Beginning on April 1, 2019, CMS started using a Preclusion List as a basis for denying claims for Medicare Advantage, Part D and PACE claims. The concept of the Preclusion List was finalized a year earlier in CMS-4182-F, Contract Year 2019 Policy and Technical Changes to the Medicare Advantage Cost […]
Publications
OIG Speaks to Importance of Compliance in Changing Health Care Environment
At this year’s Health Care Compliance Association Compliance Institute, Joanne Chiedi, Principal Deputy Inspector General of Health and Human Services (“HHS”) spoke about innovation in health care and the important role of compliance, recommending that compliance have “a seat – and a voice – at the innovation table.” Ms. Chiedi […]
The GDPR Comes to the U.S. in the Form of the Washington Privacy Act
Washington is gearing up to be the next state to implement a privacy law, following California’s Consumer Privacy Act (“CCPA”). On March 6, 2019, SB 5376—formally titled as “an act relating to the management and oversight of personal data,” or the “Washington Privacy Act” for short—passed the Washington Senate and […]
Cyber Security Threats Related to Medical Devices
Medical devices are subject to numerous regulations and an intensive approval process to verify their safety for patient use–but what about the software that powers these devices? How secure is the software that operates insulin pumps or pacemakers? In addition to the requirement that medical device software meet general Food […]
Is Your Email Risk Assessment Up-To-Date?
The FBI reported in July 2018 that business e-mail compromise (BEC) is continuing to grow and evolve, targeting small, medium and large businesses. IC3, the Internet Crime Complaint Center, estimates that from December 2016 to May 2018 there was a 136 percent increase in identified global exposed losses1. IC3 also […]

