On November 8, 2013, the Departments of Treasury, Labor, and Health and Human Services announced the publication of the final rules under the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). The final rules include requirements to ensure parity between mental health or substance use disorder benefits and […]
Health Law Alert
CMS Revises Views on Denying Medicare Enrollment Based on Outstanding Overpayments
on Friday, 6 December 2013 in
Health Law Alert: Kristin N. Lindgren, Editor
After rescinding proposed instructions on Medicare provider enrollment denials for applicants with outstanding overpayment liability earlier this year, the Centers for Medicare & Medicaid Services (CMS) has clarified its guidance. CMS’s revisions to chapter 15 of the Medicare Program Integrity Manual outline the process by which a provider enrollment application […]
Stark and FCA Damages Mount for Tuomey Healthcare System, Inc.
on Thursday, 14 November 2013 in
Health Law Alert: Kristin N. Lindgren, Editor
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 […]
Income Tax Reporting by Matching Entity – Student Loan Repayment Assistance
on Friday, 8 November 2013 in
Health Law Alert: Kristin N. Lindgren, Editor
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
on Wednesday, 30 October 2013 in
Health Law Alert: Kristin N. Lindgren, Editor
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 […]
