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THE COMPLIANCE GUY BLOG

Jul 16 2021
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Surprise Billing Part 1 Rule

By 2021, Regulatory Compliance, Sean Weiss
Consumer Protection from Surprise Billing July 16, 2021 by Sean Weiss, Partner & VP of Compliance On July 1, 2021 the Biden/Harris Administration released the Surprise Billing; Part I, an interim final rule that will restrict excessive out of pocket costs to consumers from surprise billing and balance billing. Link: https://www.cms.gov/newsroom/press-releases/hhs-announces-rule-protect-consumers-surprise-medical-bills This is a game...
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Jun 07 2021
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OIG Exclusion List

By 2021, Regulatory Compliance, Sean Weiss
HHS/OIG Exclusion List Violations June 7, 2021 by Sean Weiss, Partner & VP of Compliance An important subject that should not be far from your mind is the OIG exclusions list. The HHS/OIG is not backing down on Employment of Excluded Individuals. On April 1 and again on April 6, one organization had two reportable...
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Jun 03 2021
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Hospitals and Price Transparency

By 2021, Regulatory Compliance, Sean Weiss
Hospitals and Price Transparency May 26, 2021 by Sean Weiss, Partner & VP of Compliance Price transparency is on my mind since some hospitals seem to have difficulty complying with the “Rule” that went into effect January 1, 2021.  As a point of interest, CMS has begun issuing violation letters to hospitals that are out...
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May 04 2021
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HHS OIG COVID-19 Oversight Page

By 2021, Regulatory Compliance, Sean Weiss
HHS OIG Covid-19 Oversight Webpage May 4, 2021 by Sean Weiss, Partner & VP of Compliance The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has a great webpage on COVID-19 oversight. You can access that page here. The page provides insight into their strategy to combat fraud, waste and...
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May 03 2021
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Price Transparency Rules

By 2021, Regulatory Compliance, Sean Weiss
Price Transparency Rule May 3, 2021 by Sean Weiss, Partner & VP of Compliance In January 2021, a Price Transparency rule went into effect and swept in a new era in health care. The rule issued by the US Department of Health and Human Services (HHS) requires hospitals to make public their cash and insurance negotiated...
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