Tag Archives: Providers
Health Planning Committee of the Public Health and Health Planning Council Proposes Significant Certificate of Need Redesign
The Health Planning Committee of the Public Health and Health Planning Council is proposing a significant Certificate of Need (“CON”) redesign. The Committee and Council are expected to make twenty-two (22) recommendations to the Department of Health next week, affecting … Continue reading
CMS Issues Section 1135 Waivers for New York and New Jersey
The Centers for Medicare and Medicaid Services (CMS) approved waivers for New York and New Jersey under Section 1135 of the Social Security Act. The waivers ease certain legal requirements on healthcare providers who are serving those impacted by Sandy. … Continue reading
The danger of unencrypted protected health information: 55,000 patients’ PHI exposed.
An Indianapolis oncology group has disclosed that data concerning about 55,000 patients was stored on a stolen laptop computer. A backup copy of the Cancer Care Group’s server was stored on the computer, which was stolen from a locked car. … Continue reading
OMIG Releases Compliance Alert for Medicaid Providers
The New York State Office of Medicaid Inspector General (“OMIG”) recently released a Compliance Alert that explains what types of Medicaid providers are required to have a compliance program and what steps those providers can take to ensure that they … Continue reading
HIPAA: Conversion to Version 5010
As of January 1, 2012, all healthcare providers were required to transition from version 4010/4010A to version 5010 standards for submitting electronic transactions, and the failure to comply may result in claim denials or a government investigation. CMS has repeatedly … Continue reading
United States HHS OIG Reviewing Self Disclosure Protocol for Federal Health Care Programs
The federal government’s Office of the Inspector General (“OIG”), part of the United States Department of Health and Human Services, is considering revising its self-disclosure protocol to provide additional guidance to federal health care program providers. The OIG is soliciting … Continue reading
Gov. Cuomo Announces Agreement on Justice Center Legislation to Protect People with Special Needs and Disabilities
Today, Governor Andrew M. Cuomo, Senate Majority Leader Dean Skelos, and Assembly Speaker Sheldon Silver announced an agreement on legislation that will establish a new Justice Center for the Protection of People with Special Needs, which will change how the … Continue reading
New York Attorney General Settles Balance Billing and Overpayment Disputes
New York State Attorney General Eric Schneiderman announced on Tuesday that it had reached settlements with Group Health Inc. (“GHI”) and a New York City health care provider regarding overpayments to consumers. GHI has agreed to repay consumers for approximately … Continue reading
NY State Seeks Medicaid Waiver to Redesign Health Care System
Governor Andrew Cuomo announced on Tuesday, June 5, that New York State will seek to spend $10 billion in Medicaid savings to redesign the state’s health care system. The state must ask the Federal Department of Health and Human Services … Continue reading
OMIG Proposes Regulations Concerning Withholding of Medicaid Payments in Cases of Allegations of Fraud
The New York State Office of the Medicaid Inspector General has proposed new regulations regarding the withholding of Medicaid payments to health care providers in cases where fraud has been alleged. The proposed rule appears in this week’s New York State Register, which is … Continue reading
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