVID-19 Update: HHS issues 18 blanket waivers of enforcement of Stark law
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COVID-19 Update: Health care provisions of the federal stimulus bill
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COVID-19 Update: How Ohio's coronavirus emergency bill impacts health care providers
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COVID-19 Update: Cost-report reimbursement impact of expanding hospital inpatient bed capacity
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COVID-19 Update: HHS implements president’s executive order to prevent medical resource hoarding
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CMS delays activation of systematic validation edits for OPPS providers with multiple service locations until further notice
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COVID-19 Update: CMS announces relief for providers participating in quality reporting programs
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COVID-19 Update: ODI issues bulletin on out-of-network coverage for coronavirus testing and treatment
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COVID-19 Update: ODM issues emergency telemedicine rule
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COVID-19 Update: OMHAS issues emergency telemedicine rule
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COVID-19 Update: Extending Medical Staff appointment/privilege periods during the coronavirus outbreak
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COVID-19 Update: FDA announces policies to increase availability of coronavirus testing
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COVID-19 Update: Ohio Pharmacy Board issues guidance regarding practice of pharmacy
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COVID-19 Update: President Trump expands Medicare telehealth benefits during coronavirus outbreak
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COVID-19 Update: Telehealth – waiver of HIPAA requirements and expanded flexibility
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COVID-19 Update: HHS issues EMTALA waiver for actions necessitated by COVID-19
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COVID-19 Update: HHS issues limited 72-hour HIPAA waiver for hospitals
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COVID-19 Update: OMHAS issues guidance for opioid treatment programs
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COVID-19 Update: What the president’s declaration of national emergency means for health care facilities
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COVID-19 Update: Preparedness for long-term care facilities
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COVID-19 Update: Survey suspension FAQs
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COVID-19 Update: CMS issues EMTALA guidance
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COVID-19 Update: Ohio confirms first cases
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HHS releases final rules on interoperability and information blocking
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COVID-19 Update: Reimbursement issues – Who is picking up the tab for coronavirus testing?
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CMS announces actions to address the spread of COVID-19
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Medicare Administrative Contractors request hospitals to verify practice locations
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Coronavirus: Patient privacy implications
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PA appellate court holds that physician credentialing file is not protected by the state peer review privilege
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Clinical trials and Medicare billing: Avoiding false claims liability
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Court confirms that federal enactments regarding “never events” and “hospital acquired conditions” don’t alter elements that plaintiffs must prove in medical negligence claims
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EHR vendor Practice Fusion agrees to $145 million settlement to resolve criminal and civil kickback violations
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Best practices for resolving patient incapacity issues
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Changes coming to the Stark Law and Anti-Kickback Statute regulations
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Could new Individual Coverage HRAs replace your group health plan?
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Proposed vertical merger guidelines have finally arrived
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Roadmap to an effective compliance investigation
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The new price transparency rule: Are you ready?
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New hospice care program rules effective January 23, 2020
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CMS announces reduced psychiatric hospital burden with new survey process
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Ohio Department of Health issues draft amendments to Certificate of Need rules
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Federal court denies American Hospital Association review of CMS 2020 site-neutral payment cuts for hospital off-campus provider-based locations
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CMS proposes new Stark Law exception for limited remuneration to a physician
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OIG proposes changes to existing Anti-Kickback Statute safe harbors
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CMS announces continuation of second year of site-neutral payment cuts
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CMS clarifies the process for correcting mistakes under the Stark Law
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CMS and OIG propose three new value-based care exceptions to remove value-based payment barriers
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CMS and OIG propose changes to existing rules for donations of electronic health records and new rules for donations of cybersecurity technology and services
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Tentative settlement resolves antitrust claims against health system on the eve of trial
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CMS proposes to change the way group practices can pay profit shares to physicians under Stark Law
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CMS proposes to recalibrate the scope and application of the Stark regulations
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CMS proposes changes to and clarifications of key Stark Law terms
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CMS and OIG issue long-awaited rules proposing changes to the Stark Law, Anti-Kickback Statute and Beneficiary Inducement Civil Monetary Penalty Law
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Recent Stark Act decision could have significant impact for employed physicians compensated based on personal productivity
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CMS to survey hospitals about acquisition costs for 340B drugs
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Post-acute providers beware: Providing free staff or services to hospitals could land you in hot water…or worse!
