Medicare and State Healthcare Programs - Fraud and Abuse - Electronic Prescribing Arrangements - Safe Harbor Under Federal Anti-Kickback Statute (Us Inspector General Office, Health and Human Services Department Regulation) (Hhsig) (2018 Edition) PDF Download
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Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729716656
Category :
Languages : en
Pages : 58
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Book Description
Medicare and State healthcare programs - fraud and abuse - Electronic prescribing arrangements - safe harbor under Federal anti-kickback statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare and State healthcare programs - fraud and abuse - Electronic prescribing arrangements - safe harbor under Federal anti-kickback statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 As required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Public Law 108-173, this final rule establishes a new safe harbor under the Federal anti-kickback statute for certain arrangements involving the provision of electronic prescribing technology. Specifically, the safe harbor would protect certain arrangements involving hospitals, group practices, and prescription drug plan (PDP) sponsors and Medicare Advantage (MA) organizations that provide to specified recipients certain nonmonetary remuneration in the form of hardware, software, or information technology and training services necessary and used solely to receive and transmit electronic prescription information. In addition, in accordance with section 1128B(b)(3)(E) of the Social Security Act (the Act), this final rule creates a separate new safe harbor for certain arrangements involving the provision of nonmonetary remuneration in the form of electronic health records software or information technology and training services necessary and used predominantly to create, maintain, transmit, or receive electronic health records. This book contains: - The complete text of the Medicare and State healthcare programs - fraud and abuse - Electronic prescribing arrangements - safe harbor under Federal anti-kickback statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729716656
Category :
Languages : en
Pages : 58
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Book Description
Medicare and State healthcare programs - fraud and abuse - Electronic prescribing arrangements - safe harbor under Federal anti-kickback statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare and State healthcare programs - fraud and abuse - Electronic prescribing arrangements - safe harbor under Federal anti-kickback statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 As required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Public Law 108-173, this final rule establishes a new safe harbor under the Federal anti-kickback statute for certain arrangements involving the provision of electronic prescribing technology. Specifically, the safe harbor would protect certain arrangements involving hospitals, group practices, and prescription drug plan (PDP) sponsors and Medicare Advantage (MA) organizations that provide to specified recipients certain nonmonetary remuneration in the form of hardware, software, or information technology and training services necessary and used solely to receive and transmit electronic prescription information. In addition, in accordance with section 1128B(b)(3)(E) of the Social Security Act (the Act), this final rule creates a separate new safe harbor for certain arrangements involving the provision of nonmonetary remuneration in the form of electronic health records software or information technology and training services necessary and used predominantly to create, maintain, transmit, or receive electronic health records. This book contains: - The complete text of the Medicare and State healthcare programs - fraud and abuse - Electronic prescribing arrangements - safe harbor under Federal anti-kickback statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729716533
Category :
Languages : en
Pages : 38
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Book Description
Medicare and State Health Care Programs - Fraud and Abuse - Electronic Health Records Safe Harbor under the Anti-Kickback Statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare and State Health Care Programs - Fraud and Abuse - Electronic Health Records Safe Harbor under the Anti-Kickback Statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 In this final rule, the Office of Inspector General (OIG) amends the safe harbor regulation concerning electronic health records items and services, which defines certain conduct that is protected from liability under the Federal anti-kickback statute, section 1128B(b) of the Social Security Act (the Act). Amendments include updating the provision under which electronic health records software is deemed interoperable; removing the electronic prescribing capability requirement; extending the sunset provision until December 31, 2021; limiting the scope of protected donors to exclude laboratory companies; and clarifying the condition that prohibits a donor from taking any action to limit or restrict the use, compatibility, or interoperability of the donated items or services. This book contains: - The complete text of the Medicare and State Health Care Programs - Fraud and Abuse - Electronic Health Records Safe Harbor under the Anti-Kickback Statute (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729716601
Category :
Languages : en
Pages : 30
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Book Description
Medicare and State Health Care Programs - Fraud and Abuse - Safe Harbor for Federally Qualified Health Centers Arrangements (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare and State Health Care Programs - Fraud and Abuse - Safe Harbor for Federally Qualified Health Centers Arrangements (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 In accordance with section 431 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), this final rule sets forth a safe harbor under the anti-kickback statute to protect certain arrangements involving goods, items, services, donations, and loans provided by individuals and entities to certain health centers funded under section 330 of the Public Health Service Act. The goods, items, services, donations, or loans must contribute to the health center's ability to maintain or increase the availability, or enhance the quality, of services available to a medically underserved population. This book contains: - The complete text of the Medicare and State Health Care Programs - Fraud and Abuse - Safe Harbor for Federally Qualified Health Centers Arrangements (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729716571
Category :
Languages : en
Pages : 86
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Book Description
