Recent News and Industry Developments

New Discrimination Protections: Implications for Healthcare Providers on Section 1557 of the Affordable Care Act
Advisories | New Discrimination Protections: Implications for Healthcare Providers on Section 1557 of the Affordable Care Act

June 13, 2016 On May 13, 2016, the Department of Health and Human Services (HHS) issued the final rule implementing Section 1557 of the Affordable Care Act (ACA) of 2010.… Read more »

PLRB Adjusters Conference 2016
Events | PLRB Adjusters Conference 2016

John Mumford will be presenting Multiple Claimants and Insufficient Policy Limits – What’s An Insurer To Do at the 2016 Property and Liability Resource Bureau (PLRB) Adjusters Conference. June 21-22,… Read more »

Proposed Bill Provides Potential Relief for Some Provider-Based Departments
Advisories | Proposed Bill Provides Potential Relief for Some Provider-Based Departments

May 26, 2016 A bill introduced in the House last week—H.R. 5273, the Helping Hospitals Improve Patient Care Act of 2016 (HHIPCA)—would expand grandfathering to some provider-based departments affected by… Read more »

New FLSA Regulations Likely to Make Millions of Additional American Workers Eligible for Overtime Compensation
Advisories | New FLSA Regulations Likely to Make Millions of Additional American Workers Eligible for Overtime Compensation

May 19, 2016 Earlier this week, the Obama Administration issued its long-awaited changes to Fair Labor Standards Act (FLSA) overtime regulations. The U.S. Department of Labor estimates that an additional… Read more »

False Claims Act Penalties to Double in 2016
Advisories | False Claims Act Penalties to Double in 2016

May 9, 2016 On May 2, 2016, the Railroad Retirement Board published an interim final rule that would double penalties under the False Claims Act in 2016. The news from… Read more »

Update of Fire Protection Guidelines for Certain Health Facilities: CMS Publishes Final Rule on Fire Safety Requirements
Advisories | Update of Fire Protection Guidelines for Certain Health Facilities: CMS Publishes Final Rule on Fire Safety Requirements

May 4, 2016 On May 3, 2016, The Centers for Medicare & Medicaid Services (CMS) announced a final rule, updating the fire protection guidelines for several types of health care… Read more »

Proposed MACRA Rule Outlines MIPS Structure, Sets High Bar for Advanced Alternative Payment Models
Advisories | Proposed MACRA Rule Outlines MIPS Structure, Sets High Bar for Advanced Alternative Payment Models

May 3, 2016 On April 27, 2016, the Centers for Medicare & Medicaid Services (“CMS”) released the highly anticipated proposed rule that would implement major provisions of the Medicare Access… Read more »

The Final 60-Day Rule is Here: What Healthcare Providers Need to Know
Articles | The Final 60-Day Rule is Here: What Healthcare Providers Need to Know

The healthcare industry has been waiting for almost six years to receive final guidance on the “60-day” rule provisions of the Affordable Care Act. On February 12, 2016, the Centers… Read more »

Not All ACOs are Charitable: IRS Rejects Tax-Exemption for Commercial ACO
Advisories | Not All ACOs are Charitable: IRS Rejects Tax-Exemption for Commercial ACO

April 29, 2016 On April 8, 2016, the Internal Revenue Service (IRS) released a private letter ruling (PLR) rejecting the application of an accountable care organization (ACO) for tax-exemption under… Read more »

CMS Nursing Home Compare Adds Six New Quality Measures: Upcoming Changes to the Calculation of the Nursing Home Five-Star Quality Ratings
Advisories | CMS Nursing Home Compare Adds Six New Quality Measures: Upcoming Changes to the Calculation of the Nursing Home Five-Star Quality Ratings

April 28, 2016 On April 27, 2016, the Centers for Medicare & Medicaid Services (CMS) added six new quality measures to its Nursing Home Compare website. The six new quality… Read more »

OIG Releases Updated Criteria for Determining Permissive Exclusions
Advisories | OIG Releases Updated Criteria for Determining Permissive Exclusions

April 20, 2016 On April 18, 2016, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services issued updated non-binding criteria that the OIG will… Read more »

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