Health Care

Recent Posts

DLA Piper Alert: Federal Agencies Propose Health IT Regulatory Framework, Seek Stakeholder Input and Participation In New Initiatives
Posted on 11 Apr 2014 by DLA Piper

By Mary B. Langowski and Kristen E. Ratcliff A little more than five years after the passage of the Health Information Technology Economic and Clinical Health (HITECH) Act, the Food and Drug Administration, Federal Communications Commission and the Office... Read More

Steptoe & Johnson PLLC: 4th Circuit Rules CON Statute May Discriminate Against Providers
Posted on 21 Nov 2013 by Steptoe & Johnson PLLC

By Gordon H. Copland | A recent decision suggesting that the Virginia Certificate of Need (“CON”) law may be unconstitutional has widespread implications for CON laws around the country, including West Virginia and Kentucky. The surprising... Read More

DLA Piper Health Systems Alert: Payment-Driven Transformation Ahead For U.S. Healthcare
Posted on 1 Jul 2015 by DLA Piper

By David Gruber, MD, MBA* Healthcare spending is forecast to increase from US$3 trillion in 2014 to US$5.2 trillion in 2023, reflecting a compound annual growth rate of 5.9 percent. US healthcare expenditures on a per capita basis are 1.9-2.6 times... Read More

Norton Rose Fulbright: OIG Releases FY 2014Work Plan Summary
Posted on 11 Feb 2014 by Norton Rose Fulbright

By Frederick Robinson , Megan Fanale Engel , Cori Annapolen Goldberg and Selina Coleman On January 31, 2014, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published its Work Plan for fiscal year 2014. The OIG announced... Read More

Norton Rose Fulbright: Physicians Payments Sunshine Act Data 33 Percent Unpublishable, Penalties Next?
Posted on 19 Aug 2014 by Norton Rose Fulbright

By Benjamin Koplin , Selina Coleman and R. Jeffrey Layne Despite extending the dispute-and-resolution deadline to account for the days that the Centers for Medicare & Medicaid Services (CMS) pulled down the reporting system, the public Physician... Read More

Barnes & Thornburg LLP: OIG Work Plan 2014: Takeaways for Hospitals
Posted on 21 Feb 2014 by Barnes & Thornburg LLP

By Gayland Hethcoat With the release of its work plan for fiscal year 2014 on Jan. 31, 2013, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) has provided insight on the agency’s current enforcement... Read More

Barnes & Thornburg LLP: Illinois Becomes 11th State To Join Interstate Medical Licensure Compact
Posted on 6 Aug 2015 by Barnes & Thornburg LLP

By Serj Mooradian On July 20, Illinois Governor Bruce Rauner signed HB 3680 , the Interstate Medical Licensure Compact Act, making Illinois the eleventh state to sign on to the Interstate Medical Licensure Compact (the Compact). Illinois follows... Read More

Norton Rose Fulbright: CMS Offers Settlement Of Inpatient RAC Denials
Posted on 24 Sep 2014 by Norton Rose Fulbright

By Mark Faccenda On August 29, 2014, the Centers for Medicare and Medicaid Services (“ CMS ”) announced that certain providers with pending appeals of specified inpatient-status claims denied by Medicare contractors may elect to receive... Read More

Barnes & Thornburg LLP: President Obama Signs Bill Extending Physician Medicare Rates And Delaying ICD-10 And RAC Audits Under The 2-Midnights Rule
Posted on 8 Apr 2014 by Barnes & Thornburg LLP

By Nita Garg On April 1, President Obama signed the Protecting Access to Medicare Act of 2014. This legislation extends current Medicare physician reimbursement rates and delays implementation of the ICD-10 code for a full year. Previously, hospitals... Read More

DLA Piper Health Care Regulatory and Policy Update -- Week of March 24, 2014
Posted on 28 Mar 2014 by DLA Piper

SGR/Legislative Action – On March 11, Senate Finance Committee Chairman Wyden (D-OR) introduced his version of legislation to permanently repeal and replace the sustainable growth rate (SGR), the Medicare SGR Repeal and Beneficiary Access... Read More

DLA Piper Health Systems Alert: MACRA: 3 Compliance Implications For Medicare Providers
Posted on 26 May 2015 by DLA Piper

By: Karen Nelson Much has been written about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its repeal of the Sustainable Growth Rate formula for physician compensation and the potential gainsharing safe harbor. But the Act also... Read More

Foley & Lardner LLP: SEC's MCDC Initiative - The Clock is Ticking
Posted on 14 Jul 2014 by Foley & Lardner LLP

By David Y. Bannard Not-for-profit health care providers that have borrowed on a tax-exempt basis within the last five years should be aware of the Securities and Exchange Commission’s (SEC) Municipalities Continuing Disclosure Cooperation (“MCDC”... Read More

DLA Piper: Healthcare Industry Compliance In A Shifting World: Putting It All Together
Posted on 31 Oct 2014 by DLA Piper

By: Frank E. Sheeder , Karen Nelson and Keri L. Tonn Health industry clients face regulatory and enforcement challenges on multiple fronts. It can be difficult to prioritize and allocate resources properly when government agencies’ initiatives... Read More

DLA Piper Health Systems Alert: U.S. Health Care Payment-Driven Transformation Ahead
Posted on 30 Jun 2015 by DLA Piper

By David Gruber, MD, MBA* | Healthcare spending is forecast to increase from US$3 trillion in 2014 to US$5.2 trillion in 2023, reflecting a compound annual growth rate of 5.9 percent. US healthcare expenditures on a per capita basis are 1.9-2.6 times... Read More

Williams Mullen: OIG Scrutiny of Hospital Outpatient Evaluation/Management Claims Billed to Medicare
Posted on 11 Feb 2014 by Williams Mullen

By Marcus C. Hewitt H.H.S’s Office of Inspector General’s yearly work plan was issued on January 31, 2014, which included numerous new and ongoing reviews and activities by OIG for the coming year. Among the new projects, OIG will review... Read More