RESOURCE CENTER
The PPSV Resource Center provides white papers, speeches, published articles, and external links. No representation is made about the validity or usefulness of the external links. If we can assist you or answer any questions you might have, please call us in Washington, DC at 202.466.6550, or send us an email.
Health Care Articles and Papers
Summary of Rulemaking Notices on HITECH Act Incentive Payments
January 7, 2010
Overview of Genetic Information Nondiscrimination Act
November 20, 2009
Providers Should Use Cost Report Protest Procedure to Preserve Medicare Appeal Rights for Legal Challenges
October 2, 2009
FCA Amendments Raise the Stakes for Failing to Investigate Potential Overpayments
July 15, 2009
CMS Revises the Stand in the Shoes Rule, Yet Again
July 10, 2009
Patient Safety Organizations: Risks and Opportunities
May 8, 2009
Proposed Acute-Care IPPS Rule for FFY 2010
May 8, 2009
Proposed Changes to Medicare IRF Coverage Requirements
May 7, 2009
DC Circuit Finds Government Properly Rejected Request to Disclose Medicare Payment Data
February 26, 2009
CMS Interpretive Guidelines for Transplant Center COPs more Detailed, Onerous than Regs Themselves
Posted with the Permission of Transplant Communications, Inc.
Transplant News (Vol. 18, No. 11), November 1, 2008
Refueling Assistance for Drivers with Disabilities
American Bar Association, Volume 32 Number 4, July/August 2008, September 26, 2008
Changes to Stark Rules under FY 2009 IPPS Final Rules
August 8, 2008
On July 31, 2008, CMS issued more changes to its regulations interpreting the Stark law’s prohibition on physician self-referrals. These changes are final and result from a number of proposals published in various Federal Register notices, including the FY 2008 Physician Fee Schedule proposed rule and the FY 2009 Inpatient Prospective Payment System proposed rule.
CMS Adopts Changes to PRRB Appeal Procedures
June 5, 2008
On May 23, 2008, the Centers for Medicare and Medicaid Services ( CMS) published a final rule that substantially changes the procedures for appealing a Medicare cost report determination included in a notice of program reimbursement (NPR) before the Provider Reimbursement Review Board (PRRB).1 The final rule follows a proposed rule that CMS published on June 25, 2004. Many of these revised requirements will require providers to alter their internal practices and, in some respects, make the appeal process more difficult for providers. Most provisions of the final rule will become effective on August 21, 2008.
The Hidden Wounds of War: Of Vets, Mental Disorders, and the Right to Privacy
Modern Healthcare Online, June 4, 2008
Jim Pyles and Dr. Prudence Gourguechon write about the 'Hidden Wounds of War' for Modern Healthcare.
Written Statement of Peter W. Thomas, Esq., Co-Chair of the Consortium for Citizens with Disabilities Health Task Force
Peter W. Thomas
May 6, 2008
Meet Joel Hamme, President Elect of the American Health Lawyers Association
Compliance Today, a publication of the Health Care Compliance Association, May 2008
Gabriel L. Imperato, Esq, CHC, Managing Partner in the Fort Lauderdale office of Broad & Cassel and member of the HCCA Board of directors, conducted this interview with Joel Hamme in March 2008. This Feature Interview, published in the May 2008 issue of Compliance Today, appears here with permission from the Health Care Compliance Association. Call 888/580-8373 with reprint requests.
Proposed Changes to Medicare Hospital Inpatient Prospective Payment System (IPPS) for Federal Fiscal Year (FFY) 2009
Barbara Straub Williams
"Concierge Medicine: Legal Issues, Ethical Dilemmas, and Policy Challenges," AHLA Journal of Health & Life Sciences Law, Volume 1, Number 3, pages 1-38 (April 2008)
Robert M. Portman and Kate Romanow
AHLA Journal of Health and Life Sciences Law, April 2008
Regulating Long-Term Care Hospitals: In Search of a Roadmap to Clarity, hfm Magazine (Jan. 2008)
Joel Hamme, Barbara Straub Williams
hfm Magazine, January 1, 2008
AMC Mission Support and Community Outreach Programs in the Aftermath of the Stark II, Phase III Regulations, Health Lawyers News, v. 11, no. 12 (December 2007)
Mark R. Fitzgerald
Health Lawyers News, December 12, 2007
Stark II, Phase III; CMS Issues the Third and Final Part of its Self-Referral Regulations
Powers Pyles Sutter & Verville PC
Mark Fitzgerald
September 12, 2007
CMS Issues Final Transplant Center Conditions of Participation, Health Lawyers News v. 11, no. 7 (July 2007)
Rebecca Burke
Health Lawyers News, July 2007
Pay For Performance and Medicare Compliance; The Irresistible Force Meets the Immovable Object
Mark R. Fitzgerald
AHLA Health Law News, April 2007
Solving the Riddle of Inpatient Rehabilitation Coverage
Ronald S. Connelly & Peter W. Thomas
HFM (Healthcare Financial Management), March 2007
Medicare Part B v. Part D Drug Coverage Issues
Mary Susan Philp & Rebecca Burke
November 2006
Fraud and Abuse Provisions in the Deficit Reduction Act of 2005
Joel M. Hamme & Claire Licastro
June 2006
Jurisdictional Issues Related to PRRB Appeals, hfm Magazine (May 2006)
Barbara Straub Williams
Healthcare Financial Management, the journal of the Healthcare Financial Management Association, May 2006
Baystate Medical Center v. Mutual of Omaha Ins. Co.
