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Recent Indiana Supreme Court Medical Malpractice Ruling

By: Robert A. Anderson on April 25, 2017

The Indiana Supreme Court recently held in Charles McKeen, M.D. v. Billy Turner  that a plaintiff’s theory of negligence at trial need not be identical to the plaintiff’s theory in his or her submission to the Medical Review Panel (“Panel”), so long as evidence relating to the theories of…

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Protected Health Care Communications Using Mobile Devices - How Does Your Policy Rate?

By: Susan E. Ziel on April 5, 2017

Do you have a corporate policy that governs your "protected communications" which may be sent or received through the use of mobile devices? If yes, does your Policy address each of the following "Top 10" requirements?   Here's a checklist to assist you in reviewing, updating (and communicating)…

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DOJ Releases Guidelines for Evaluating Effective Compliance Programs

By: Brandon W. Shirley and Susan E. Ziel on April 2, 2017

The United States Department of Justice’s (“DOJ”) Fraud Section recently published guidelines (“Guidelines”) it will use when determining whether to bring charges against health care entities or individuals.  While the Guidelines in no way represent an absolute defense against potential federal or…

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OIG Advisory Opinion on Free or Reduced-Cost Lodging and Meals

By: Meghan M. Linvill McNab and Brian M. Heaton on April 2, 2017

On March 10, 2017 the Department of Health and Human Services, Office of Inspector General (“OIG”) published Advisory Opinion No. 17-01 regarding a hospital system’s proposal to provide free or reduced-cost lodging and meals to certain financially needy patients (“Proposed Arrangement”).  The OIG…

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President's Proposed Budget Makes Deep Cuts, But Seeks Increases To Medicare Fraud Fight

By: Thomas N. Hutchinson on April 2, 2017

President Trump’s March 16 “America First: A Budget Blueprint to Make America Great Again,” proposes to cut $15.1 billion in Department of Health and Human Services (“HHS”) spending, representing a nearly 18% reduction in annual spending.[1] The cuts target many entrenched programs and grants,…

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HIPAA Business Associates ... How Do I Know Thee?

By: Susan E. Ziel and Stephanie T. Eckerle on February 23, 2017

HIPAA, as amended by HITECH, imposes significant requirements on those persons or entities who qualify as a business associate (BA) as a result of their access to protected health information (PHI) in the performance of services on behalf of a covered entity (CE). 

For example, a BA could be a third…

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HHS OIG Adds New Authorities to the Anti-Kickback Statute and Civil Monetary Penalties Law

By: Brandon W. Shirley on February 23, 2017

The Health and Human Services Office of Inspector General (“OIG”) recently finalized new regulations (“Regulations”) impacting the anti-kickback statute (“AKS”) safe harbors and civil monetary penalties law (“CMPL”).  Specifically, the Regulations expanded the exceptions and safe harbors under the…

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Be Prepared: Submission of Breach Notifications Due to HHS by March 1, 2017

By: Stephanie T. Eckerle and Stacy Walton Long on February 23, 2017

Did your company have a HIPAA breach affecting less than 500 individuals in calendar year 2016 that has not yet been reported to HHS?  If so, the deadline for submission of any breach notifications to HHS is March 1, 2017.  

HIPAA requires that covered entities maintain a log or other documentation of…

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HHS OIG Publishes New Regulations that Expand its Authority to Exclude Health Care Providers from Participation in the Program

By: Brandon W. Shirley on February 23, 2017

The Health and Human Services Office of Inspector General (“OIG”) finalized Regulations on January 12, 2017, that revise and clarify Federal authorities governing a health care provider’s participation in and exclusion from a Federal health care program, i.e., Medicare and Medicaid.  These changes…

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SAMHSA Final Rule on Confidentiality of Substance Use Disorder Patient Records

By: Stephanie T. Eckerle on February 15, 2017

On January 18, 2017, the Substance Abuse and Mental Health Services Administration (“SAMHSA”) published a Final Rule that updates the confidentiality requirements and provisions to improve the exchange of information of patients seeking treatment for a substance abuse disorder of 42 C.F.R. Part 2…

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Preparing Your Facility for the MOON

By: Thomas N. Hutchinson on February 15, 2017

On January 27, 2017, CMS issued final guidance regarding implementation of its Medicare Outpatient Observation Notice (MOON) program. The MOON informs all Medicare beneficiaries (both traditional fee-for-service and Medicare Advantage) when they are an outpatient receiving observation services, and…

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CMS "Mid-Build" Exception Deadline and Provider-Based Growth Strategies

By: Thomas N. Hutchinson on February 6, 2017

The Bipartisan Budget Act of 2015 (“Section 603”) made waste of many hospitals’ plans for off-campus provider-based practice locations. Notwithstanding, a final reprieve for certain provider-based facilities is the 21st Century Cures Act’s “mid-build” exception, which creates an exception to…

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