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Federal court invalidates CMS site-neutral payment cuts for hospital off-campus provider-based locations
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Hazardous waste pharmaceuticals rulemaking
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OCR begins HIPAA right of access enforcement initiative
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Recent OIG audit report on duplicate Medicare payments for drugs prescribed to hospice patients shows tension between OIG and CMS on whether CMS has gone far enough to prevent duplicate payments
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Ohio Budget Bill changes Ambulatory Surgical Facility definition: Now captures facilities operating within a hospital
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Attorney General Yost announces multistate data breach settlement with Premera
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CMS proposes payment cuts for hospital clinic visits in off-campus provider-based departments
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Anxiety and autism voted down: Not added as qualifying conditions for medical marijuana
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Ohio budget bill provides significant changes to Certificate of Need laws
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DeWine signs Executive Order allowing emergency rule changes as part of Ohio’s “Behavioral Health Redesign”
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CMS issues hospice payment rate final rule for FY2020
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CMS proposes changes to SNF/NF compliance program requirements
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Could relief from the Medicare cuts in reimbursement for 340B drugs be coming soon for hospitals?
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OIG says Part D contracts cost Medicare as much as $75 million in lost drug manufacturer rebates in one year
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HHS publishes fact sheet on direct liability of business associates under HIPAA
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DOJ updates guidance on evaluating the effectiveness of corporate compliance programs
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CMS draft guidance on hospital co-location offers narrow sharing of hospital space
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Ohio EPA initiates rulemaking process for hazardous waste pharmaceuticals
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Behavioral Health Redesign provisional measures extended
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Duke University to pay $112 million in research fraud settlement
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ODH provides guidance on inpatient palliative care to non-hospice patients
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Hospitals with off-campus provider-based departments: Check your PECOS enrollment file
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CMS directive orders state agencies to increase weekend surveys of skilled nursing facilities
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Clinical trial agreements: Hidden risks of poorly negotiated CTAs
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CMS and ONC release proposed rules on interoperability and information blocking
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Proposed California drug pricing program could shift 340B drug reimbursement away from hospitals
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The Eliminating Kickbacks in Recovery Act of 2018: A new federal kickback law affecting the substance abuse treatment community
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H.B. 7 effective March 20
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A 60-Day Overpayment Refund Rule update
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CMS and the Ohio Department of Health surveys: Active enforcement and increased transparency
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Federal court overturns 340B Drug Discount Program reimbursement cuts – future still uncertain
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HHS regulatory sprint to coordinated care: Will meaningful changes make it across the finish line?
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Not conducting exit interviews on your departing employees? You should be!
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ODH alignment recommendations for 2019 CHNA process
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TCJA excise tax on excess executive compensation for nonprofits
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U.S. hospitals will continue to grapple with GDPR compliance in 2019
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Using social media to detect workers’ compensation fraud
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Coming soon: Changes to Ohio law governing hospices’ provision of palliative care and new requirements for hospitals to identify patients needing palliative care
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DOJ moves to dismiss 11 False Claims Act cases
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Best practices for resolving incapacity issues, including navigating the probate court process for establishing guardianships
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HHS releases voluntary cybersecurity guidance for health care organizations
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New standard authorization forms must be accepted by health care providers in Ohio
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Congress enacts all payor kickback law for recovery homes, clinical treatment facilities and clinical laboratories, despite concerns about overbreadth and uncertainty of law
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Failure to terminate access of departing employee leads to HIPAA penalty
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The Ohio medical marijuana patient registry is now open: Are you ready?
