The new CMS “Two-Midnight Rule,” which is intended to provide greater clarity regarding when inpatient hospital admissions are generally appropriate for Medicare Part A payment, goes into effect today. However, in order to address widespread concern among hospitals and doctors about…

The new CMS “Two-Midnight Rule,” which is intended to provide greater clarity regarding when inpatient hospital admissions are generally appropriate for Medicare Part A payment, goes into effect today. However, in order to address widespread concern among hospitals and doctors…

In a New York Times column, Obamacare’s Other Surprise, Thomas L. Friedman wrote that health data is “creating a new marketplace and platform for innovation – a health care Silicon Valley – that has the potential to create better outcomes at lower costs.” …

In a New York Times column, Obamacare’s Other Surprise, Thomas L. Friedman wrote that health data is “creating a new marketplace and platform for innovation – a health care Silicon Valley – that has the potential to create better outcomes…

Last month, the Department of Justice (DOJ) announced that it had entered into a $25.5 million settlement with Intermountain Health Care, Inc. (Intermountain), Utah’s largest health system with 22 hospitals and more than 4,500 physicians, to resolve self-reported violations of…

The Office of Inspector General (OIG) released an updated provider self-disclosure protocol (SDP) last week, which replaces the original SDP issued in 1998 and various OIG Open Letters that provided additional guidance on the program. The OIG outlined what it considers to…

Section 501(r) was added to the Internal Revenue Code by the Patient Protection and Affordable Care Act in order to expand and clarify the federal requirements for tax-exempt hospitals by establishing new standards relating to community health needs assessments; financial…

Alabama State Senator Arthur Orr introduced a bill last week that would establish a State False Claims Act, which would authorize private parties to file actions on behalf of the State as qui tam plaintiffs. Similar to the Federal False…

The OIG released the Updated Special Advisory Bulletin on the Effect of Exclusion from Participation in the Federal Health Care Programs last week.  The prior Bulletin from 1999 left many unanswered questions, such as the scope of a provider’s obligation to screen…

The long wait for the HIPAA Final Omnibus Rule is finally over, and it covers a broad range of HIPAA issues, including: The Breach Notification Rule; The HIPAA Enforcement Rule, implementing changes mandated by the HITECH Act; The Privacy and Security Rules,…