New Rules for Consumers to Appeal Health Claim Denials

 

On July 23, the Departments of Treasury, Labor, and HHS issued interim final rules for group health plans and health insurance issuers relative to internal claims and appeals and external review processes to implement provisions in the federal health care reform law. [More]

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Categories:Federal Health Care Reform

 

New York Announces Additional State Health IT Funding

 

On July 12, the State of New York announced $140 million in additional State funding to support the development and use of health information technology. [More]

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Categories:ARRA | Care Coordination | Health Homes | Health Information Technology

 

Largest Medicare Fraud Bust in History

 

Media report that on July 16, 94 arrests for Medicare fraud for scams totaling $251 million were carried out in Miami, New York City, Detroit, Houston, and Baton Rouge. [More]

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Categories:Payment Reform

 

HHS Issues Final Rules on Health IT

 

On July 13, the Centers for Medicare and Medicaid Services released final rules on qualifying for up to $27 billion in federal reimbursement over the next 10 years in Medicare and Medicaid payment incentives to hospitals and eligible health professionals for the adoption and meaningful use of electronic health record systems. [More]

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Categories:ARRA | CMS Regulations | Federal Health Care Reform | Health Information Technology

 

HHS Issues Proposed Rule to Strengthen HIPAA Privacy and Security Requirements

 

On July 8, the U.S. Department of Health and Human Services issued a notice of proposed rulemaking to strengthen the HIPAA privacy, security, and enforcement rules. [More]

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Categories:ARRA | HIPAA

 

CMS Enhances Hospital Comparison Data

 

The Centers for Medicare and Medicaid Services announced on July 7 that it is expanding its website to include key measures and hospital-specific data on outpatient and emergency care delivered to Medicare beneficiaries. [More]

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Categories:Payment Reform

 

CMS Issues Guidance on Translation Assistance

 

CMS released a letter to State Medicaid/CHIP directors on July 1 offering guidance on a provision of CHIPRA authorizing enhanced Medicaid and CHIP administrative funding for a wide range of translation and interpretation activities. [More]

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Categories:CHIP

 

Arguments Begin in Virginia's Lawsuit Challenging Healthcare Reform Law

 

Legal arguments began to be presented on July 2 in Federal District Court in Richmond, Virginia challenging the federal health care reform law, centering on the law's mandate that individuals purchase health insurance or be required to pay a penalty. [More]

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Categories:Federal Health Care Reform