OMIG Flexes Its Data-Mining Muscle to Recoup Overpayments Through Numerous “Data-Match” Desk Audits

Medicaid providers, especially transportation providers, were recently targeted with a substantial number of “desk” audits seeking recoupment of overpayments based solely on the review of electronically submitted claims. OMIG’s effort…

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Staving Off the PBM Giants: Independent Pharmacies Under Attack

The giants of the health care industry are getting bigger and wielding more control than ever over their member’s health care choices. This is particularly true when it comes to…

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Ransomware Attacks Major Health Care Information Technology Company

The health care information technology giant Allscripts reported a ransomware attack late last week. According to reports, the attack disrupted Allscripts’s electronic health record platform and certain e-prescribing systems. Of…

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CMS Prohibits Texting Patient Orders

On December 28, 2017, the Centers for Medicare and Medicaid Services issued a clarifying memorandum on texting of patient information among healthcare providers. The memorandum made it clear that CMS…

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ONC Releases Draft Trusted Exchange Framework and Common Agreement

On Friday, January 5, 2017, the Office of the National Coordinator for Health Information Technology (ONC) released its Draft Trusted Exchange Framework and Common Agreement (“TEFCA”) to provide a single…

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End of the Year Regulatory Updates for OASAS Providers

To assist Office of Alcoholism and Substance Abuse Services (OASAS) providers in complying with their licensing agency’s regulations, here is an overview of the key publications by OASAS in the…

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2017 ONC Annual Meeting Highlights Challenges to Achieving Usability of Health Information

In his keynote speech, Dr. Donald Rucker, National Coordinator, set the tone for the two-day ONC Annual Conference in Washington, D.C. on November 30 and December 1, 2017, by noting…

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Trifecta of Cases Point Toward Constitutional Deficiencies of Justice Center Prosecutions – Could Lead to Review of All Prior Prosecutions

A trio of decisions out of Albany County point to an elemental Constitutional deficiency in the legal structure of the Justice Center that could unravel its prosecutions. The most recent…

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The Clock is Ticking On ESOP Pre-Approved Plan Submissions

In an attempt to promote its stated objective of increasing the availability of pre-approved plans to small and mid-size employers, the Internal Revenue Service (“IRS”), in Revenue Procedure 2015-36, expanded…

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State Releases Draft Application for I/DD Health Homes

On June 30, 2017, the NYS Department of Health (DOH) and Office for People with Developmental Disabilities (OPWDD) (the “State”) released its draft Application for Health Homes who will serve…

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