Medicare and State Health Care Programs - Fraud and Abuse - Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare and State Health Care Programs - Fraud and Abuse - Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 In this final rule, OIG amends the safe harbors to the anti-kickback statute by adding new safe harbors that protect certain payment practices and business arrangements from sanctions under the anti-kickback statute. The OIG also amends the civil monetary penalty (CMP) rules by codifying revisions to the definition of "remuneration," added by the Balanced Budget Act (BBA) of 1997 and the Patient Protection and Affordable Care Act, Public Law 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010 (ACA). This rule updates the existing safe harbor regulations and enhances flexibility for providers and others to engage in health care business arrangements to improve efficiency and access to quality care while protecting programs and patients from fraud and abuse. This book contains: - The complete text of the Medicare and State Health Care Programs - Fraud and Abuse - Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729716465
Category :
Languages : en
Pages : 78
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Book Description
Medicare And State Health Care Programs - Fraud And Abuse - Revisions to the Office Of Inspector General's Civil Monetary Penalty Rules (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare And State Health Care Programs - Fraud And Abuse - Revisions to the Office Of Inspector General's Civil Monetary Penalty Rules (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 This final rule amends the civil monetary penalty (CMP or penalty) rules of the Office of Inspector General to incorporate new CMP authorities, clarify existing authorities, and reorganize regulations on civil money penalties, assessments, and exclusions to improve readability and clarity. This book contains: - The complete text of the Medicare And State Health Care Programs - Fraud And Abuse - Revisions to the Office Of Inspector General's Civil Monetary Penalty Rules (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729716502
Category :
Languages : en
Pages : 42
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Book Description
Medicare Program - Final Waivers in Connection With the Shared Savings Program (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare Program - Final Waivers in Connection With the Shared Savings Program (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 This interim final rule with comment period establishes waivers of the application of the Physician Self-Referral Law, the Federal anti-kickback statute, and certain civil monetary penalties (CMP) law provisions to specified arrangements involving accountable care organizations (ACOs) under section 1899 of the Social Security Act (the Act) (the Shared Savings Program), including ACOs participating in the Advance Payment Initiative. Section 1899(f) of the Act, as added by the Affordable Care Act, authorizes the Secretary to waive certain fraud and abuse laws as necessary to carry out the provisions of section 1899 of the Act. This book contains: - The complete text of the Medicare Program - Final Waivers in Connection With the Shared Savings Program (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: Aspen Health Law Center
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 156
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Book Description
Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781729705285
Category :
Languages : en
Pages : 56
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Book Description
Health Care Programs - Fraud and Abuse - Revisions to the Office of Inspector General's Exclusion Authorities (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Health Care Programs - Fraud and Abuse - Revisions to the Office of Inspector General's Exclusion Authorities (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 This final rule amends the regulations relating to exclusion authorities under the authority of the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS or the Department). The final rule incorporates statutory changes, early reinstatement provisions, and policy changes, and clarifies existing regulatory provisions. This book contains: - The complete text of the Health Care Programs - Fraud and Abuse - Revisions to the Office of Inspector General's Exclusion Authorities (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section
Author: United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources and Intergovernmental Relations
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 248
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Book Description
Author:
Publisher: Wolters Kluwer Law & Business
ISBN: 9780834208995
Category : Law
Languages : en
Pages : 0
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Book Description
An immensely practical resource, Health Care Fraud and Abuse Compliance Manual provides a comprehensive overview of legislative and regulatory restrictions that affect the way health care providers conduct business and how they structure relationships among themselves. This treatise helps providers determine the boundaries of permissible conduct under the myriad statutes and regulations that relate to health care fraud and abuse at both the federal and state levels. Specific coverage includes: The statutory language in the Medicare/Medicaid civil money penalties and false claims statutes The Medicare/Medicaid antikickback statute The Stark andquot;self-referralandquot; law The numerous safe harbors and exceptions contained with these prohibitions And more! This authoritative resource will make you aware of your crucial obligations and options. Each chapter of the Health Care Fraud and Abuse Compliance Manual describes what the law requires, how it applies in a health care context, and what the penalties are for failure to comply. With Health Care Fraud and Abuse Compliance Manual: You'll receive coverage of all the critical laws and considerations, including: false claims and fraudulent billings, civil and criminal penalties, the antikickback statute, the safe harbor regulations, the Stark Law, and state statutes You'll get practical advice on developing a corporate compliance program that can help you stay on the right side of the law You'll learn about the structures, goals, and procedures of agencies that investigate health care fraud You'll get an in-depth understanding of what goes into a fraud and abuse investigation - and how you can respond to an investigation to best defend your organization And much, much more! Health Care Fraud and Abuse Compliance Manual has been updated to include: Updated nationwide health care fraud and abuse enforcement statistics OIG Work Plan for FY 12 (Medicaid projects) Enforcement actions involving billing for services of unlicensed personnel Enforcement actions involving billing without proper documentation Enforcement actions involving illegal inducements to beneficiaries Hospital liability for submission of false cost reports Cases involving maximum hospital liability for EMTALA violations Criminal false claims liability for unsolicited telemarketing by a DME supplier Managed care provider liability for cherry-picking, retaining overpayments, and other practices Hospice liability for providing services to ineligible patients Pharmaceutical manufacturer liability for pricing-related false claims violations Enforcement actions involving federal research grant fraud Criminal kickback liability for sham consulting arrangements Self-referral liability for office lease agreements and independent contractor relationships inconsistent with fair market value or not memorialized in writing Updated Medicaid Fraud Control Unit performance standards (MFCU) False claims laws of Massachusetts, Montana, and Nevada OIG evaluation of Massachusetts, Montana, and Nevada false claims laws