Recent PRRB decision on calculation of DSH Medicare/SSI fraction
PRRB Dec. No. 2006-D20, March 2006
Manufacturer Patient Assistance Programs -- Inside or Outside Part D?
Mark Fitgerald
BNA’s Medicare Report, Vol. 17, No. 03, January 2006
OIG Clears a Path for Manufacturer Patient Assistance Programs
Mark Fitzgerald
December 2005
Fraud and Abuse Update (09/05)
Mark Fitzgerald & Barbara Straub Williams
September 2005
Summary of Baystate Hospital System v. Leavitt
Barbara Straub Williams & Mary Susan Philp
July 2005
Counter Intelligence? (an overview of Medicare rules on "available beds"), hfm Magazine (July 2005)
Barbara William Straub
hfm Magazine, July 1, 2005
CMS Proposes New Conditions of Participation for Transplant Centers
Rebecca L. Burke
Health Lawyers Weekly, May 13, 2005
Federal Drug Discount and Compliance Monitor, Volume 1, No. 1
(PDF version, 574 KB), July 2004
Office of Inspector General Advisory Opinion 04-08 - Physician Ownership of Physical Therapy Center
July 2004
Glossary of drug pricing terminology with an emphasis on the Public Health Service's 340B drug discount program
Stark II Phase II -- Implications for Physicians and Groups
April 19, 2004
HHS OIG Targeting Organ Transplant Services in 2004
Rebecca L. Burke
BNA (PDF version, 87 KB), January 30, 2004
PPSV Provides Audio Conference on New Medicare Legislation (online copy of presentation)
December 15, 2003
Final Conference Language of Medicare Reform Bill (Updated Nov. 21, 2003)
(PDF version, 1.48 MB), November 21, 2003
- Joint Explanatory Statement on Medicare Reform Bill (PDF version, 1.53 MB);
- CBO Estimate of Effect on Direct Spending and Revenues of the Medicare Reform Bill (PDF version, 52 KB)
New Process for Seeking Medicare National Coverage Determinations | (PDF version, 114 KB)
Rebecca L. Burke
October 16, 2003
Side-By-Side Analyses of House and Senate Medicare and Medicaid Bills of July 2003, by Congressional Research Service:
July 10, 2003
- Medicare Prescription Drug Provisions (604 KB, PDF format)
- Medicare Fee-For-Service Modifications and Medicaid Provisions (889 KB, PDF format)
- Regulatory Reform Provisions (371 KB, PDF format)
OIG's Compliance Program Guidance for Pharmaceutical Manufacturers
Rebecca L. Burke and Robert J. Saner II
May 2003
Analysis of Inspector Generals compliance guidance for the pharmaceutical industry
PPSV Plays Important Role in Nation's Largest Medicaid Fraud Settlement
April 2003
Article on recent Department of Justice settlements with pharmaceutical companies regarding drug pricing
Hospital Outlier Payment Issues and Current Investigations
Mark R. Fitzgerald
March 19, 2003
Outline from audioconference conducted by American Health Lawyers Association
"Pharmaceutical Discounts Under Federal Law: State Program Opportunities,"
William von Oehsen, III (with Ashe M and Duke K.)
