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	<title>von Briesen Health Law Blog</title>
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		<title>Senators Seek Input from Health Care Community on Fraud and Abuse Prevention</title>
		<link>http://blog.vonbriesenhealth.com/2012/05/03/senators-seek-input-from-health-care-community-on-fraud-and-abuse-prevention/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/05/03/senators-seek-input-from-health-care-community-on-fraud-and-abuse-prevention/#comments</comments>
		<pubDate>Thu, 03 May 2012 15:00:39 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Legislation Watch]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1636</guid>
		<description><![CDATA[Yesterday six Senators from the Senate Finance Committee released an open letter to the health care community requesting a &#8220;fresh perspective&#8221; regarding fraud and abuse in Medicare and Medicaid. The letter requests input from a variety of stakeholders in the health care community, including providers, payers, health plans, contractors, non-profit entities, consumers, data analytics entities, [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>HHS Releases Guidance on Medical Loss Ratio Requirements</title>
		<link>http://blog.vonbriesenhealth.com/2012/05/01/hhs-releases-guidance-on-medical-loss-ratio-requirements/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/05/01/hhs-releases-guidance-on-medical-loss-ratio-requirements/#comments</comments>
		<pubDate>Tue, 01 May 2012 16:38:25 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Compensation and Benefits]]></category>
		<category><![CDATA[Legislation Watch]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1631</guid>
		<description><![CDATA[The Department of Health and Human Services (HHS) recently issued technical guidance regarding medical loss ratio (MLR) requirements in the form of a questions and answers bulletin issued by the Office of Oversight.
The MLR requires health insurers to submit reports to the HHS Secretary and spend 80% or 85% of all premium dollars on medical [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
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		<title>Medicare Board of Trustees Report Trust Exhaustion in 2024</title>
		<link>http://blog.vonbriesenhealth.com/2012/04/26/medicare-board-of-trustees-report-trust-exhaustion-in-2024/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/04/26/medicare-board-of-trustees-report-trust-exhaustion-in-2024/#comments</comments>
		<pubDate>Thu, 26 Apr 2012 15:23:10 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Legislation Watch]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1618</guid>
		<description><![CDATA[Earlier this week, the Board of Trustees for Medicare and Social Security released its 2012 annual report. The report noted that the Medicare trust fund is not adequately financed over the next ten years, and without changes to current law, the fund will be insolvent as of 2024. The insolvency date did not change from [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2012/04/26/medicare-board-of-trustees-report-trust-exhaustion-in-2024/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>CMS’ Proposed Rule Delays ICD-10 Deadline to October 2014</title>
		<link>http://blog.vonbriesenhealth.com/2012/04/10/cms%e2%80%99-proposed-rule-delays-icd-10-deadline-to-october-2014/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/04/10/cms%e2%80%99-proposed-rule-delays-icd-10-deadline-to-october-2014/#comments</comments>
		<pubDate>Tue, 10 Apr 2012 14:12:09 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Medicare/Medicaid Compliance]]></category>
		<category><![CDATA[Pharmacy]]></category>
		<category><![CDATA[Records and Technology]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1605</guid>
		<description><![CDATA[Yesterday, the Centers for Medicare &#38; Medicaid Services (CMS) announced a proposed rule that delays the ICD-10 compliance deadline one year, to October 1, 2014. The proposed rule also adopts a standard for a unique health plan identifier (HPID), adopts a data element that would serve as an “other entity” identifier (OEID), and adds a [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>CMS Issues Final Rule Holding Part C and D Sponsors to Quality Standards</title>
		<link>http://blog.vonbriesenhealth.com/2012/04/03/cms-issues-final-rule-holding-part-c-and-d-sponsors-to-quality-standards/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/04/03/cms-issues-final-rule-holding-part-c-and-d-sponsors-to-quality-standards/#comments</comments>
		<pubDate>Tue, 03 Apr 2012 16:41:21 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Medicare/Medicaid Compliance]]></category>
		<category><![CDATA[Pharmacy]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1600</guid>
		<description><![CDATA[Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued a final rule which impacts the Medicare Advantage (Part C) and Prescription Drug (Part D) programs. Beginning in 2015, CMS may use Part C and D plan performance ratings as a measure of the effectiveness of administrative and management arrangements and as a basis for [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>HHS Releases Final Rule on Affordable Insurance Exchanges</title>
		<link>http://blog.vonbriesenhealth.com/2012/03/13/hhs-releases-final-rule-on-affordable-insurance-exchanges/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/03/13/hhs-releases-final-rule-on-affordable-insurance-exchanges/#comments</comments>