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$24 million settlement resolves False Claims and Stark Law violations involving improper physician arrangements
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HIPAA settlement highlights need for caution when speaking with media
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OIG, DOJ put hospice providers under a microscope
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FDA proposes waiver of informed consent requirements for minimal risk trials
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2018 updates to the NPDB Guidebook
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CMS finalizes site-neutral payment for clinic visits but declines to finalize clinical families payment limitation
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CMS expands reimbursement cuts on 340B drugs
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Ohio’s new cybersecurity safe harbor law takes effect
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Medical professionals required to report suspected elder abuse, neglect or exploitation
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OIG report finds Ohio Department of Medicaid made payments for deceased beneficiaries
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340B litigation update: Both Ceiling Price Rule delay and 340B rate cuts face legal challenges
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Lights, camera, HIPAA! HHS announces settlement related to “Boston Med”
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Important clarification regarding compliance with certain Stark Law exceptions
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Are you prepared for uncompensated care S-10 audits?
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340B Drug Pricing Program spawns two antitrust lawsuits
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FDA issues guidance on use of EHR data in clinical research
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340B Drug Pricing Program
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Federal appeals court rules against the American Hospital Association’s challenge to the $1.6 billion in Medicare 340B cuts
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Personal liability trend continues: Health care CEO gets jail time for fraud scheme
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DOJ conference remarks provide insight into government priorities related to health care
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Judge upholds fourth largest HIPAA penalty of $4.3 million for Texas cancer center
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New guidance from OCR regarding protected health information
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Health system to pay $18 million to settle FCA lawsuit
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Deadline approaching to submit meaningful use hardship exception to avoid payment adjustment
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Recent hospice settlements highlight where things can go wrong
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DEA imposters targeting physicians and pharmacies
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Mental health provider faces False Claims Act lawsuit due to alleged unlicensed, untrained and unsupervised personnel
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CMS proposes to eliminate requirement for written inpatient admission orders
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Pennsylvania case reminds Ohio hospitals of the importance of adhering to provisions of peer review statute
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Recent 340B program developments
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Collection and destruction of controlled substances recovered from hospital patients and visitors
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Certification requirements for Ohio OTPs
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The three-day rule for treating acute withdrawal symptoms
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Ohio seeks to become the first state to receive a 1332 waiver of the individual mandate
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Prescriber rules for opioids
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EMTALA screening for behavioral health patients
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Extended mental health care in the ED: What’s a facility to do?
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Liability risks at every port along the opiate stream
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Rules on confidentiality of substance use disorder patient records recently changed
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Staffing and billing issues to avoid under Ohio scope of practice rules for mental health professionals
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Bipartisan Budget Act of 2018 repeals therapy caps: What does it mean for hospital outpatient therapy departments?
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Strange, and ultimately dangerous, credentialing scenarios highlight the need for MSPs’ roles to protect the public
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Civil and criminal penalties increased for fraud and abuse
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Important updates from the IRS for exempt organizations
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CMS releases new and updated tips on billing for various services
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CMS now allows medical student documentation for E/M billing
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CMS plans complete overhaul of EHR incentive programs, announces new patient access initiatives
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Doctor pleads guilty to providing protected health information to drug maker
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Ohio Board of Pharmacy releases proposed rules on pain management and office-based opioid treatment clinics
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EHR Incentive Program attestation deadline for hospitals extended to March 16, 2018
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Keeping up with NIH rules impacting research involving human subjects
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Reminder: Notice of 2017 small HIPAA breaches due to HHS soon
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CMS releases updated resource documents for Hospice Quality Reporting Program
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$350 million FCA verdict against nursing facility operator vacated
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Clinical research compliance alert: Common Rule updated, effective date delayed
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Reminder: Hospitals must use QualityNet for attestation in 2018
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Antitrust enforcement priorities for 2018
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CMS imposes massive cuts on 340B program; Hospital associations’ legal challenge dismissed
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CMS Quality Payment Program: Are you ready for round two?
