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  • Topic: Health Care

27 matches.

  • Chapman Insights
    October 12, 2017

    A health care management services organization provides non‑clinical, administrative support services to physician group practices and other health care providers. One of the primary purposes of a MSO is to relieve licensed health care providers of non-medical business functions so they can focus on the clinical aspects of their medical practices.

  • Chapman Insights
    June 7, 2017

    This update includes: 

    • Congress Returns from Recess to Tackle Health Care Reform; Obamacare Marketplace Insurer Participation Deadline Looms
    • Hospitalist Group Pays $4.2 Million to Settle Upcoding Allegations
    • $155 Million Settlement Demonstrates That Failure to Comply with Meaningful Use Certification Requirements May Expose IT Vendors to FCA “False Certification” Liability
  • Chapman Insights
    May 25, 2017

    This update includes:

    • CBO Releases Score of House’s American Health Care Act
    • United States Files Second False Claims Act Complaint against UnitedHealth This Month 
    • Missouri Hospital and Clinic to Pay $34 Million to Settle Allegations That Compensation Paid to Oncologists Violated the Stark Law
  • Chapman Insights
    May 5, 2017

    This update includes:

    • American Health Care Act Passes House, but May Be Stalled in the Senate
    • Three HIPAA Corrective Actions Announced in April; First Settlement with Wireless Health Services Provider Costs $2.5 Million
    • Blood Testing Laboratory to Pay $6 Million to Settle Allegations of Kickbacks and Unnecessary Testing 
  • Chapman Insights
    April 13, 2017

    This update includes: 

    • As Genetic Testing Booms and Fraud and Abuse Scrutiny Increases, Providers Need to Keep Medical Necessity in Mind
    • House Republican Leaders Attempt to Revive the American Health Care Act with Risk-Sharing Fund Amendment
    • Failure to Conduct a HIPAA Security Risk Assessment Results in Fine and Corrective Action Plan for Federally Qualified Health Center 
  • Chapman Insights
    April 5, 2017

    This update includes:

    • Amid Deep Program Cuts, President’s Budget Blueprint Increases Health Care Fraud and Abuse Enforcement Spending by 10 Percent
    • CMS Rolls Out New Stark Law Self-Disclosure Form
    • Kansas Governor Vetoes Medicaid Expansion; Legislature Fails to Override
  • Chapman Insights
    March 29, 2017

    This update includes: 

    • Favorable OIG Advisory Opinion Provides Helpful Roadmap in Structuring a Patient Lodging/Meals Assistance Program that Complies With Federal Law
    • Kansas Votes to Expand Medicaid, Embracing a Key Measure of the Affordable Care Act; Veto Possible 
    • With AHCA Withdrawn, What’s Next for Health Care Reform?  
  • Chapman Insights
    March 22, 2017

    This update includes:

    • American Health Care Act Moves Through House Committees; Floor Vote Scheduled for Thursday
    • Large FCA Judgment Against Nursing Home Operators Could Trigger Cross-Default Provisions of Loan Providing Operating Capital to 183 Non-Defendant Co-Obligors
    • HIPAA Settlement Underscores Importance of Audit Controls and Timely Mitigation of Issues Identified in Security Risk Assessments
    • OIG Reports that State Medicaid Fraud Control Units Recovered $1.9 Billion in FY 2016
  • Client Alert
    March 14, 2017

    On March 13, the Congressional Budget Office released its highly anticipated score of the American Health Care Act, the Republican-proposed replacement bill for the Affordable Care Act.

  • Chapman Insights
    March 10, 2017

    This update includes:

    • Five Things to Know as the American Health Care Act Moves Through the House
    • Hospital Associations and American Medical Association Oppose ACA Replacement Bill 
  • Chapman Insights
    February 23, 2017

    This update includes:

    • Oncology Practice, Practice Manager and Physician Pay $1.7 Million to Resolve Allegations of Billing Medicare for Unapproved Chemotherapy Drugs
    • Federal Regulators Issue Proposed Rule Aimed at Stabilizing Insurance Marketplaces as ACA is Debated; Trump’s “One In, Two Out” Executive Order Determined Inapplicable 
    • House Republicans and Trump Administration File Joint Motion to Indefinitely Delay Resolution of Lawsuit with Potential to Dismantle ACA Insurance Exchanges 
  • Chapman Insights
    February 10, 2017

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up  
    • Office of Budget Management Withdraws Proposed Omnibus Guidance for 340B Drug Pricing Program
    • Failure to Respond Timely to HIPAA Notice of Proposed Determination Results in $3.2 Million Penalty
    • Anthem-Cigna Merger Blocked by Federal Judge
    • Joint Commission Clarifies That It Prohibits Secure Texting for Patient Orders
  • Chapman Insights
    January 27, 2017

