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December 09, 2011 Vol. IX Issue 47


 

Top Stories

CMS Issues Final Rule Giving Access To Medicare Claims Data For Provider Performance Reports
  The Centers for Medicare and Medicaid Services (CMS) issued December 7 a final rule (76 Fed. Reg. 76542) that gives “qualified entities” access to Medicare claims data for purposes of aggregating... Full Story
HHS Issues Final Standards For CO-OPs
  The Department of Health and Human Services (HHS) has issued a final rule for establishing Consumer Operated and Oriented Plans (CO-OPs). Section 1322 of the Affordable Care Act (ACA) created... Full Story

Articles and Analyses

Was That Really Necessary? The Impact Of ICD-10 On Medical Necessity By Rachel V. Rose, JD, MBA, Assistant General Counsel, BCE Healthcare Advisors and Michael R. Linkins, MBA, CPC, CMPE, Ambulatory Healthcare Management & Revenue Cycle Management Consultant

ERISA

U.S. Court In New Jersey Allows ERISA Plaintiff To Assert Simultaneous Claims Under Sections 502(a)(1)(B) and 502(a)(3) Health Law Digest

Fraud and Abuse

Eleventh Circuit Affirms Pharmacist's Conviction On 69 Counts Of Healthcare Fraud Health Law Digest
OIG Says Online Service To Exchange Information Between Healthcare Practitioners, Providers, and Suppliers Would Not Violate Anti-Kickback Statute Health Law Digest
Update
U.S. Supreme Court Declines Review Of First Circuit Decision On FCA Liability Health Law Digest

Healthcare Reform

DOL Issues Proposed Rules Tightening Oversight Of MEWAs

Healthcare Spending

CMS Report Examines State Healthcare Spending Trends

HIPAA

U.S. Court In Florida Finds State Statute Conflicts With HIPAA And Is Preempted Health Law Digest

Hospitals and Health Systems

Hospital Groups Urge Congress Not To Offset Physician Payment Fix With Reimbursement Cuts To Hospitals

Life Sciences

Ninth Circuit Finds Compensation For Stem Cell Donors Not Prohibited By National Organ Transplant Act Health Law Digest

Medicaid

Ninth Circuit Vacates Injunction Enjoining Medicaid Rates, Says Providers Could Not Sue Under Section 1983 Health Law Digest

Medical Malpractice

U.S. Court In Florida Will Abstain From Considering Challenge To Florida’s Patients Right To Know Amendment Health Law Digest

Medicare

CBO Finds Higher Spending For Prescription Drugs For Low-Income Part D Beneficiaries
CMS Did Not Fully Comply With Federal Requirements In Conducting Audits Of Part D Sponsors' Financial Records, OIG Finds

Pharmaceuticals

Administration Rejects FDA Recommendation To Make Plan B Available OTC Without Age Restrictions
Schumer Bill Would Criminalize Price Gouging Of Prescription Drugs During Shortages

Physicians

Idaho High Court Says No Bad Faith Exception To Peer Review Privilege Health Law Digest
Iowa Supreme Court Holds Credentialing Filing Inadmissible Even Where Hospital Previously Disclosed Documents In Earlier Trial Health Law Digest
Maryland High Court Upholds Violation Of Licensing Requirement Based On Failure To Disclose Medical Malpractice Case On Renewal Application Health Law Digest

Related Resources

 Feature Menu

Articles & Analyses
New article discusses provisions of recently issued FY 2014 IPPS proposed rule related to short-stay inpatient hospital admissions.

View current and past monthly issues of the Health Law Digest.

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Health Law Documents
The latest Advisory Opinions, rules, reports and other major documents related to health law, with links to Web sites and Adobe Acrobat PDF files where available.

Regulatory Comments Calendar
View information and upcoming deadlines for public comments on healthcare related federal regulations.
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