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TRG Settles for $3.1M Over Alleged Improper Billing Practices

HIT Consultant

Improperly billed for services: The government alleges that TRG billed Medicare for radiology services performed by a radiologist located in the UK, which violates program regulations. The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds.

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Model Rural Emergency Hospital Act

NASHP

Drafting Note : Rural emergency hospitals are defined in accordance with federal regulations, 87 Fed Reg. Rural Hospital” means a hospital designated as a rural hospital under federal and state law. The re-enrollment/re-licensure requires a state survey under federal law. 71748 Section 3.

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Rural Emergency Hospitals: Guide to Legislative and Regulatory Considerations for States

NASHP

Drafting Note : Rural emergency hospitals are defined in accordance with federal regulations, 87 Fed Reg. Rural Hospital” means a hospital designated as a rural hospital under federal and state law. The re-enrollment/re-licensure requires a state survey under federal law. 71748 Section 3.

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HHS Issues Proposed Rule to Provide Clarity on Rights of Conscience in Healthcare

Sheppard Health Law

The ACA also includes exemptions to the “individual responsibility requirement” for hardship, religious reasons or membership in a healthcare sharing ministry. The Proposed Rule includes the following: The proposed regulation 45 C.F.R. The proposed regulation 45 C.F.R.

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Significant Changes to Stark Law and Anti-Kickback Statute Finalized

Health Care Law Blog

Department of Health and Human Services (“HHS”) recently issued two highly-anticipated final rules (collectively, the “Final Rule”) to modernize and clarify the regulations that interpret the Physician Self-Referral Statute (“Stark”) and the Anti-Kickback Statute (“AKS”).

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Is Preemption the Cure for Healthcare Federalism’s Restrictions on Medication Abortion?

Bill Of Health

Post- Dobbs , states have complete control over the regulation of abortion, including medication abortion. healthcare system, representing just one example of “healthcare federalism” — the division of power between the federal and state governments in the regulation of health care. healthcare system.

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CMS Augments “In Lieu Of Services” Medicaid Guidance to Support State Medicaid Managed Care Efforts to Address Social Determinants of Health

Sheppard Health Law

In Lieu of Services and Settings Background Though federal healthcare programs generally excluded non-clinical services from reimbursement, the evolution of value-based care prompted managed care plans to provide alternative benefits to enrollees under flexibilities in their risk-based contracts.