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Category Archives: Regulations

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Hurricane Harvey, HIPAA, and Access to Health Information

Posted in Business Associates, Compliance Issues, Covered Entities, EHR, HIPAA, Privacy, Regulations, Security
Hurricane Harvey has been pummeling the Gulf Coast since Monday, with nearly 52 inches of rainfall in parts of Texas. The storm has displaced thousands of people from their homes and has resulted in over 30 reported deaths. Disasters like Hurricane Harvey impose significant challenges on healthcare providers and entities. Emergency rooms are inundated with… Continue Reading

Anchors Away! Physical Therapists Rejoice (and Book a Tropical Getaway) as CMS Extends Locum Tenens Arrangements

Posted in Legislation, Medicare, News from the Health Law Gurus, Regulations, Trends
Even doctors get sick sometimes, or need to take a vacation, and when they do, patients are not seen and billing does not happen. Cue locum tenens – a system used by providers to ensure continuity of care and revenue when providers need to complete continuing medical education requirements or take time off for vacations… Continue Reading

Final Rule Issued: Stark Law Modifications Designed to Ease the Burden of Compliance

Posted in Regulations, Stark Law
On October 30, 2015, the Centers for Medicare and Medicaid (“CMS”) issued a final regulation that includes modifications to the Stark Law (the “Final Rule”). Among other things, the Final Rule adds two new exceptions to the Stark Law’s prohibited referrals and clarifies regulatory definitions and requirements. These new regulations were published in the Federal… Continue Reading

CMS Issues New Proposed Rule to Modernize Managed Care for Medicaid

Posted in Affordable Care Act (ACA), Guest Contributor, Legislation, Medicaid, Regulations
The Centers for Medicare and Medicaid Services (“CMS”) has issued a new proposed rule (the “Proposed Rule”) intended to “modernize Medicaid and the Children’s Health Insurance Program (CHIP) managed care regulations to update the programs’ rules and strengthen the delivery of quality care for beneficiaries.” As CMS continues it mission toward creating better care, smarter… Continue Reading

Pennsylvania Physicians Now Required to Wear Photo Identification Badges

Posted in Legislation, Pennsylvania, Regulations
As of June 1, 2015, a new Pennsylvania law went into effect, requiring the following individuals to wear photo identification badges: All employees and physicians working at health care facilities licensed by the Department [of Health] who provide direct care to patients or consumers; All employees and physicians working at the private practice of physicians… Continue Reading

CMS Issues Proposed Rule Addressing Changes to Medicare Shared Savings Program

Posted in Affordable Care Act (ACA), Regulations
The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule (the “Proposed Rule”) on December 1, 2014 regarding certain changes to the Medicare Shared Savings Program (the “Program”). The Proposed Rule, spanning 429 pages, discusses proposed changes to various aspects of the Program such as beneficiary assignment, data sharing, available risk models, eligibility… Continue Reading

HIPAA in the Time of Ebola

Posted in Business Associates, Compliance Issues, HIPAA, Privacy, Regulations, Trends
Ebola has recently been the source of much concern, and health care providers and hospitals are taking steps to prepare themselves for the possibility of treating patients with Ebola. In addition to all of the medical preparations underway, covered entities and business associates must also continue to be aware of the protections in place that… Continue Reading

September 22, 2014 – HIPAA Compliance Deadline for Business Associate Agreements Is Just Around the Corner

Posted in Business Associates, Compliance Issues, HIPAA, Regulations
All business associate agreements (“BAAs”) must be updated and compliant with current Health Insurance Accountability and Portability Act (“HIPAA”) regulations by September 22, 2014. Failure to meet this deadline could result in large penalties for covered entities and/or business associates if there is a breach of protected health information (“PHI”) or a government audit. If… Continue Reading

ICD-10 Compliance Deadline Is Now October 1, 2015

Posted in Compliance Issues, Regulations, Technology
Health care providers, health plans, and health care clearinghouses (“Health Care Entities”) are required to comply with ICD-10 (which stands for the International Classification for Diseases, 10th Edition) on October 1, 2015, according to a new final rule (“Final Rule”) released by the U.S. Department of Health and Human Services (“HHS”). This means that Health… Continue Reading

News from the Health Law Gurus™: Week of June 22nd, 2014

Posted in Affordable Care Act (ACA), Compliance Issues, Health Insurance, HIPAA, News from the Health Law Gurus, Privacy, Regulations
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every week for the latest health law news stories. Pa. Supreme Court Weighs in on Medical Record Charges—In Wayne M. Chiurazzi Law v. MRO, Chief Justice Ronald D.… Continue Reading

News from the Health Law Gurus™: Week of May 18th, 2014

Posted in Fraud and Abuse, News from the Health Law Gurus, Regulations
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every Friday for the latest health law news stories. Former Chief Exec of HMO Company Sentenced to Three Years—The Department of Justice (“DOJ”) announced on Monday that Todd… Continue Reading

News from the Health Law Gurus™: Week of April 20th, 2014

Posted in Compliance Issues, FDA, HIPAA, Medicare, News from the Health Law Gurus, Privacy, Regulations
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every Friday for the latest health law news stories. Passwords Affected from Heartbleed – HealthCare.gov, the website for the federally-facilitated health insurance exchanges under the Affordable Care Act,… Continue Reading

Where There’s Smoke, There’s Proposed Regulation: FDA Seeks to Bring E-Cigarettes Within Its Regulatory Authority

Posted in FDA, Regulations
On April 24, 2014, the Food and Drug Administration (“FDA”) released a proposed rule (the “Proposed Rule”) that will expand its authority to regulate items like electronic cigarettes (“e-cigarettes”). The Proposed Rule essentially makes currently unregulated tobacco products subject to FDA regulation under the Federal Food, Drug and Cosmetic Act. In other words, the FDA… Continue Reading