A second jury verdict in the whistleblower case filed under the False Claims Act eight years ago against Tuomey, the Sumter, S.C.-based health system, led to a federal district court order on September 30, 2013 that Tuomey pay more than $277M in fines and penalties based on Stark law violations […]
Health Law Alert
Income Tax Reporting by Matching Entity – Student Loan Repayment Assistance
Nebraska is one of 17 states with a loan repayment or loan forgiveness program intended to provide for the increased availability of health services in underserved or health care professional shortage areas (as determined by the state), which is not included in the health care professional’s gross income for purposes […]
Two-Midnight Rule Focuses Provider Attention on Medicare Payment Criteria for Inpatient Services
Although the federal government recently postponed payment reviews for the new “two-midnight” rule, hospitals should prepare now for the approaching January 1, 2014 date, when reviews will resume. The two-midnight rule refers to an important clarification from the Centers for Medicare & Medicaid Services (CMS), in the FY 2014 IPPS […]
Addressing Stark Liability: New FAQs Provide Additional Food for Thought
The Centers for Medicare and Medicaid Services (“CMS”) recently released eight frequently asked questions concerning the Self-Referral Disclosure Protocol (“SRDP”). The SRDP is a product of the Patient Protection and Affordable Care Act of 2010 and provides a process for providers and suppliers to self-disclose violations of the physician self-referral […]
New OCR Guidance: The HIPAA Guide for Law Enforcement
The Office for Civil Rights recently published new guidance to assist law enforcement and covered entities when addressing information sharing situations where the HIPAA Privacy Rule may be at issue. The HIPAA Guide for Law Enforcement contains an overview of the Privacy Rule and describes permitted disclosures of health information […]