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HIPAA access versus authorization
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Hospice compliance: OIG Work Plan, quality reporting
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Incident reports and peer review
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Low Volume Appeals settlement option announced
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Off-campus provider-based hospital outpatient departments: Challenges and options in 2018
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Opioid prescribing and potential liability will impact providers in Ohio and across the nation in 2018
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New cybersecurity threats with potential to impact health care industry identified
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To text or not to text? CMS issues guidance
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Oncology firm to pay $26 million to settle FCA allegations
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Annual deadline to seek new property tax exemption approaches
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DOJ announces FCA enforcement priorities at HCCA conference
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CMS cuts CY 2018 payment rates to non-excepted off-campus provider-based departments
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Cardiology practice settles 60-Day Overpayment case under the False Claims Act for double damages
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Human subject protections in clinical research: OHRP and whistle blower protections
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Ohio apology statute covers admissions of fault
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Revocation 2017-31014: First revocation for failure to comply with Section 501(r)
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Hospice in the government’s cross-hairs
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HRSA announces 340B information system outage beginning August 15
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For CY 2018, Meaningful Use reporting period is once again 90 days
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Human subject protections in clinical research: Monitoring compliance with the Common Rule
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National Health Care Fraud Takedown charges more than 400 defendants with $1.3 billion in false billings
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AG issues advisory opinion regarding CNPs and acute care practice
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Kentucky court allows on-site inspection of electronic medical records in malpractice case
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Hospital fined nearly $1.3 million for multiple EMTALA violations involving psychiatric patients
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TJC revises pain assessment and management requirements for accredited hospitals
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ODH establishes new requirements for medical directors of adult cardiac catheterization and open heart surgery services
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Recent cases spotlight research misconduct in clinical research
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eClinicalWorks to pay $155 million for misrepresenting its Meaningful Use certification and making kickback payments
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Ohio Supreme Court rejects “quantity of charity care” argument in property tax exemption case
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CMS revises process and forms for reporting Stark Law violations
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The consequences of “gun jumping” in mergers and acquisitions
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Accreditation changes may cause trouble for hospital-based sleep centers
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Ohio takes steps to limit prescription of opiates for acute pain
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First federal court finds collection of documents meets Stark Law writing requirement
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HIPAA enforcement actions highlight importance of maintaining and auditing security practices
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OIG publishes Resource Guide for measuring compliance program effectiveness
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As statutorily intended and judicially recognized, a negligent credentialing claim Is a medical claim
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Sorry seems to be the hardest word: Ohio’s apology statute for healthcare providers
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Pharmacy loyalty program results in $50 million settlement
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False Claims Act: 2016 year in review and 2017 look ahead
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CHNA requirements notice #6: State encourages allocation of community benefit expenditures to activities that support community health objectives
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Three notable HIPAA enforcement actions in 2017
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CHNA requirements notice #5: State encourages partnerships in conducting the CHNA
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CHNA requirements notice #4: State encourages selection of evidence-based strategies from SHIP
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CHNA requirements notice #3: State encourages inclusion of at least one core metric from SHIP in CHNA
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CHNA requirements notice #2: CHNA must address at least two health priorities identified in the State Health Improvement Plan
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CHNA requirements notice #1: 2017 CHNA deadlines for Ohio tax-exempt hospitals
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A look behind the curtain: Life under a corporate integrity agreement for one public health care provider
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Is your tax-exempt hospital ready for the 2017 CHNA deadline?
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Court blocks proposed merger of insurance giants
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Advanced practice registered nurses in Ohio – Major changes coming in April!
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CMS issues guidance on correct use of “PN” and “PO” modifiers in hospital off-campus provider-based departments
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2016 False Claims Act cases result in over $4.7 billion in recovery for Department of Justice
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Micro hospital fails to meet the definition of a hospital for Medicare enrollment
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Senate passes 21st Century Cures Act – Provider-based mid-build exception one step closer
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2017 OPPS final rule – Generally good news for providers regarding provider-based locations
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What do President-Elect Trump’s HHS and CMS picks mean for health care reform?
