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  • Article

    OIG Assesses Diabetes Testing Supplies Market Share Data for Competitive Bidding Purposes

    The HHS Office of Inspector General (OIG) has released another in series of Congressionally-mandated reports on Medicare market shares of mail order diabetes test strips, this one covering the three-month period after implementation of the National Mail-Order recompete on July 1, 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Cautions That States May Be Claiming Matching Funds For Privately-Operated Hospitals

    The OIG suggests that CMS consider requiring that an entity be operated by a unit of government in order to certify the expenditures as the state's share of Medicaid expenditures.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG: Compendia Publishers Comply With Transparency Rules For Evaluating Anticancer Drugs, Identifying Potential Conflicts

    Under current law, Medicare Parts B and D cover anticancer drugs for indications not approved by the FDA only if the drugs are supported by one or more of four authorized compendia.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Examines Compliance With Hospice Election Statement, Terminal Illness Certification Requirements

    A recent OIG report examined whether hospices are meeting all requirements associated with the election statement that Medicare beneficiaries sign when they choose hospice care...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Examines Manufacturer Reporting Of Average Sales Price (ASP) Data

    The OIG has issued a report entitled "Limitations in Manufacturer Reporting of Average Sales Price Data for Part B Drugs."
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Faults CMS For Incorrect Medicare Payments For Hospital Clinic Visits

    The OIG estimates that CMS made $7.5 million in incorrect Medicare payments to hospitals in 2010 and 2011 for outpatient clinic visits, in part because of errors in identifying patients as "new" versus "established."
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Finds Medicare Plans Generally Cover Drugs Commonly Used By Dual Eligibles

    The OIG has issued an ACA-mandated report on Medicare Part D prescription drug plan and MA drug plan coverage of drugs commonly used by full-benefit dual-eligible individuals.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Issues Semiannual Report For First Half Of FY 2013

    The OIG has issued its latest Semiannual Report to Congress, covering the period of October 1, 2012 to March 31, 2013.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Report Addresses Potential Hospital EHR Technology Vulnerabilities

    An OIG report released in December 2013 assessed the extent to which hospitals that received Medicare EHR incentive payments as of March 2012 had implemented fraud safeguards for EHR technology previously recommended by an HHS contractor, RTI International, and set forth in a 2007 HHS Office of the National Coordinator for Health Information Technology (ONC) report.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Self-Disclosure Protocol Submissions

    <p>The OIG has announced an online submission process for the Self-Disclosure Protocol, which is a vehicle for providers who wish to voluntarily disclose self-discovered evidence of potential fraud to the OIG;
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Updates Corporate Integrity Agreement Independent Review Organization Guidance

    The OIG has updated its guidance for providers under Corporate Integrity Agreements regarding the circumstances that might affect the independence and objectivity of independent review organizations (IROs).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OIG Urges CMS to Recoup Payments to Medicare Advantage Plans for Unlawfully-Present Beneficiaries

    CMS made $26.2 million in payments to Medicare Advantage organizations for approximately 1,600 unlawfully present beneficiaries from 2010 through 2012.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OMB Clears OIG Proposed Rule On Anti-Kickback Safe Harbors, Cmps For Beneficiary Inducements & Gainsharing

    The Office of Management and Budget has cleared a proposed rule that would expand the OIG’s Medicare and state health care program fraud and abuse authorities.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    ONC Corrects EHR Certification Criteria Final Rule

    The HHS Office of the National Coordinator for Health Information Technology (ONC) has published a notice correcting errors and clarifying provisions of its October 16, 2015 rule...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    ONC Issues Final Health IT Interoperability Roadmap

    The HHS Office of the National Coordinator for Health Information Technology (ONC) has released its final "Roadmap" to promote the secure exchange and use of electronic health information.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    President Obama Signs Bills To Amend ACA Small Employer Definition, Expand Access To Clinical Trials

    On October 7, 2015, President Obama signed into law H.R. 1624, which amends the Affordable Care Act's (ACA) definition of "small employer" by maintaining the definition of a small group market as 1-50 employees...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    President Obama Signs Speech Generating Device Coverage, Independence At Home Acts

    On July 30, 2015, President Obama signed into law:
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    President Signs Comprehensive Addiction And Recovery Act, Calls For Additional Funding

    In signing the bill, the President called on Congress to finish the job and provide adequate funding to deal with this public health crisis."
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    President Signs Hospital Outpatient Observation Status "Notice" Act

    On August 6, 2015, President Obama signed into law H.R. 876, the Notice of Observation Treatment and Implication for Care Eligibility Act.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    President Signs Medicare Physician Fee Schedule/SGR Patch with Numerous Health Policy Provisions

    On April 1, 2014, President Obama signed into law H.R. 4302, the "Protecting Access to Medicare Act of 2014" ("the Act").
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith

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