Apr 26th, 2018
The Trump administration is drafting plans to undo the Obama administration’s Affordable Care Act (ACA) rule preventing doctors, healthcare organizations, and health insurance companies from discriminating against transgender people. If the Trump administration’s rollback gets passed, it could potentially open the way for clinical staff to turn away a transgender individual from receiving medical a...
In Audit
Apr 18th, 2018
Last June, U.S. Department of Health and Human Services (HHS) announced an ongoing effort to enhance transparency. One of its efforts has become updating the Office of Inspector General’s (OIG) Work Plan monthly, rather than annually. Another step HHS took to increase compliance transparency is by providing new tools and resources for the public to ...
In Billing
Apr 16th, 2018
Medical coders and billers aren’t the only ones getting over-payment letters from the Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) these days. The State of Idaho is in hot water, accused of receiving $3.1 million too much between 2010 and 2013. OIG Audits Idaho According to an audit by the ...
In CMS
Apr 13th, 2018
The Centers for Medicare & Medicaid Services (CMS) put on display April 9 a rule that finalizes several proposed changes that will significantly expand the role of states in the administration of the Patient Protection and Affordable Care Act (PPACA), with the intention to reduce regulatory burden and increase flexibility. Background of the PPACA President Obama ...
In CMS
Feb 12th, 2018
A proposed rule by the Department of Health and Human Services (HHS) entitled “Protecting Statutory Conscience Rights in Health Care; Delegations of Authority” will cost the healthcare industry more than $125.5 million in the first year, and many worry resulting litigation will cost at least that much. Conscience Rule Includes Immunization, Advance Directives The 216-page ...