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Archive for December 2015

AHCA streamlines Medicaid credentialing process

By The Health Law Offices of Anthony C. Vitale | December 21, 2015

Healthcare providers that do not have a Medicaid provider number, but who are servicing patients through the private insurance industry, now will be able to get a Medicaid ID through a new process being implemented by the Agency for Healthcare Administration. As of Dec. 4, providers who do not hold a Medicaid ID and need…

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SCOTUS to take on implied certification liability under FCA

By The Health Law Offices of Anthony C. Vitale | December 14, 2015

The U.S. Supreme Court will decide whether False Claims Act (FCA) cases may be brought by whistleblowers and the government under the theory known as “implied certification” and if so, under what circumstances. Under this theory, when a provider submits a claim for government payment, it does so with the implication that it is being…

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With the new year comes greater HIPAA oversight

By The Health Law Offices of Anthony C. Vitale | December 7, 2015

HIPAA-regulated entities can expect 2016 to be the year of increased oversight. That’s when the Health and Human Services Department’s Office for Civil Rights (OCR) begins Phase II of its audit program. The program is expected to focus on common areas of noncompliance and will include HIPAA-covered entities as well as business associates. Phase 2…

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