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Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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GDPR Top 5 Actions You Should Take Now

The EU's General Data Protection Regulation (GDPR) went into effect on May 25th. As most organizations are aware, the GDPR applies not only to EU businesses but also many companies in the U.S. While the deadline is quickly approaching, most organizations are still grappling with the implications of the regulation on their business. Even if your readiness efforts are behind the curve, the GDPR Top 5 Actions You Should Take NOW will help you begin your efforts towards compliance and help mitigate your organization's risk in the short-term.

Click here to download the checklist.

Sixth Circuit Affirms Dismissal of FCA Action Related to HITECH Meaningful Use Payments

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March 14, 2016

The Sixth Circuit recently became the first appellate court to consider and reject FCA liability based on a healthcare provider's alleged false attestation of compliance with the Health Information Technology for Economic and Clinical Health Act (HITECH) Act's meaningful use objectives. U.S. ex rel. Sheldon v. Kettering Health Network, 2016 WL 861399 (6th Cir. March 7, 2016). The HITECH Act was designed to encourage the adoption of Electronic Health Record (EHR) technology by healthcare providers through the creation of incentive payments for eligible providers. As a condition of receiving those incentive payments, the HITECH Act requires healthcare providers to meet meaningful use objectives and compliance measures concerning the adoption of EHR technology.

The relator alleged that Kettering failed to meet the HITECH Act's meaningful use objectives and compliance measures after Kettering informed relator of isolated breaches of the medical records of the relator and certain family members. In addition, the relator alleged that Kettering failed to run "CLARITY" reports from Kettering's software system, which would have helped Kettering to monitor improper access to patient medical records. Based on these allegations, the relator claimed that Kettering's meaningful use attestation was false and that this false certification resulted in improper meaningful use incentive payments being made to Kettering.

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