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HHS OIG
posted its Work Plan for FY 2013 earlier today. The Work
Plan is always of interest to the health care industry because it
provides a roadmap of the HHS OIG's priorities for the
coming fiscal year. Many of the issues have appeared in the Work
Plan year in and year out while others are detailed for the first
time. New issues – many of which related to ongoing
implementation of the Affordable Care Act (ACA) – include
but are not limited to:
analyzing possible savings associated with bundling outpatient
services delivered up to 14 days prior to inpatient hospital
admissions into the DRG payment for the inpatient stay (as compared
to the 3-day window that currently applies);
reviewing the extent to which home health agencies are
complying with the ACA's requirement that physicians (or
certain practitioners working with them) have had face-to-face
encounters with beneficiaries whom they have certified as eligible
for home health services; and
determining how often on-site visits (which are now required
for moderate and high risk providers and suppliers as a result of
the ACA) occur as part of the Medicare enrollment or reenrollment
process.
Mintz Levin will continue to review the Work Plan and provide
more detailed information in future blog posts.
The content of this article is intended to provide a general
guide to the subject matter. Specialist advice should be sought
about your specific circumstances.
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After a four-week retrial, a federal jury concluded on May 8, 2013 that Tuomey Healthcare System (Tuomey) violated both the Stark Law and the False Claims Act (FCA).
The Centers for Medicare & Medicaid Services (CMS) recently announced revisions to its State Operations Manual that change the complaint survey investigation process and typical timeline for resolution.
On May 21, 2013, the U.S. Department of Health and Human Services released details regarding a $400,000 settlement with Idaho State University for alleged violations of the HIPAA Security Rule.
On April 5, 2013, the Internal Revenue Service officially issued proposed regulations addressing the requirement under Section 501(r)(3) of the Internal Revenue Code that tax-exempt hospitals conduct community health needs assessments.
The U.S. Supreme Court heard oral arguments last month in the matter of Association for Molecular Pathology v. Myriad Genetics, a curious case that does not bode well for America’s biotechnology industry and could overturn 30 years of U.S. patent policy.
Earlier this month, the Lobbying and Advocacy Group’s Medicare Reimbursement and Health Policy Director, Anna Schwamlein Howard, partnered with Drinker Biddle attorneys Jeremy Shapiro-Barr and Douglas Swill on a client alert.
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