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Healthcare Compliance & Enforcement News

Duane Morris: State Medicaid Fraud Control Units' Data Mining Likely to Increase Through Federal Funding

The HHS OIG

McGuireWoods: OIG Issues Updated Bulletin on Effect of Exclusion

HHS OIG Provides Guidance on Use of Permissive Exclusion Authority

McGuireWoods: Transactional Trends in Urgent Care

Healthcare Sector: Antitrust/M&A

False Claims Act Amended by FERA: Implications for Health Care Sector

Covington & Burling: Financial Institutions Face Increasing Exposure Under the False Claims Act

Squire Sanders: Fraud Enforcement and Recovery Act of 2009 and Health Care Providers

Pepper Hamilton: False Claims Act Expansion to Affect Health Care Providers

Health Care Reform & False Claims Act

Paul Hastings: Public Disclosure Bar Defense Under False Claims Act Jeopardized by Recent Federal Amendments

Kirkland & Ellis: The Health Reform Law Significantly Increases the Risk of Protracted Fraud and False Claims Act Investigations in the Health Care Industry

Alston + Bird: Overpayment Liability Under the “Reverse False Claims” Act

Advamed's Revised Code of Ethics

Jones Day: AdvaMed’s Revised Code of Ethics on Interactions with Health Care Professionals

Faegre & Benson: AdvaMed Amends Code of Ethics

McGuireWoods: AdvaMed’s Updated Code of Ethics and Its Impact on the Medical Device Industry

Health Care Reform & Stark Law

Arent Fox: Intermountain Healthcare Settlement of $25.5 Million Stems from Stark Law Violations

Greenberg Traurig: Stark Law Violations Costly To Intermountain Health Care Inc.

Jackson Walker: Closure of Stark Whole Hospital Exception Survives Court Challenge

Stark Anti-Kickback Laws

Haynes and Boone: Appeals Court Overturns $44 Million Judgment Against Tuomey Hospital in Important Stark Law Case

Foley & Lardner: Hospital - DMEPOS supplier arrangements and the Anti-kickback Statute

Foley & Lardner: First Circuit Rejects False Claims Act Analysis and Rescues Anti-Kickback Claims Against Medical Device Company

MMSEA & Section 111 Mandatory Reporting of Claim Information

Wiley Rein: Medicare Narrows Required Reporting By Insurers; Town Hall Reveals Disconnect With Insurers On Key Questions Regarding Pre-1980 Exposures

Wiley Rein: CMS Dodges Tough Questions Regarding Medicare Benefit Denials and Perpetuates Confusion Over Reportable Amounts During Recent Section 111 Town Hall Teleconference

K&L Gates: Are You Ready? The Clock is Ticking on MSP Mandatory Reporting Requirements

Health Care Reform & Physician Payment Sunshine Act

Greenberg Traurig: CMS Issues Final "Sunshine" Rule, Establishing New Reporting Requirements for Drug and Device Makers and Some GPOs

Paul Hastings: CMS Issues Final Rule Interpreting The Physician Payment Sunshine Act

Fulbright & Jaworski: The Other Side of the Sunshine Act: Reporting Ownership & Investment Interests

PPACA: Fraud, Abuse & Waste

Wiley Rein: Your Problem Is Now My Problem--The New Era of Fraud and Compliance for Health Insurers

Morgan Lewis: No Change in Course on ACA Federal Antifraud and Transparency Provisions

Mintz Levin: Federal Compliance Blitz: Enforcement Challenges Ahead for Labs and Pathologists

CMS Implements PPACA Fraud and Abuse Controls

Mintz Levin: CMS Final Rule Strengthens Framework to Prevent Health Care Fraud

Mintz Levin: CMS Finalizes Regulations Intended to Strengthen Program Integrity

ReedSmith: CMS Final Rule Expands Medicare/Medicaid/CHIP Provider and Supplier Screening Requirements Under Affordable Care Act Authority

Duane Morris: State Medicaid Fraud Control Units' Data Mining Likely to Increase Through Federal Funding

Morgan Lewis: HHS OIG Issues Report on Hospice General Inpatient Care Billing

Paul Hastings: OIG Classifies Physician-Owned Device Companies as Inherently Suspect of Violating AKS

HHS OIG Provides Guidance on Use of Permissive Exclusion Authority

McGuireWoods: OIG Issues Updated Bulletin on Effect of Exclusion

Alston & Bird: Updated OIG Guidance on Health Care Program Exclusions – More Trouble for Health Care Entities Owned or Controlled by Excluded Persons?

Hinshaw: US Department of Health and Human Services Issues Updated “Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs”

HIPAA & Health Information Technology (HITECH)

Groom: Get Ready for Sweeping Changes in HIPAA Privacy Regulations

Nixon Peabody: OCR settles another breach case for $400,000 for violations of the Security Rule

McDermott Will & Emery: Florida Medical Record Disclosure Law Preempted by HIPAA

HHS/FTC's Breach Notification Rules for EH Info

Alston & Bird: Life’s a Breach, Part II: Omnibus Rule Revises What Constitutes a Breach under the HIPAA/HITECH Breach Notification Requirements

Davis Wright Tremaine: Deadline Approaches for Reporting 2012 Small Breaches

Hinshaw: New HIPAA/HITECH Breach Notification Rules for Covered Entities and Business Associates

HIPAA Enforcement

Pepper Hamilton: Large Educational/Health System Targeted for HIPAA Enforcement

McGuireWoods: Settlement for Alleged Violation of HIPAA Security Rule Costs Idaho State University $400,000

Nixon Peabody: What employers with self-funded health plans need to know about the new HIPAA/HITECH Act Omnibus Rule