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How Medicaid Providers Can Challenge Rate Cuts in the Wake of Armstrong v....
The Federal Lawyer, a national magazine by the Federal Bar Association, just published an article by one of Parker Poe’s health care attorneys. The article looks at the implications of a recent...
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Challenging Medicaid Prepayment Review
When the North Carolina Division of Medical Assistance (“DMA”) decides to place a Medicaid provider on prepayment review, it can be the equivalent of a death sentence for a small business. The primary...
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New Part B Drug Payment Model Proposed
On March 11, 2016, CMS proposed implementation of a new two-phase model for drugs reimbursed under Part B of the Medicare Program (“the Proposed Model”). Drugs reimbursed under Part B include drugs...
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CMS Finalizes Rule on Reporting and Returning Medicare Overpayments
The Affordable Care Act (sometimes referred to as Obamacare) included a requirement for providers to report and return all Medicare and Medicaid overpayments within 60 days of identification. Although...
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CMS Releases Hospital Quality Star Ratings
On July 27, 2016, the Overall Hospital Quality Star Ratings were released on Medicare’s Hospital Compare website. The Star Ratings represent a summary compilation of individual hospital performance on...
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OCR Issues Guidance on Ransomware Attacks and Determining Whether a...
The Office of Civil Rights (“OCR”) has issued new guidance in connection with an increase of malicious cyberattacks, namely ransomware attacks on healthcare organization’s computer systems. Ransomware...
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OIG Releases 2017 Work Plan
On November 10, 2016, the Office of Inspector General (“the OIG”) of the U.S. Department of Health and Human Services (“DHHS”) released its 2017 Work Plan. Published annually and updated throughout...
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EEOC Settlement Reminds Healthcare Employers of Limits on Mandatory Vaccinations
The policy seemed straightforward. A hospital required all employees to receive seasonal flu vaccinations based on its assessment of the dangers of influenza to patients with compromised immune...
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340B Mega Guidance Withdrawn
On January 31, 2017, the Health Resources and Services Administration (“HRSA”) withdrew the 340B Program Omnibus Guidance (often referred to as the Mega Guidance). The guidance addressed a number of...
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How North Carolina Law Is Changing for Behavioral Health Providers
Hospitals and other behavioral health services providers in North Carolina will face new regulations next year concerning the involuntary commitment and voluntary admission of patients undergoing...
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