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Plenty of activity in the health care false claims arena
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2017 OIG Work Plan summary
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Assessing the impact of the election on health care reform
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2017 OPPS final rule – Site-neutral payments for new off campus provider-based departments
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2017 OPPS final rule – Meaningful Use rules
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CMS awards next round of RAC contracts
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Did you know? CMS has offered to resume Medicare appeals settlements
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New initiative from CMS to reduce medical record review for clinicians participating in certain Advanced Alternative Payment Models
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Registries seeking to join CMS Repository for public health data must apply by October 31
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CMS announces additional opportunities for clinicians to qualify as Advanced APMs under MACRA
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OCR releases HIPAA guidance on cloud computing services
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MACRA Final Rule solidifies new physician reimbursement model
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Make sure your prescribers are in compliance with OARRS opioid prescription rules
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Joint Commission accredited organizations must now provide advance written notice of significant changes
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Tenet to pay over $513M for kickback scheme involving pregnant patients
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Compliance deadline approaching for Section 1557 nondiscrimination requirements
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Former CEO settles allegations amid further Tuomey fallout
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South Carolina Medical Center pays Department of Justice $17 million to settle False Claims Act case alleging employment agreements violate Stark law
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Government sends a $2.95 million warning to health care providers with announcement of settlement in 60-day overpayment rule case
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CMS delays implementation of the NOTICE Act and MOON form requirement
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OCR announces new plan to investigate HIPAA breaches affecting fewer than 500 individuals
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OCR announces record HIPAA settlement
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IRS guidance on health plan cash opt-out arrangements
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Is your organization compliant with the new ACA non-discrimination final rule?
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Proposed Rule Implementing Section 603 of the Bipartisan Budget Act of 2015 Dashes Hospitals’ Hopes
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Caps on noneconomic damages again found to be constitutional; Affordable Care Act approved in reducing economic damages
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OCR launches HIPAA Phase 2 Audits and announces deadline and focus areas
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CMS proposes big changes to EHR meaningful use
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CMS proposes to implement Balanced Budget Act's site-neutral payments for new off-campus provider-based departments
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Penalties in health care fraud cases to nearly double on August 1, 2016
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Historic multi-jurisdiction health care fraud investigation results in over 300 arrests related to $900 million in fraudulent billing
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Supreme Court clarifies basis for liability under the False Claims Act
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Recent false claims cases and settlements
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United States House of Representatives v. Burwell: An uncertain future for cost-sharing subsidies
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Does your compliance function measure up? The OIG’s revised criteria for permissive exclusion
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First denial of tax-exempt status to a non-Medicare Shared Savings Program ACO
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The Department of Justice alleges two hospitals unlawfully agreed to restrict marketing in each other’s primary area
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U.S Department of Homeland Security issues alert on hospital ransomware attacks
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Recent false claims settlements and case developments
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OIG reports hospices inappropriately billed Medicare $268 million for general inpatient care
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Ohio Supreme Court rules that patient medical record not defined by what is kept by hospital’s medical records department
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CMS proposes increased requirements to the provider enrollment process
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OCR announces launch of HIPAA Phase 2 audits
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Failure to execute a BAA results in $1.55 million fine for Minnesota hospital system
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Got Medicare Part A appeals? A new pilot program might be right for you!
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Hospitals: Are you ready to give NOTICE?
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New guidance and information from OCR and ONC on patient access to medical information
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CMS releases new cycle of provider revalidations and new revalidation tools
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U.S. Supreme Court deals a blow to all payer claims databases
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A smorgasbord of false claims settlements to start off 2016
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Hackers demand ransom from California hospital
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False Claims Act: 2015 year in review and 2016 look ahead
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CMS publishes final 60-day overpayment rule for self-identified overpayments
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Supreme Court to rule on implied certification liability under the False Claims Act
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New modifier and POS code for off-campus provider-based departments mandatory starting January 1, 2016
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Medicare’s "Two-Midnight Rule” – Where are we now after all of the rulemaking?
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HIPAA settlement with University of Washington Medicine highlights need for organization-wide risk analysis
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Highlights of the 2016 OIG Work Plan
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Employed physician arrangements in the government's crosshairs
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CMS finalizes new exceptions and clarifications to Stark Law
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Budget Bill Blues: The reimbursement equalization of hospital off-campus provider-based locations and independent health care facilities
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CMS and OIG finalize waivers for Medicare Shared Savings Program ACOs
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Ohio Medicaid adopts three-day window
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Tuomey – Case closed!
