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Compliance Update
The CMS MACRA/MIPS Timeline Print E-mail
Written by HealthFusion   
Thursday, 06 October 2016 00:00

As we covered in our blog post, The Sun Sets on SGR and Rises on MACRA, Department of Health and Human Services Secretary, Sylvia Burwell had issued a long term timeline for two reform goals to deliver the new Quality Payment Program system. According to Burwell, 50 percent of Medicare payments are to be tied to participation in an Alternative Payment Model (APM) by the end of 2018.

As for the majority of physicians, who will need to transition much more slowly from fee-for-service to the Quality Payment model, Burwell presented a goal of 85 percent of FFS payments to be tied to quality and value by the end of 2016 and 90 percent by 2018. This goal is to be attained by way of the Merit-based Incentive Payment System (MIPS), which will begin its reporting period on January 1, 2017. Here is a timeline for MIPS and how it will affect you in the near future.

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CMS proposes changes to PACE designed to modernize program Print E-mail
Written by The Health Law Offices of Anthony C. Vitale   
Monday, 05 September 2016 00:00

The Centers for Medicare and Medicaid (CMS) is proposing a number of changes to the regulations that control the Programs of All-Inclusive Care for the Elderly. PACE, as it is known, allows seniors, most of whom are eligible for Medicare and Medicaid, to live and receive care at home instead of in a skilled nursing facility.

More than 34,000 older adults are currently enrolled in about 100 PACE organizations in 31 states including Florida. Enrollment in PACE has increased by more than 60 percent since 2011, according to CMS.

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Last Updated on Tuesday, 06 September 2016 17:28
Advocate Health Care agrees to $5.5 million HIPAA violation settlement Print E-mail
Written by FHI's Week in Review   
Monday, 08 August 2016 00:00

Beth Jones Sanborn, Managing Editor, reports for Healthcare Finance News on 8/5/16:

Advocate Health Care Network will pay $5.5 million to settle with the Department of Health and Human Services Office for Civil Rights regarding multiple potential HIPAA violations that involved electronic protected health information, HHS announced.

Read more in the current issue of Week in Review>>

Last Updated on Tuesday, 30 August 2016 16:15
Guidance on Ransomware Attacks under HIPAA and State Data Breach Notification Laws Print E-mail
Written by   
Monday, 08 August 2016 00:00

On July 28, 2016, US Department of Health and Human Services (HHS) issued guidance (guidance) under the Health Insurance Portability and Accountability Act (HIPAA) on what covered entities and business associates can do to prevent and recover from ransomware attacks. Ransomware attacks can also trigger concerns under state data breach notification laws.

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Congress and Obama Administration Take Steps to Ease Buprenorphine Access Print E-mail
Written by Karen Owen Gibbs & Daniel B. Rubin, PhD |   
Thursday, 28 July 2016 00:00

On Friday, July 22, President Obama signed the Comprehensive Addiction and Recovery Act of 2016 (CARA). Following on federal, state and local trends, CARA seeks to expand access for persons needing opioid treatment.

One of CARA's more significant provisions expands buprenorphine prescribing privileges to nurse practitioners and physician assistants who meet certain specified education and training requirements to prescribe to treat opiate addiction. Currently, buprenorphine may be prescribed, administered or dispensed for addiction treatment only by a practitioner who meets the definition of a "qualifying physician" as set forth in the Controlled Substances Act and who has applied for and obtained from the Drug Enforcement Administration (DEA) a waiver with an assigned unique identification number (X-waiver).

CARA requires that the US Department of Health and Human Services (HHS) update regulations regarding buprenorphine prescribers within 18 months from the date of its enactment to include nurse practitioners and physician assistants.

The statutory expansion of buprenorphine prescribing limits follows on a significant regulatory expansion announced earlier this month. On July 8, 2016...

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Last Updated on Friday, 29 July 2016 15:48
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