HIOs and Regional Health Information Networks (RHINs) are being created to facilitate the exchange of information among providers. HIOs and RHINs are typically not statutorily governed by HIPAA, other than perhaps as Business Associates. The HHS guidance, issued in conjunction with The Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information, covers
December 2008
OIG ISSUES ANOTHER GAINSHARING ADVISSORY OPINION (08/21)
OIG issues another in a string of gainsharing opinions involving hospitals and groups of cardiologists and radiologists. This and the solicitation by HHS of comments on shared savings exceptions and safe harbors confirm HHS’s intent to continue to encourage legitimate cost savings and incentive programs.
Link: http://www.oig.hhs.gov/fraud/docs/advisorgopinions/2008/AdvOpn08-21.2.pdf.
BREACH OF HCQIA PRECLUDES IMMUNITY DESPITE BYLAW COMPLIANCE
A Colorado state appeals court concluded breach of due process provisions of the Health Care Quality Immunity Act (HCQIA) precluded immunity for St. Mary’s Hospital and MedicalCenter, even though the medical staff bylaws might not have required notice and a fair hearing for revocation of provisional clinical privileges.
The hospital’s medical staff bylaws …
Federal Court Requires Production of Peer Review Documents
The United States District Court for the Northern District of Oklahoma has required Ardent Health Services to produce unredacted documents relating to the files of identified peer review physicians who practiced at the hospitals in order to examine whether the plaintiff’s peer review situation was handled differently than other physicians within the hospital.
The Court …
USCIS Revises Employment Eligibility Verification Form
WASHINGTON—U.S. Citizenship and Immigration Services (USCIS) announced today that it has submitted to the Federal Register an interim final rule that will streamline the Employment Eligibility Verification (Form I-9) process…..
To read more about this article click link below:
www.medlawblog.com/uploads/file/I-9 update Dec 2008.pdf
Pennsylvania Medical Record Fees for 2009
On Saturday, December 6, 2008, Pennsylvania Secretary of Health published the allowable medical records fees under Pennsylvania Statute 42 P.A. C.S. §§ 6152-6155. Attached below is a link to the notice published in the Pennsylvania Bulletin.
Visa Waiver Program countries must check with Electronic System for Travel Authorization
Please be advised that effective January 12, 2009, elgibile citizens or nationals from ALL Visa Waiver Program Countries must obtain approval through ESTA (The Electronic System for Travel Authorization) prior to traveling to the United States under the Visa Waiver Program.
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Health FSA Debit Cards – Deadline To Comply Has Been Extended
The January 1, 2009 deadline for bringing health flexible spending accounts (“health FSAs”) into compliance with the IRS‘s new debit card rules has been extended to July 1, 2009.
In short, in 2007, the IRS issued guidance stating that, starting on January 1, 2009, participants could use health FSA …
MEDICARE RESOURCES FOR ADVANCED PRACTICE NURSES
CMS has established a Medicare learning network web page dedicated to Medicare fee for services advance practice nurses and physician assistants. It includes definitions, licensing requirements, enrollment procedures, reimbursement guidelines, and links to related materials. The website is accessible at the following link:
HIGHMARK DIAGNOSTIC IMAGING PRIVILEGING REQUIREMENTS
Highmark has established new provider privileging requirements from diagnostic imaging to be effective January 1, 2009. The text of the requirements is available on the Highmark website in the ResourceCenter and is also attached below as a PDF.
www.medlawblog.com/uploads/file/Privileging Requirements.pdf