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The DOJ announces huge False Claims Act settlement with Adventist Health System
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Finalized Stage 3 Rule means big changes for meaningful use starting in 2015, especially for hospitals
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Department of Justice wins federal court ruling on 60-day overpayment rule
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Two-Midnight Rule update: CMS issues proposed rule to clarify when inpatient admissions are appropriate for payment under Medicare Part A
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$237 million judgment against Tuomey Healthcare upheld by federal appeals court
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ICD-10: Lack of code specificity in first year will not cause claims denials
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Health law subsidies upheld by the U.S. Supreme Court
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OIG issues Fraud Alert to warn physicians about the risks of compensation arrangements
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HHS OIG and industry leaders release joint guidance for health care boards
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Physician compensation problems cost Texas hospital over $21 million
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Everything you wanted to know about the “doc-fix” bill, but were afraid to ask
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10 years after the Deficit Reduction Act: a look at state false claims statutes
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CMS releases Stage 3 Meaningful Use proposed rule
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Services performed by inappropriate staff members could lead to False Claims liability
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Lessons Learned – How compliance officers can better protect their organizations (Part 5)
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Lessons Learned – How compliance officers can better protect their organizations (Part 4)
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CMS announces one-year delay in final 60-day overpayment rule
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Lessons Learned – How compliance officers can better protect their organizations (Part 3)
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Hospitals must start Medicare EHR participation in 2015 to earn incentives
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Appellate Court upholds divestiture after health care system acquires large physician group
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Anthem discloses largest ever health care industry cyber attack
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Lessons Learned – How compliance officers can better protect their organizations (Part 2)
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CMS to consider shortening meaningful use reporting period for 2015
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Lessons Learned – How compliance officers can better protect their organizations (Part 1)
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CMS makes big changes to RAC program
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Don't let this be you: Provider agrees to a $150,000 HIPAA settlement in potential security breach matter
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CMS finalizes provider enrollment safeguards and tables fraud whistleblower rewards
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CMS proposes rule to strengthen accountable care organizations
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HRSA withdraws proposed 340B “Mega Reg” in favor of future agency guidance
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CMS extends CEHRT hardship exception deadline for eligible professionals and eligible hospitals
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OIG releases the 2015 work plan
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Ebola Virus Disease (EVD) preparation: Common sense planning
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OIG proposes new AKS safe harbors and expands CMPs
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CMS releases open payments data to the public
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CMS issues new and updated FAQs related to its appeals settlement offer to hospitals
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Recent false claims cases and settlements
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OIG report finds noncompliance with Ohio hospice licensure requirements
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OIG Audit uncovers erroneous Medicaid EHR incentive payments
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New Ohio law requires informed consent for prescribing opioids to minors
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CMS offers settlement to resolve appeals backlog for denials of short stay inpatient claims
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Alabama health system and clinics to pay $24.5 million to settle alleged diagnostic imaging scheme
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CMS and ONC finalize rule allowing options for CEHRT
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Hospital system discloses HIPAA breach affecting 4.5 million individuals
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Obstetric services requirement under DSH: Are your hospital’s DSH funds in jeopardy?
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DOJ intervenes in False Claims Act suit over ACA’s 60-day overpayment rule
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OIG proposes expansion and changes to civil monetary penalty regulations, including proposed penalty for failure to timely refund overpayments
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CMS issues proposed rule to eliminate the requirement for physician certification of most hospital inpatient stays
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New CMS interactive tool helps providers understand CEHRT proposed rule
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Recent False Claims settlements, case developments and communications from the Office of Inspector General
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$800,000 HIPAA settlement in alleged medical record dumping matter
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OIG proposed rule: No statute of limitations on certain exclusion actions and other significant changes to exclusion authority
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HHS sends two new HIPAA reports for 2011-2012 to Congress
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Fraud takes no vacations: Summer vacation season brings new False Claims and health care fraud cases
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CMS and ONC proposed rule provides 2014 CEHRT flexibility for meaningful users
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CMS issues new meaningful use attestation guidelines
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CMS final rule changes provider and supplier conditions of participation
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$4.8M paid in largest HIPAA settlement to date
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CMS issues proposed payment rules for inpatient hospital and long-term care hospital prospective payment system for 2015 fiscal year
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Antitrust lessons from recent FTC successes in challenging hospital acquisitions in Ohio and Idaho
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Ohio enacts new law revising the peer review statute
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New Ohio law for reporting newborns diagnosed as opioid dependent
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ACA collection efforts: Requirements for tax-exempt hospitals
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CMS issues new and updated EHR FAQs
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AHIMA issues position statement on copy and paste in EHRs
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Important changes to CTP Formulary: Amendment to standard care arrangements required by April 1, 2014
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Florida hospital system agrees to record-setting False Claims Act settlement
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FTC reaffirms strong concerns regarding hospital consolidations
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CMS updates and clarifies "two-midnight" rule: More Guidance on Reviewing Hospital Claims for Patient Status
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Eligible hospitals act now!