    This updated includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • $2.2 Million HIPAA Settlement Demonstrates Importance of Conducting Required HIPAA Security Risk Assessments and Implementing ePHI Safeguards
    • CBO Releases Report on How Repealing Portions of the ACA Would Affect Health Insurance Coverage and Premiums
  • Chapman Insights
    January 12, 2017

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • New Rule Imposes Civil Monetary Penalties on Drug Manufacturers That Overcharge Safety Net Providers for 340B Outpatient Drugs
    • Senate Takes Step Towards Dismantling Affordable Care Act
  • Chapman Insights
    December 29, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • Food and Drug Administration Delays Off-Label Promotion Guidance 
    • 21st Century Cures Act Signed into Law 
  • Chapman Insights
    December 14, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • OIG Issues Long-Awaited Final Rule with Revisions to the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements
    • Despite Industry Pushback, FDA Finalizes Policy Regarding Public Notification of “Emerging” Medical Device Safety Issues   
  • Chapman Insights
    December 6, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • CMS Releases National Health Expenditure Data for 2015 
    • UMass Settles Potential HIPAA Violations Following Malware Infection
    • Highlights of the OIG Semi-Annual Report to Congress
  • Chapman Insights
    November 22, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • House Republicans Urge Federal Agencies to Cease Rulemaking until President-Elect Trump Takes Office
    • OIG Releases Its Fiscal Year 2017 Work Plan
  • Chapman Insights
    November 14, 2016

    This update includes:

    • Full Repeal of Affordable Care Act Unlikely 
    • CMS Hosting a MACRA Quality Payment Program Informational Call Tomorrow
    • Jury Convicts Home Health Agency Owner in $13 Million Medicare Fraud Conspiracy
  • Chapman Insights
    November 8, 2016

    This update includes:

    • Medical Device Manufacturer Pleads Guilty to Misbranding and Agrees to Pay $36 Million to Resolve Criminal Liability and False Claims Act Allegations
    • Federal District Court Blocks CMS Rule Banning Pre-Dispute Binding Arbitration Clauses
    • CMS Releases CY 2017 Final Rule Implementing Changes to Medicare Outpatient Prospective Payment System
    • Fewer Hospitals to Receive Value-Based Purchasing Program Bonuses in 2017
  • Chapman Insights
    November 1, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • First Circuit Rules That HHS Had Right to Recoup Disproportionate Share Overpayments Payments from Maine Hospitals 
    • Vermont’s All Payer ACO Approved by CMS to Begin in January 2017 
  • Chapman Insights
    October 24, 2016

    This update includes:

    • Obamacare Enrollment Predicted to Increase by 9% in 2017 Open Enrollment
    • Skilled Nursing Facility Provider to Pay $145 Million to Resolve False Claims Act Allegations
    • Dignity Health and Catholic Health Initiatives in Alignment Talks
  • Chapman Insights
    October 17, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • Transition to Value-Based Reimbursement Continues as CMS Releases MACRA Final Rule
    • HHS Publishes Guidance on HIPAA and Cloud Computing
  • Chapman Insights
    October 11, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • Vermont Granted Tentative Approval for All Payer Reimbursement System
    • CMS Issues Final Rule for Long-Term Care Facilities
    • MedPAC Unsatisfied with Savings Generated by Medicare Shared Saving Program ACOs
  • Chapman Insights
    October 3, 2016

    This update includes:

    • Weekly Health Care Criminal and Civil Fraud Enforcement Round-Up
    • GAO Report Highlights Electronic Health Record Vulnerability to Cyber Threats and Recommends HHS Update and Strengthen its HIPAA Guidance and Oversight
    • CMS Seeking Comments by October 11, 2016 Regarding Updates to the Voluntary Self-Referral Disclosure Protocol
  • Chapman Insights
    September 26, 2016

    This update includes:

    • Potential Penalties for False Claims Act Violations Continue to Rise
    • Medicaid Fraud Control Unit FY 2015 Annual Report Highlights Criminal and Civil Fraud Recoveries; Civil Settlements, Judgments and Recovery Amounts Have Decreased
    • OIG Data Brief Indicating Escalating Medicare Billings for Home Respiratory Ventilators May Result in Targeted Program Integrity Efforts
    • Comment Period for New Bundled Payment Models Closing October 3rd 
  • Article
    Bloomberg BNA's Health Law Reporter
    March 24, 2016

    On Oct. 27, 2015, the United States Treasury Department and the Internal Revenue Service published long-awaited final regulations that provide welcome guidance to 501(c)(3) health care organizations that are borrowers of qualified 501(c)(3) bonds.