Am J Health-Syst Pharm., 60:551-3., March 15, 2003
Financial Support Arrangements Between Academic Medical Centers And Faculty Practice Plans
Mark R. Fitzgerald
March 2003
Analysis of arrangements between academic medical centers and tax-exempt faculty plans that employ their medical staff, including the implications of the Stark and Anti-Kickback laws
Glossary of Drug Pricing and Other Pharmaceutical Terms
September 2002
Glossary of drug pricing terminology with an emphasis on the Public Health Service's 340B drug discount program
Congress Increases TRICARE Program's Coverage of Assistive Technology
Peter W. Thomas
January 14, 2002
An Analysis of the legislative changes to the TRICARE program included in the Defense Reauthorization Act of 2001
OIG Open Letter to Health Care Providers: Corporate Integrity Agreements
Robert J. Saner II and Anthony Russo
December 2001
A description of the Office of Inspector General's policy announcement regarding the future use of corporate integrety agreements
OIG Special Advisory Bulletin: Practices of Business Consultants
Robert J. Saner II and Anthony Russo
July 11, 2001
A notice regarding the Office of Inspector General's policy announcement regarding the use of business consultants in the Medicare program
Johnson & Stark Issue Recommendations for Improvement of Medicare Program
Diane S. Millman and David O. Ault
May 18, 2001
A summary of the recommendations of Nancy Johnson and Pete Stark to Tommy Thompson for improvement of the Medicare program
Pharmaceutical Discounts Under Federal Law: State Program Opportunities, Public Health Institute (2001)
William von Oehsen
May 2001
Analysis of opportunities for state health programs to receive pharmaceuticals at a discounted price
Significant Features of Medical Information Privacy Regulations
James C. Pyles, Esq.
March 5, 2001
An outline of the HIPAA regulations governing medical information privacy
Summary of Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (adobe acrobat format)
Peter W. Thomas, Esq. & Jeremy Allen
January 19, 2001
Detailed summary of the Medicare Giveback legislation
The Stark II Regulations
Robert J. Saner II, Esq., Rebecca Burke, Esq., Marla Spindel, Esq., & Anthony Russo, Esq.
January 19, 2001
Analysis of the Stark II prohibition on physician self-referrals
External Links - Education
Tax Exempt Articles and Papers
Deadline Approaching for New Form 990 Governance Policies
October 28, 2008
Meet Joel Hamme, President Elect of the American Health Lawyers Association
Compliance Today, a publication of the Health Care Compliance Association, May 2008
Gabriel L. Imperato, Esq, CHC, Managing Partner in the Fort Lauderdale office of Broad & Cassel and member of the HCCA Board of directors, conducted this interview with Joel Hamme in March 2008. This Feature Interview, published in the May 2008 issue of Compliance Today, appears here with permission from the Health Care Compliance Association. Call 888/580-8373 with reprint requests.
Articles
Trade Associations and Anticompetitive Conduct: Lessons From the NAMM Case
Association Law & Policy, December 2009
Joel Hamme Authors Article On “Issues For Medicaid Nursing Facilities Under The American Recovery And Reinvestment Act”
August 11, 2009
Proposed Acute-Care IPPS Rule for FFY 2010
May 8, 2009
Proposed Changes to Medicare IRF Coverage Requirements
May 7, 2009
PPSV Keynote Speaker at 2009 Annual Meeting of American Academy of Hospice and Palliative Medicine
March 28, 2009
FAIR Fund Supports Federal Court Litigation Challenging Unlawful Procedures by Medicare Recovery Audit Contractors (RACs)
March 24, 2009
FY 2009 Labor, HHS and Education Appropriations Bill Passes House
February 27, 2009
DC Circuit Finds Government Properly Rejected Request to Disclose Medicare Payment Data
February 26, 2009
CMS Interpretive Guidelines for Transplant Center COPs more Detailed, Onerous than Regs Themselves
Posted with the Permission of Transplant Communications, Inc.
Transplant News (Vol. 18, No. 11), November 1, 2008
Deadline Approaching for New Form 990 Governance Policies
October 28, 2008
Refueling Assistance for Drivers with Disabilities
American Bar Association, Volume 32 Number 4, July/August 2008, September 26, 2008
"Professional Liability Risk and Insurance Coverage for In-House Counsel," ASAE, Association Law & Policy (September 2008)
ASAE, Association Law & Policy, September 1, 2008
Final Hospital Inpatient PPS Rule for FY 2009
Barbara Straub Williams
August 28, 2008
Congress Reauthorizes the Higher Education Act
August 8, 2008
Changes to Stark Rules under FY 2009 IPPS Final Rules
August 8, 2008
On July 31, 2008, CMS issued more changes to its regulations interpreting the Stark law’s prohibition on physician self-referrals. These changes are final and result from a number of proposals published in various Federal Register notices, including the FY 2008 Physician Fee Schedule proposed rule and the FY 2009 Inpatient Prospective Payment System proposed rule.
Gazette Minute Interviews - Rob Lavet
August 2008
CMS Adopts Changes to PRRB Appeal Procedures
June 5, 2008
On May 23, 2008, the Centers for Medicare and Medicaid Services ( CMS) published a final rule that substantially changes the procedures for appealing a Medicare cost report determination included in a notice of program reimbursement (NPR) before the Provider Reimbursement Review Board (PRRB).1 The final rule follows a proposed rule that CMS published on June 25, 2004. Many of these revised requirements will require providers to alter their internal practices and, in some respects, make the appeal process more difficult for providers. Most provisions of the final rule will become effective on August 21, 2008.