		<pubDate>Tue, 13 Mar 2012 19:51:19 +0000</pubDate>
		<dc:creator>Scott Thill</dc:creator>
				<category><![CDATA[Legislation Watch]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1592</guid>
		<description><![CDATA[The Department of Health and Human Services (HHS) has released a Final Rule (644 pages) to implement Affordable Insurance Exchanges (Exchanges), which must become operational by January 1, 2014.  Exchanges will provide marketplaces where individuals and small employers can compare private health insurance options (e.g. based on price and quality).  The Final Rule combines proposed rules [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2012/03/13/hhs-releases-final-rule-on-affordable-insurance-exchanges/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
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		<title>OIG Releases Materials for Health Care Boards of Directors</title>
		<link>http://blog.vonbriesenhealth.com/2012/03/06/oig-releases-materials-for-health-care-boards-of-directors/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/03/06/oig-releases-materials-for-health-care-boards-of-directors/#comments</comments>
		<pubDate>Tue, 06 Mar 2012 17:25:52 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Governance and Tax Exemption]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>
		<category><![CDATA[Patient Care Issues]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1584</guid>
		<description><![CDATA[Yesterday, the Office of Inspector General (“OIG”) published its Compliance 101 website. The website synthesizes OIG resources and offers the OIG’s perspective on a variety of compliance issues. Compliance 101 also offers compliance education materials for Boards of Directors for health care organizations (“Boards”), including a video in which Lou Morris, Chief Counsel to the [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2012/03/06/oig-releases-materials-for-health-care-boards-of-directors/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Congress Passes Ten-Month Extension of Doc-Fix</title>
		<link>http://blog.vonbriesenhealth.com/2012/02/17/congress-passes-ten-month-extension-of-doc-fix/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/02/17/congress-passes-ten-month-extension-of-doc-fix/#comments</comments>
		<pubDate>Fri, 17 Feb 2012 20:54:51 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Legislation Watch]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1577</guid>
		<description><![CDATA[Today, Congress passed the Middle Class Tax Relief and Job Creation Act of 2012. The legislation includes a ten-month extension to a Medicare physician pay freeze. Without the extension, the sustainable growth rate formula would have required a 27% cut to Medicare physician pay as of March 1.
The U.S. House of Representatives Ways and Means Committee released [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2012/02/17/congress-passes-ten-month-extension-of-doc-fix/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS Issues Proposed Regulations for the 60-Day Rule on Overpayment Refunds</title>
		<link>http://blog.vonbriesenhealth.com/2012/02/16/cms-issues-proposed-regulations-for-the-60-day-rule-on-overpayment-refunds/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/02/16/cms-issues-proposed-regulations-for-the-60-day-rule-on-overpayment-refunds/#comments</comments>
		<pubDate>Thu, 16 Feb 2012 22:10:40 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Billing and Payment]]></category>
		<category><![CDATA[Fraud and Abuse]]></category>
		<category><![CDATA[Medicare/Medicaid Compliance]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1574</guid>
		<description><![CDATA[CMS recently issued a proposed rule outlining requirements for refunding overpayments under the 60-Day Rule. The 60-Day Rule, enacted under the Affordable Care Act, requires hospitals and physicians receiving funds under the Medicare program to report and refund overpayments within 60 days from the date the overpayment is identified or the date the corresponding cost [...]]]></description>
		<wfw:commentRss>http://blog.vonbriesenhealth.com/2012/02/16/cms-issues-proposed-regulations-for-the-60-day-rule-on-overpayment-refunds/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
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		<title>HHS Releases FY 2011 Fraud and Abuse Program Report</title>
		<link>http://blog.vonbriesenhealth.com/2012/02/15/hhs-releases-fy-2011-fraud-and-abuse-program-report/</link>
		<comments>http://blog.vonbriesenhealth.com/2012/02/15/hhs-releases-fy-2011-fraud-and-abuse-program-report/#comments</comments>
		<pubDate>Wed, 15 Feb 2012 16:28:51 +0000</pubDate>
		<dc:creator>Meghan O&#39;Connor</dc:creator>
				<category><![CDATA[Fraud and Abuse]]></category>

		<guid isPermaLink="false">http://blog.vonbriesenhealth.com/?p=1571</guid>
		<description><![CDATA[Yesterday the Departments of Health and Human Services (HHS) and Justice released the Health Care Fraud and Abuse Control Program Report for Fiscal Year 2011 (HCFAC Report). The HCFAC Report outlines monetary recoveries, program accomplishments, as well as enforcement and prevention activities of the Departments of HHS and Justice over the last year.
The government’s health [...]]]></description>
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		<slash:comments>0</slash:comments>
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