CMS Clarifies Medicare Requirements Regarding Progress Notes and Templates, and Corrections and Delayed Entries in Medical Records
December 27, 2012
In Transmittal 438 (Change Request 8033 (Nov. 9, 2012)), CMS revised Medicare Program Integrity Manual (100-08), Chapter 3, Section 3.3.2.1.1, "Progress Notes and...
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Court of Federal Claims Says Medicare Providers May Not Sue the Government for Breach of Contract over Regulatory Violations But May Pursue Takings Claims
December 26, 2012
The U.S. Court of Federal Claims recently held that a company that is allowed to bill Medicare for services it provides does not necessarily have a contract with the...
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Report Finds Over 4,000 Physician “Never Events” Per Year
December 26, 2012
Each year, U.S. surgeons make more than 4,000 preventable mistakes known as "never events" according to a Johns Hopkins University School of Medicine study...
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GAO Report Recommends CMS Coordination of Innovation Programs
December 25, 2012
On December 17, 2012, the Government Accountability Office ("GAO") published a report assessing Center for Medicare and Medicaid Innovation (the "Innovation...
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Obama Administration and Congress Fail to Reach Agreement Avoiding the Fiscal Cliff
December 24, 2012
As of December 21, 2012, the Obama Administration and Congress have failed to reach an agreement to avoid the so-called "fiscal cliff," under which in January...
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European Parliament Approves EU Unitary Patent Package
December 21, 2012
On December 11, 2012, the European Parliament announced that it has voted to approve the three pieces of legislation forming the "EU patent package", made up of...
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GAO Report Recommends Expanded Use of Prepayment Edits
December 20, 2012
On November 13, 2012, the Government Accountability Office ("GAO") published report GAO-13-102, "Greater Prepayment Control Efforts Could Increase Savings...
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The Court of Justice of the EU Rules on the Definition of ‘Medical Devices’
December 20, 2012
Recently, the Court of Justice of the European Union (the "CJEU") ruled on the referral from Germany's highest Court, the Bundesgerichtshof, in Brain...
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CMS Issues Instructions for Clinical Diagnostic Laboratories that Bill Medicare
December 19, 2012
On November 30, 2012, CMS issued Change Request 8132 (Transmittal 2601), which provides instructions for the Calendar Year ("CY") 2013 clinical laboratory fee...
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GAO Report Recommends Reduced ESRD Prospective Payment Rate
December 19, 2012
On December 7, 2012, the Government Accountability Office ("GAO") published report GAO-13-190R, "Trends in ESRD Drug Utilization," in which the GAO...
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No Enhanced Funds for Partial Medicaid Expansions
December 18, 2012
The Centers for Medicare & Medicaid Services ("CMS") told states that they will not receive enhanced federal funding if they expand Medicaid at a level...
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CMS Reports on Success of Medicare E-Record Incentive Program; HHS Responds With Concerns About Fraud
December 18, 2012
Almost 75% of doctors in the United States are currently utilizing some form of electronic health records, according to data recently released by The Office of the...
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HHS Grants Conditional Approval to Six States’ Health Insurance Exchange Plans
December 17, 2012
On December 10, 2012, Kathleen Sebelius, Secretary of the Department of Health and Human Services ("HHS"), announced that the government had conditionally...
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FSIS Updates Research Priorities To Address Emerging Food Safety Concerns
December 14, 2012
The U.S. Department of Agriculture ("USDA")'s Food Safety and Inspection Service ("FSIS") has updated its research priorities related to meat,...
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European Court of Justice Refuses AstraZeneca’s Appeal Against €52.5 Million Fine for Abuse of Dominance
December 14, 2012
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On December 6, 2012, the European Court of Justice ("ECJ") rejected an appeal by AstraZeneca plc against a €52.5 million fine imposed in 2010 for abuse of...
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