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Obamacare sign ups sag under Trump administration Print E-mail
Written by FHI's Week in Review   
Monday, 06 February 2017 19:23

Tami Luhby, in a February 3, 2017 CNN post, reports:

The pace of Obamacare sign-ups slowed in the final days of open enrollment last month, as the Trump administration repeatedly blasted the law and pulled ads reminding procrastinators of the January 31 deadline.

Some 9.2 million consumers selected a plan on the federal exchange, healthcare.gov, which handles enrollment for 39 states. That's down from 9.6 million a year ago.

Only 376,000 people signed up in the last two weeks of enrollment, compared to nearly 700,000 who picked plans in the final week a year ago.

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

Last Updated on Monday, 27 February 2017 15:15
 
Former Tenet Exec Charged in Miami Print E-mail
Written by Jay Weaver | Miami Herald   
Thursday, 02 February 2017 00:00

A former executive with the giant Tenet hospital chain has been charged in Miami with paying bribes to a clinic for patient referrals in a scheme to bill hundreds of millions of dollars to the U.S. government.

John Holland, a former senior vice president for Tenet Healthcare Corp., is also accused of misleading federal authorities about the company’s amends for unlawful billing practices dating back more than a decade.

Holland, 59, pleaded not guilty Wednesday in Miami federal court to charges of paying $12 million in kickbacks to Clinica de la Mama, which referred expectant mothers to the chain’s hospitals for neonatal services reimbursed by the Medicaid program.

The clinic provided prenatal care to predominantly undocumented Hispanic women before referring them to Tenet’s hospitals in Georgia and South Carolina, according to an indictment. The undocumented immigrants were not eligible for regular Medicaid benefits, but they could qualify for certain types of services, such as “emergency” labor and delivery, at taxpayer expense.

Last Updated on Friday, 03 February 2017 18:53
 
Appellate Ruling Revives Lawsuit Over Horizon BCBS Breach Print E-mail
Written by FHI's Week in Review   
Monday, 30 January 2017 20:12

Evan Sweeney reports in a Jan. 24, 2017 Fierce Healthcare post:

An appellate court ruling has breathed new life into a class-action lawsuit against Horizon Blue Cross Blue Shield over a healthcare data breach in 2013 that exposed more than 800,000 patient records.

The United States Court of Appeals for the Third Circuit vacated a district court's 2015 dismissal and remanded the case, arguing that although the four plaintiffs had not presented evidence that their information was used improperly, the fact that their personal information was stolen was enough to warrant a potential injury under federal law.

Read more in the current issue of Week in Review>> http://conta.cc/2kH2HpV

Last Updated on Tuesday, 21 February 2017 19:03
 
New exclusion rules to take effect next month Print E-mail
Written by Vitale Health Law   
Monday, 30 January 2017 00:00

Earlier this month, the Health and Human Services Office of the Inspector General (HHS-OIG) finalized its long-awaited rules on civil monetary penalties that could make it easier for providers to be excluded from participating in the Medicare and Medicaid programs.

The final rule, which was published in the Federal Register on January 12, was first proposed in 2014 and updates HHS' exclusion authority to include those who are found guilty of obstructing audits. Previously, only those convicted of obstructing criminal investigations faced program exclusion.

The final rule, which takes effect Feb. 13, builds on changes implemented by the Affordable Care Act to expand OIG's authority even more.

The new rule did, however, implement a 10-year statute of limitations, which the OIG noted "addresses the commenters' concerns about administrative burden and courts' historical favoring of an enumerated limitations period."

On average, OIG noted that it excludes approximately 3,500 healthcare providers per year.

The length of exclusion is determined by a number of factors including: previous convictions for healthcare fraud, the amount of the financial loss, and the reason for the exclusion.

Read More>>
 
Florida Institute of CPAs Annual Health Care Industry Conference Print E-mail
Written by FICPA   
Friday, 27 January 2017 00:00

Health care is a profession under constant change, especially under a new administration. New rules and regulations are introduced with regularity.  What can you do to keep pace with this ever-evolving industry? Want to learn the best strategies for guiding your organization and clients? The 2017 FICPA Health Care Conference is for you!

This specialized, 17-hour conference covers implementation of the new standard for not-for-profits, post election concerns, revenue recognition and much more. There is a dedicated A & A track, and a specialized "new to health care/young CPA" track designed to get you up to speed on the things you need to know.

Date: Thursday, April 20, 2017 - Friday, April 21, 2017

Time: 8:00 am - 5:50 pm (opens at 7:30am)

Location: Caribe Royale Resort Suites, Orlando

Learn More>>

Last Updated on Friday, 03 February 2017 18:00
 
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