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Could relief from the Medicare cuts in reimbursement for 340B drugs be coming soon for hospitals?
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DOJ updates guidance on evaluating the effectiveness of corporate compliance programs
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Duke University to pay $112 million in research fraud settlement
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Hospitals with off-campus provider-based departments: Check your PECOS enrollment file
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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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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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The untold truth: Successful organizations have better boards and governance
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U.S. hospitals will continue to grapple with GDPR compliance in 2019
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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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CMS expands reimbursement cuts on 340B drugs
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Ohio’s new cybersecurity safe harbor law takes effect
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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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New guidance on the Tax Cuts and Job Act’s unrelated business taxable income changes
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CMS proposes to limit the expansion of excepted services at off-campus PBDs
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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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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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Health system to pay $18 million to settle FCA lawsuit
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Recent hospice settlements highlight where things can go wrong
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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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Ohio seeks to become the first state to receive a 1332 waiver of the individual mandate
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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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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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No tax deduction for sexual harassment payments subject to NDAs
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Protecting the conscience and religious beliefs of health care workers
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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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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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Exempt organizations: Costs of tax reform
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To text or not to text? CMS issues guidance
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Annual deadline to seek new property tax exemption approaches
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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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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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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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The consequences of “gun jumping” in mergers and acquisitions
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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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What do President-Elect Trump’s HHS and CMS picks mean for health care reform?
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Assessing the impact of the election on health care reform
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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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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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Hospital pays (reduced) ransom
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Hackers demand ransom from California hospital
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False Claims settlement with Kindred/RehabCare regarding therapy services provided to SNF patients results in $125 million recovery
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Finalized Stage 3 Rule means big changes for meaningful use
starting in 2015, especially for hospitals
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OCR launches new HIPAA resource on mobile app development
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New CMS guidance and FAQs on switching Electronic Health Records vendors
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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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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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OIG proposes new AKS safe harbors and expands CMPs
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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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$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: <i>More Guidance on Reviewing Hospital Claims for Patient Status</i>
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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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Ohio Supreme Court Rules on Workers' Compensation Coverage of Mental Health Conditions
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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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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: 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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Two Companion Rules Completing the Stage 1 Criteria for the
Electronic Health Record Incentive Program Released
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