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HHS Makes Changes to HIPAA Civil Monetary Penalty Caps

The U.S. Department of Health and Human Services (HHS) has issued a notification that it is changing the way it ...
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CMS Issues Proposed Rules for Rehab and Skilled Nursing Facilities

On April 17, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that would update Medicare payment policies ...
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April OIG Work Plan Focuses on Oversight of State, Federal Funding

Each month, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) releases updates to ...
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AHCA Postpones BA Therapy Cuts

Florida’s Agency for Health Care Administration (AHCA) has decided to postpone planned cuts to Medicaid reimbursement rates for behavioral health ...
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Clinical Lab Industry Ripe for Fraud and Abuse

A former account rep for a toxicology testing company in Texas is the latest to be sentenced for his role ...
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Changes to Nursing Home Star Ratings Are Here

Beginning this month, the Centers for Medicare & Medicaid (CMS) is changing its star ratings on Nursing Home Compare and ...
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Hospital Employees Fired for Celebrity Snooping

You’ve heard the saying “curiosity killed the cat,†well in the case of dozens of hospital employees, curiosity may have ...
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OIG: Complimentary In-Home Care Permitted, Despite Potential Anti-Kickback Violation

A recent advisory opinion issued by the U.S. Department of Health and Human Services Office of the Inspector General has ...
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Judge Rules United Behavioral Health Guidelines Led to Denial of Claims Violations

A California federal judge has issued a landmark ruling that could impact the way insurance companies cover mental health and ...
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CMS to Phase Out Split-Percentage Payments for New HHAs

Despite concerns from home health agencies (HHAs) that their cash flow could be significantly impacted, the Centers for Medicare & ...
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