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CMS issues guidance on the probe and educate audits performed under the "two-midnight" rule
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HHS issues guidance on HIPAA and sharing information related to mental health
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OIG releases its 2014 work plan
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Meaningful <i>and true</i> – Former hospital executive faces criminal indictment for false meaningful use attestation
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Ohio law changed to permit advanced practice nurses and physician assistants to admit patients to hospitals under certain conditions
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Recent False Claims settlement should serve as important reminder to all hospitals
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Annual breach reporting deadline March 1
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CMS extends EHR incentive program attestation deadline
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CMS delays review of “two-midnight” rule until after September 30, 2014
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With the support of the American Hospital Association, hospitals initiate a challenge to the “two-midnight” rule
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Federal Court holds that a physician is considered an “employee” for purposes of the EMTALA whistleblower protection
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Ohio State Medical Board issues new rules on terminating the physician-patient relationship and notifying patients when a physician leaves a practice
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Assignment of requests for administrative law judge hearings of denied Medicare claims suspended for at least two years
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2013 year in review and 2014 forecast
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Ohio law revised to allow greater access to medical information under a durable power of attorney for health care
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OIG and CMS extend EHR donation exceptions even longer than proposed and add other changes
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New Law Requires Surgeons Performing Mastectomies in a Hospital to Follow Specific Guidance and Referral Standards
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Ohio Supreme Court Upholds the Controlling Board's Medicaid Expansion
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The Impact of Medicare’s "Two-Midnight" Rule
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Meaningful Use Deadline Extended One Year
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OIG Finds OCR Lacking in Oversight and Enforcement of HIPAA Security Rule
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CMS Announces Increased Provider Enrollment Fee for 2014
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Department of Justice Announces Health Care False Claims Act Settlements
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Health Management Associates Repays CMS $31 Million
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CMS Issues Additional Guidance on "Two-Midnight" Rule
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Lawsuit Challenging Medicaid Expansion Filed in Ohio Supreme Court
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Controlling Board authorizes expanded Ohio Medicaid program and challenge filed in Ohio Supreme Court
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The Tuomey Saga – The Latest Chapter
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CMS Delays Review of “Two-Midnight” Rule
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No Rest for the Weary: The Feds Have Been Busy Fighting Health Care Fraud!
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Medicaid Expansion Group Reaches Next Step in Initiated Statute Process
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A New Breed of Whistleblower? Consulting Company Turns in its Own Health Care Client for Alleged False Claims
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CMS Implements New Conditions for Payments Related to Inpatient Hospital Admissions
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Center for Improvement in Healthcare Quality attains deeming authority
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New OIG Opinion Leaves Door Open to New Preferred Hospital Networks Without Violating Kickback Statutes
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The Journey of Medicaid Expansion from the Affordable Care Act to Ohio
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Tuomey Fights Back Against False Claims Verdict
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Summer is Here and the HEAT is On! The Government’s Health Care Fraud Prevention and Enforcement Action Team Has Been Busy!
