tci Medicare Compliance & Reimbursement - 2019 Issue Q4
Don’t Miss AKS, CMP Updates in New Rule
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Article Overview
This article reviews a federal proposed rule from the HHS Office of Inspector General that updates fraud-and-abuse protections tied to the Anti-Kickback Statute and Civil Monetary Penalties. It covers proposed safe harbors, care-coordination and value-based care policy changes, health IT and cybersecurity topics, transportation-related protections, and a telehealth-related CMP exception. The content is relevant to compliance, reimbursement, and health care legal/coding teams tracking federal rulemaking.
Why This Topic Matters
The proposed changes affect how organizations structure relationships and programs across federal health care settings, especially where coordination, incentives, and technology intersect with compliance requirements. Readers need to understand the scope of the rule and the categories of policy changes being considered before responding or updating internal processes.
Article Sections
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Context and rulemaking background
Introduces the federal agencies involved and the broader regulatory setting for the proposed changes. Summarizes the article’s focus on fraud-and-abuse policy and coordinated care priorities.
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Impact on fraud and abuse safeguards
Describes the proposed updates in relation to federal program oversight and compliance policy. Addresses the overall policy direction without detailing specific operational rules.
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Proposed safe harbors and related modifications
Covers the major categories of proposed safe harbors and revisions discussed in the article. Includes broad references to value-based arrangements, care coordination, health IT, cybersecurity, and related program changes.
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Additional exceptions and comment deadline
Notes other proposed protections and the public comment timeline. Also points readers to the federal rulemaking notice for further review.
What You Will Learn
- The general purpose of the proposed federal fraud-and-abuse rule changes
- Which broad compliance areas are affected by the proposal
- What categories of safe harbor revisions are being discussed
- Why the rule may matter for coordinated care and health technology programs
- How the article frames the public comment process
Who Should Read This
- Compliance professionals
- Medical coders
- Revenue cycle teams
- Health care attorneys
- Practice administrators
- Hospital and health system staff
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