Compliance Today - January 2018

C o m p l i a n ce To d a y J an u a r y 2 0 1 8

1. Department of Justice (DOJ) Office of the Deputy Attorney General: Yates Memorandum. September 9, 2015. Available at bit.ly/2tSoJh8

2. DOJ, Justice News: “Acting Assistant Attorney General Kenneth A. Blanco of the Criminal Division Speaks at the American Bar Association 27th Annual Institute on Health Care Fraud” May 18, 2017. Available at bit.ly/2jxHHBW

3. DOJ, press release: “Oklahoma Hospital, Former Hospital Administrator, and Physicians Agree to Pay $1,618,750 to Settle Allegations of Submitting False Claims for Medical Services Provided to Medicare Patients” April 11, 2017. Available at bit.ly/2zFptFq

4. DOJ, Justice News: “Assistant Attorney General Leslie R. Caldwell Speaks at Health Care Compliance Association’s 20th Annual Compliance Institute” April 18, 2016. Available at bit.ly/2zRRUn W

5. USAO Northern District of Georgia, press release: “ANMED Health agrees to pay $7 million to settle False Claims Act allegations” September 27, 2017. Available at bit.ly/2j4LFTe

6. USAO Northern District of New York, press release: “University of Rochester to Pay More Than $100,000 to Resolve False Claims Act Lawsuit” June 13, 2017. Available at bit.ly/2Bopi1P

7. HHS: Office of Inspector General: OIG Work Plan for Fiscal Year

2017, at page 4. Available at bit.ly/2yFAklM.

8. U.S. ex. rel. Worthy v. Eastern Maine Health Care Systems et al., No. 2:2014-cv-00184 (D. Me. 2017).

9. Negron v. Progressive Casualty Insurance Co., No. 14-577, 2016 U.S.

Dist. LEXIS 24994 (D.N.J. Mar. 1, 2016).

10. OIG Work Plan: Fiscal Year 2017, at page 6.

11. Kristen Rasmussen: “Investigations Into Alleged Surgery Double-Booking Highlight Hospitals’ Need for Compliance”

National Law Journal; October 12, 2017. Available at bit.ly/2AmJrGs

12. Senate Finance Committee Staff Report: Concurrent and Overlapping Surgeries: Additional Measures Warranted.

December 6, 2016. Available at bit.ly/2nf YqyO

13. American College of Surgeons: Statement on Principles. Revised April 12, 2016. Available at bit.ly/2jyu YPK

14. DOJ, press release: “Los Angeles Hospital Agrees to Pay $42 Million to Settle Alleged False Claims Act Violations Arising from Improper Payments to Physicians” June 28, 2017. Available at bit.ly/2nllP2a

15. DOJ, press release: “Missouri Hospitals Agree to Pay United States

$34 Million to Settle Alleged False Claims Act Violations Arising from Improper Payments to Oncologists” May 18, 2017. Available at bit.ly/2zC1k2M

16. Corporate Integrity Agreement between the OIG-HHS, Mercy Hospital Springfield, Mercy Clinic Springfield Communities, MHM Support Services. May 22, 2017. Available at bit.ly/2AMdtpS

17. HHS, Office for Civil Rights: Breach Portal: Notice to the Secretary of HHS Breach of Unsecured Protected Health Information. Available at 1.usa.gov/1y Y3CaK

18. USAO Southern District of Texas, press release: “Four Area Hospitals to Pay Millions to Resolve Ambulance Swapping Allegations” October 4, 2017. Available at bit.ly/2ni4dUI

19. USAO Southern District of Texas, press release: “Skilled Nursing Facility Company Agrees to Pay More Than $3 Million to Resolve Kickback Allegations” November 30, 2015. Available at bit.ly/2ni4UgM

20. Heather Landi: “CMS Signals ‘New Direction’ for Innovation Center, Issues Request for Information” Healthcare Informatics, September 20, 2017. Available at bit.ly/2Bzm KyQ

21. CMS.gov: “CMS proposes changes to the Comprehensive Care for Joint Replacement Model, cancellation of the mandatory Episode Payment Models and Cardiac Rehabilitation Incentive payment model” August 15, 2017.

Available at go.cms.gov/2w5egyR

22. Medicaid.gov: “Medicaid Disproportionate Share Hospital (DSH) Payments” Available at bit.ly/2iqwhnk

23. CMS: Details for title: CMS-1656-FC, 2017. Available at go.cms.gov/2ismLA7

24. CMS.gov: “Details for title: CMS-1677-F; CMS-1677-CN CMS Final Rule and Correction Notice” Available at go.cms.gov/2zSv wLm

25. Jeff Byers: “ 9 major takeaways from the 2018 MACRA proposed rule” HealthcareDIVE; June 26, 2017. Available at bit.ly/2BoQbCK

26. 82 FR 52356, 52362 (Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs)

November 13, 2017. Available at bit.ly/2is4Wkm

27. Shannon Firth: “CMS to Ease Physician Burden, Give More Patient Time — New initiative aims to reduce regulatory burdens” MedPage Today; October 26, 2017. Available at bit.ly/2jzpbcL

28. Rachel Z. Ardnt: “MACRA proposal would ease EHR burden for docs, but not hospitals” Modern Healthcare;

June 20, 2017. Available at bit.ly/2j3Hzef

29. CMS.gov: Electronic Health Records (EHR)

Incentive Programs. November 14, 2017. Available at go.cms.gov/2zDtD0L

30. QualityNet: CY 2017 eCQM Reporting Updates and Resources for the Hospital IQR and Medicare EHR Incentive Programs Issued Oct. 18, 2017. Available at bit.ly/2ArMK1f.

31. CMS: The Merit-based Incentive Payment System (MIPS)

Advancing Care Information Prevention of Information Blocking Attestation: Making Sure EHR Information is Shared. October 2017. Available at go.cms.gov/2As35U0

Clinical research is highly regulated, so the role of compliance professionals is vital to meeting the demands of a wide range of governing entities. This new edition of the handbook o;ers comprehensive, up-to-date guidance to get you on the right track.

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