The Hidden Wounds of War: Of Vets, Mental Disorders, and the Right to Privacy
Modern Healthcare Online, June 4, 2008
Jim Pyles and Dr. Prudence Gourguechon write about the 'Hidden Wounds of War' for Modern Healthcare.
Written Statement of Peter W. Thomas, Esq., Co-Chair of the Consortium for Citizens with Disabilities Health Task Force
Peter W. Thomas
May 6, 2008
Meet Joel Hamme, President Elect of the American Health Lawyers Association
Compliance Today, a publication of the Health Care Compliance Association, May 2008
Gabriel L. Imperato, Esq, CHC, Managing Partner in the Fort Lauderdale office of Broad & Cassel and member of the HCCA Board of directors, conducted this interview with Joel Hamme in March 2008. This Feature Interview, published in the May 2008 issue of Compliance Today, appears here with permission from the Health Care Compliance Association. Call 888/580-8373 with reprint requests.
Proposed Changes to Medicare Hospital Inpatient Prospective Payment System (IPPS) for Federal Fiscal Year (FFY) 2009
Barbara Straub Williams
Regulating Long-Term Care Hospitals: In Search of a Roadmap to Clarity, hfm Magazine (Jan. 2008)
Joel Hamme, Barbara Straub Williams
hfm Magazine, January 1, 2008
Solving the Riddle of Inpatient Rehabilitation Coverage
Ronald S. Connelly & Peter W. Thomas
HFM (Healthcare Financial Management), March 2007
Jurisdictional Issues Related to PRRB Appeals, hfm Magazine (May 2006)
Barbara Straub Williams
Healthcare Financial Management, the journal of the Healthcare Financial Management Association, May 2006
Counter Intelligence? (an overview of Medicare rules on "available beds"), hfm Magazine (July 2005)
Barbara William Straub
hfm Magazine, July 1, 2005
Nonprofit Articles and Papers
Trade Associations and Anticompetitive Conduct: Lessons From the NAMM Case
Association Law & Policy, December 2009
Deadline Approaching for New Form 990 Governance Policies
October 28, 2008
The Hidden Wounds of War: Of Vets, Mental Disorders, and the Right to Privacy
Modern Healthcare Online, June 4, 2008
Jim Pyles and Dr. Prudence Gourguechon write about the 'Hidden Wounds of War' for Modern Healthcare.
Written Statement of Peter W. Thomas, Esq., Co-Chair of the Consortium for Citizens with Disabilities Health Task Force
Peter W. Thomas
May 6, 2008
Meet Joel Hamme, President Elect of the American Health Lawyers Association
Compliance Today, a publication of the Health Care Compliance Association, May 2008
Gabriel L. Imperato, Esq, CHC, Managing Partner in the Fort Lauderdale office of Broad & Cassel and member of the HCCA Board of directors, conducted this interview with Joel Hamme in March 2008. This Feature Interview, published in the May 2008 issue of Compliance Today, appears here with permission from the Health Care Compliance Association. Call 888/580-8373 with reprint requests.
Speeches
Rob Lavet Speaks at National Association of College and University Attorneys Annual Conference
June 27, 2009
PPSV's Jim Pyles to Discuss Privacy and HIT on Radio Show
June 18, 2009
PPSV Keynote Speaker at 2009 Annual Meeting of American Academy of Hospice and Palliative Medicine
March 28, 2009
Rob Lavet Hosts Webinar "FTC Red Flag Rules and Schools: Tips for Drafting and Implementing an Effective Policy" to the Career College Association
Rob Lavet
March 26, 2009
Rob Lavet Hosts Presentation "Update on Litigation and Audit Risks Facing Student Loan Lenders" for the Student Loan Industry Forum
Rob Lavet
January 23, 2009
Rob Lavet Host Presentation "Student Lending: Past, Present, Future" for the Career College Association: Investment Conference
December 9, 2008
Rob Lavet Hosts Webinar "Preferred Lender Lists, Codes of Conduct & Related Issues" to the Career College Association
Career College Association Webinar "Preferred Lender Lists, Codes of Conduct & Related Issues"
Rob Lavet
August 14, 2008
Congress Reauthorizes the Higher Education Act
August 8, 2008
Written Statement of Peter W. Thomas, Esq., Co-Chair of the Consortium for Citizens with Disabilities Health Task Force
Peter W. Thomas
May 6, 2008
External Links - Healthcare
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