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Keeping you afloat amidst the rising sea of regulations

Top Health Care Advisor Rachel Hold-Weiss Returns to Arent Fox

Arent Fox LLP is pleased to announce the return of health care regulatory attorney Rachel Hold-Weiss as a partner in the firm’s New York office. Ms. Hold-Weiss is re-joining Arent Fox after serving as the Associate General Counsel and Corporate Compliance Officer for the Personal-Touch Home Care companies. A welcome addition to the firm’s nationally recognized Health Care practice, Ms.

CMS Rule Prohibiting Binding Arbitration Put on Hold

* The following article was originally published by California Healthcare News. To read it on the California Healthcare News website, click here. 

The Broadening Definition of Elder Abuse

* The following article was originally published by California Healthcare News. To read it on the California Healthcare News website, click here. 

Office of Inspector General Evaluates the Enhanced Enrollment Screening of Medicare Providers

In March 2012, the Centers for Medicare & Medicaid Services (CMS) enhanced its Medicare enrollment screening for new and existing enrollees to the Medicare program.  Providers not meeting CMS’s enhanced enrollment screening  risk denial, revocation, or deactivation of Medicare billing privileges.

The Move to Value-Based Payment Continues: CMS Announces Initiative to Transform Primary Care Delivery and Payment

On April 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced its Comprehensive Primary Care Plus (CPC+) initiative. Part of CMS’ attempt to shift Medicare from its traditional fee-for-service model to a value-based care model, CPC+ is CMS’ largest attempt so far to transform the way primary care is provided and reimbursed.

No Fooling: April 1 Compliance Deadline for CA Discrimination and Retaliation Policies

California healthcare companies should take note of the upcoming deadline for compliance with the California Fair Employment and Housing Council’s amendments to the Fair Employment and Housing Act Regulations.  Arent Fox partner Jennifer Terry and associate Daisy Sanchez analyze these new requirements, below.

This Friday- Medical Staff Leaders and the Law Conference 2016: San Francisco

Missed our full day Medical Staff Leaders and the Law Conference in Costa Mesa? Join us this Friday for the San Francisco edition of our conference series.Arent Fox welcomes you to participate in a free half-day conference on Friday, March 4 dedicated to equipping your medical staff team with the most current skills, tools, and information for navigating challenging issues and for developing effective leadership.

CMS Announces Stepped-Up Provider and Supplier Enrollment Screening

The Centers for Medicare and Medicaid Services (CMS) intends to strengthen provider and supplier enrollment screening – meaning, scrutinize providers and suppliers more closely during enrollment – according to a February 22, 2016 post on its blog, The CMS Blog. 

Administrative Law Judge Upholds Imposition of Civil Penalties on Health Care Provider for HIPAA Violations

In a recent decision, a US Department of Health and Human Services (HHS) Administrative Law Judge (ALJ) agreed with the HHS Office of Civil Rights (OCR) that Lincare, Inc. d/b/a United Medical had violated HIPAA. The ALJ also sustained OCR’s imposition of a civil money penalty (CMP) of $239,800 on Lincare.

CMS’s Long-Awaited Final 60-Day Repayment Rule Provides Guidance and Eases Some Requirements for Health Care Providers and Suppliers

On Friday, February 12, 2016, the Centers for Medicare and Medicaid Services (CMS) released the long-awaited Final Rule and regulations,[1] providing much needed guidance to providers and suppliers on how to meet the Affordable Care Act’s (ACA’s) 60-day overpayment mandate.[2] Specifically, a provision enacted as part of the ACA in 2010 requires that all Medicare and Medicaid overpayments be reported and returned by the later of (i) 60 days after the date on which the overp