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Health Care / Health Reform Connect®

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New Medicare Payment Model for Emergency Ambulance Services

Posted by: Amanda K. Schipp and Meghan M. Linvill McNab on April 10, 2019

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On February 14, 2019, the Center for Medicare and Medicaid Innovation (“CMMI”) announced a new payment model for Medicare emergency ambulance services called the “Emergency Triage, Treat and Transport (“ET3”) Model.  The goal of the ET3 Model is to allow Medicare Fee-For-Service beneficiaries to...


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Medical Record Documentation: Is it a “No” or a “Not Completed”?

Posted by: Robert A. Anderson and Meghan M. Linvill McNab on April 10, 2019

Court Decision Clears Way for Broader Use of Postnuptial Agreements

The United States Department of Justice (“DOJ”) issued a press release regarding a recent $2 Million settlement related to allegations that a provider violated the False Claims Act by submitting inflated and upcoded evaluation and management (“E/M”) claims to Medicare and Medicaid, over a five...


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D.C. District Court Invalidates Medicaid Work Requirements

Posted by: Amanda K. Schipp and Brandon W. Shirley on April 9, 2019

Court Decision Clears Way for Broader Use of Postnuptial Agreements

D.C. District Court Judge James Boasberg invalidated Federally approved Medicaid work requirements in Kentucky and Arkansas and sent the question back to the Centers for Medicare and Medicaid Services (“CMS”) for further analysis. The March 27, 2019 decision is a legal setback for CMS and states...


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HIPAA, Individual Rights and Personal Representatives

Posted by: Susan E. Ziel and Alexandria M. Foster on April 9, 2019

Court Decision Clears Way for Broader Use of Postnuptial Agreements

The Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health or “HITECH” Act  (hereinafter “HIPAA”)1 establishes numerous obligations for HIPAA covered entities and business associates.  

One obligation, in...


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OCR Concludes Investigation of Allegations that the State of Hawaii Unlawfully Discriminated Against Pregnancy Resource Centers

Posted by: Robert A. Anderson and Alexandria M. Foster on April 9, 2019

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On March 21, 2019, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) issued a resolution to resolve complaints brought against the State of Hawaii by two pregnancy resource centers (the “Centers”). The Centers brought the complaints in 2017 alleging...


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Going, Going, Gone - Important Medical Records Considerations for Physicians Planning to Close Their Practice

Posted by: Susan E. Ziel and Stacy Walton Long on March 26, 2019

Court Decision Clears Way for Broader Use of Postnuptial Agreements

The Indiana Administrative Code, specifically 844 IAC, Article 5, establishes certain professional standards for physicians licensed in the State of Indiana. One particular section, 844 IAC 5-2-16, sets forth requirements governing the discontinuation of a physician’s practice due to retirement...


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HIPAA Violation Leads to Criminal Conviction of Former Patient Coordinator

Posted by: Robert A. Anderson and Alexandria M. Foster on March 20, 2019

Court Decision Clears Way for Broader Use of Postnuptial Agreements

A former Patient Information Coordinator (Patient Coordinator), previously employed with UPMC and its affiliate, Tri Rivers Musculoskeletal Centers (TRMC) in Mars, Pennsylvania, pleaded guilty to a charge of wrongfully disclosing health information, in violation of the Health Insurance...


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