Hospitals


FTC Investigations Could Bring Unwanted Scrutiny to Hospitals
January 18, 2019 | Rivkin Rounds Staff | Affordable Care Act | Antitrust | Hospitals | Legislation and Public Policy | Litigation | Private Insurers
An article in Relias Media’s Healthcare Risk Management newsletter, “FTC Investigations Could Bring Unwanted Scrutiny to Hospitals,” discussed potential investigations of hospitals’ anti-competitive behavior by the Federal Trade Commission.  Rivkin Radler’s Robert H. Iseman was featured prominently in the article. Bob noted that hospitals and health systems that are considered “must-have” participants in health insurance plans face …
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Rivkin Attorneys to Speak at “The Business of Medicine” Seminar
January 14, 2019 | Rivkin Rounds Staff | Employer/Employee | Fraud and Abuse | HIPAA | Hospitals | Medicare and Medicaid
Rivkin Radler’s Jeffrey Rust and Eric Fader will be among the presenters at “The Business of Medicine,” a seminar to be held on Saturday, January 26, 2019, at the Convene conference center, 101 Park Avenue (at 41st Street), New York, New York. Neuro Alert Services LLC, a multistate provider of intraoperative neurophysiologic monitoring services, designed …
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Outside Counsel Can Be the Right Choice, but Know When
January 9, 2019 | Rivkin Rounds Staff | Employer/Employee | Hospitals | Litigation
An article in Relias Media’s Healthcare Risk Management, “Outside Counsel Can Be the Right Choice, but Know When,” discussed when and why it might be appropriate for healthcare organizations to use outside counsel. Rivkin Radler’s Jeffrey Rust was quoted extensively in the article. Jeff noted that it is especially important to retain outside counsel in …
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Starting the New Year with Hospital Price Transparency
January 8, 2019 | Cassandra Rivais | Affordable Care Act | Hospitals | Legislation and Public Policy | Medicare and Medicaid
As of January 1, hospitals are now required to post charges for their standard items and procedures online in an effort to increase price transparency. Section 2718(e) of the Public Health Service Act, part of the Affordable Care Act, requires each hospital in the U.S. “for each year [to] establish (and update) and make public …
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Hospitals Still Faxing and Mailing Patient Records
December 21, 2018 | Eric D. Fader | Electronic Health Records | Hospitals | Medicare and Medicaid
A recent study by the Office of the National Coordinator for Health Information Technology revealed that most hospitals were still transmitting at least some patient medical records by mail or fax in 2017. The data showed that industry-wide electronic interoperability remains a distant goal. According to the study, 66% of the hospitals surveyed sometimes sent …
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Overlooked BAA Costly for Florida Group
December 11, 2018 | Margarita Christoforou | Cybersecurity | Electronic Health Records | HIPAA | Hospitals
Advanced Care Hospitalists, PL (ACH), a Florida physician group, has learned that failing to enter into a proper business associate agreement (BAA) with a vendor can be a very costly mistake. As a result of that failure, ACH has paid a penalty of $500,000 to the U.S. Department of Health and Human Services’ Office for …
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OMIG Issues Changes to December 2018 Certification
December 10, 2018 | Ashley S. Osadon | Fraud and Abuse | Hospitals | Medicare and Medicaid
The New York State Office of the Medicaid Inspector General (OMIG) has issued updates to its certification process for applicable Medicaid and Managed Medicaid providers, which may have a significant impact on providers who are required to certify by December 31, 2018. OMIG has expanded its certification to adopt five separate categories listed on the …
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Florida Physicians Group Exposed 9,000 Patients’ Data to Web
December 5, 2018 | Rivkin Rounds Staff | Cybersecurity | Electronic Health Records | HIPAA | Hospitals
A December 4 article in Bloomberg Law’s Health Law & Business, “Florida Physicians Group Exposed 9,000 Patients’ Data to Web,” discussed a $500,000 HIPAA settlement entered into by Advanced Care Hospitalists (ACH), a Florida physician group, with the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR). Rivkin Radler’s Eric Fader was quoted …
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Deadline Approaches to Certify Compliance Programs
November 20, 2018 | Ashley S. Osadon | Fraud and Abuse | Hospitals | Medicare and Medicaid
The December 31 deadline for certain Medicaid providers and third-party billers to certify as to the effectiveness of their compliance program is fast approaching. New York State Medicaid providers and third-party billing companies who claim, bill, order or receive at least $500,000 in any consecutive 12-month period from the Medicaid Program or Managed Medicaid payors …
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HHS Ordered to Eliminate Medicare Appeals Backlog
November 7, 2018 | Cassandra Rivais | Hospitals | Litigation | Medicare and Medicaid
Healthcare facilities waiting to hear back on Medicare appeals received good news on November 1, when the U.S. District Court for the District of Columbia ordered the U.S. Department of Health and Human Services (HHS) to eliminate its backlog of 426,594 Medicare appeals by 2022. The order, in American Hospital Association, et al., v. Azar, …
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