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OIG Advisory Bulletin Provides Clarification Regarding Exclusion from Federal Health Care Programs
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89 People Arrested Nationwide in Health Care Fraud Sting
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The Tuomey Saga Continues – Jury Rules that Tuomey Violated the Stark Law and False Claims Act
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Health Care Fraud Enforcement Remains Hot as HEAT Continues Aggressive Enforcement of Health Care Laws in 2013
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Doctor’s Sympathetic Statement to Patient Cannot Be Used as Evidence of Liability
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OIG Updates Self-Disclosure Protocol and Confirms OIG’s Position on Penalties
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Community Health Needs Assessment Requirements Spelled Out by IRS, Treasury Department
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Healthcare Integrity and Protection Data Bank Merging with the National Practitioner Data Bank
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HHS and CMS Propose to Amend Regulations Permitting Donation of EHR Items and Services
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FTC files antitrust challenge to hospital system's acquisition of primary care physician group practice
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Ignoring Possible Billing Errors May be Enough to Support a "Reverse" False Claims Lawsuit
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Health Care Providers Take Note: Your Contract With An HMO May Require Affirmative Action Compliance, Even If It Doesn’t Say So
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CMS Conditions of Participation: Try, try again
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Drum Beat of Health Care False Claims Act Settlements Continued in February
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Government Announces Record-Breaking Returns from Health Care Fraud Enforcement
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U.S. Supreme Court rules for FTC in hospital merger case
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Ohio Governor Kasich Discusses Budget, Taxes, Education and Health Care Reform During the 2013 State of the State
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Analysis of Final HIPAA Omnibus Rule: Notice of Privacy Practices
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Analysis of Final HIPAA Omnibus Rule: Research, GINA, Hybrid Entities and Other Miscellaneous Provisions
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Analysis of Final HIPAA Omnibus Rule: Enforcement Provisions
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Proposed gainsharing program passes federal antitrust review
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2013 Already an Active Year in Health Care False Claims Act Settlements
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Analysis of the Final HIPAA Omnibus Rule: Individual Rights Regarding Restrictions and Access
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Analysis of Final HIPAA Omnibus Rule: Business Associates and Business Associate Agreements
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HHS Releases New Sample HIPAA Business Associate Agreement
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Analysis of the Final HIPAA Omnibus Rule: Changes to Marketing, Sale of PHI and Fundraising Requirements
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Once More Into the Breach: Major Changes to the HIPAA Breach Notification Requirements
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What You Will and Won’t Find in the Final Omnibus HIPAA Rule
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HHS Issues Final Omnibus HIPAA Rule
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Federal Appeals Court Rules that a Medicare Recovery Audit Contractor’s Decision to Reopen a Claim for Review is Beyond Judicial Scrutiny
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CMS Issues Final Rule Implementing Stage 2 of Meaningful Use
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Medicare Recovery Audit Prepayment Review to Begin on August 27, 2012
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Urgent Care Facility Chain Settles False Claims Act Lawsuit for $10 Million
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Medicare Conditions of Participation: The good, the bad and the unsure
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U.S. Supreme Court Upholds the Affordable Care Act
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HIPAA Audit Protocols and OCR’s Plan Future HIPAA Audits – OCR Has a Plan, Despite What GAO Says
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Supreme Court will hear case involving FTC’s challenge to the merger of only two hospitals in Albany, Georgia
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Ohio’s New Law on Health Information Exchanges
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Abbott Labs Settlement Highlights Importance of Taking Employee Complaints Seriously
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Two Major Health Care Companies Pay $137.5 Million and $3.8 Million, Respectively, to Settle Violations Against the False Claims Act
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Medicare Shared Savings Program Fraud and Abuse Waivers: Common Questions and Concerns
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First Enforcement Action Under HITECH Breach Rules Results in $1.5M Settlement by Blue Cross Blue Shield of Tennessee
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Requirements For Ordering Hospital Outpatient Services Clarified By CMS
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'Tis the Season to [Not] Give Kickbacks
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ACOs Take Two: Major Changes in Final Regulations
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Multiple Government Agencies and Departments Make Coordinated Release of Final Medicare ACO Rules
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Proposed Rule Modifies HIPAA's Accounting of Disclosures Requirements
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Designated representative may sign APN standard care arrangement on behalf of collaborating physician
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Two Companion Rules Completing the Stage 1 Criteria for the Electronic Health Record Incentive Program Released
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