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OIG Final Rule Determines Penalties for Information Blocking

Offenders may soon pay a hefty price. On June 27, 2023, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) posted its final rule implementing penalties for information blocking. The final rule establishes the statutory penalties created by the 2016 21st Century Cures Act, which made sharing electronic health information the […]

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CMS Proposes Rule to Expand Access to Health Information and Improve Prior Authorization Process

Proposed rule seeks to reduce administrative burdens and address delays in patient care. The Centers for Medicare & Medicaid Services (CMS) announced a proposed rule on Dec. 6, 2022, aimed at improving the prior authorization process and interoperability between providers, payers, and patients. The Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule (CMS-0057-P) seeks […]

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HIPAA Privacy Rule Initiative Violations Mounting

Providers learn ignoring the Right of Access standard is a costly mistake. The Office for Civil Rights (OCR) announced July 15 the resolution of 11 HIPAA Right of Access Initiative investigations. This makes 38 enforcement actions since the initiative began. The Right of Access Initiative was implemented in 2019 to help patients obtain their medical […]

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CMS Issues 2023 IPF PPS Proposed Rule

Provisions include topsy-turvy payment adjustments across the country. A proposed rule outlines payments, wages, and policies in fiscal year (FY) 2023 for inpatient psychiatric facilities paid under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS). The Centers for Medicare & Medicaid Services (CMS) issued the proposed rule March 31 and is accepting public comments […]

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2022 OPPS/ASC Final Rule Finalizes 2% Boost in Payment Rates

CMS dramatically increases financial penalties for noncompliance with hospital price transparency rules. On Nov. 2, 2021, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule, finalizing payment rates and policy changes affecting Medicare services furnished […]

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CMS Vaccination Mandate Rule Blocked

If you’re leaning toward pausing your vaccination requirement process, be ready to crank it back up on a dime, legal experts stress. After the Biden administration issued two COVID-19 vaccination regulations on Nov. 5 — one from the Centers for Medicare & Medicaid Services and one from the Occupational Safety and Health Administration — states […]

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CMS Releases 2022 Physician Fee Schedule Final Rule

The 2022 MPFS final rule promotes greater telehealth utilization and boosts payment rates for vaccine administration. The Centers for Medicare & Medicaid Services (CMS) has finalized 2022 payments and policies under the Medicare Physician Fee Schedule (MPFS). The rule includes updates to payment rates for physicians and other healthcare professionals for calendar year (CY) 2022; […]

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Apps Fall Under Health Breach Notification Rule, Cautions FTC

As more health apps flood the market, app developers need to be aware of their responsibilities to consumers. The U.S. Federal Trade Commission (FTC) issued a policy brief on Sept. 15 clarifying when healthcare apps would be subject to Health Breach Notification Rule 16 C.F.R. Part 318 (the Rule). The Rule was created to help […]

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Next Interim Final Rule for Surprise Billing Ban Released

Second interim final rule implements additional protections and addresses the independent dispute resolution process. On Sept. 30, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury (the Departments), along with the Office of Personnel Management (OPM), released an interim final rule (IFR) with comment period, […]

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