Compliance Regulations and Guidance Affecting your Industry

This document contains final rules for group health plans and health insurance issuers concerning hospital lengths of stay for mothers and newborns following childbirth, pursuant to the Newborns’ and Mothers’ Health Protection Act of 1996 and the Taxpayer Relief Act of 1997.

Effective Date: These final regulations are effective December 19,2008.

We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capitalrelated costs of acute care hospitals to implement changes arising from our continuing experience with these systems, and to implement certain provisions made by the TMA, Abstinence Education, and QI Program Extension Act of 2007, the Medicare Improvements for Patients and Providers Act of 2008, and the American Recovery and Reinvestment Act of 2009. In addition, in the Addendum to this final rule, we describe the changes to the amounts and factors used to determine the rates for Medicare acute care hospital inpatient services for operating costs and capitalrelated costs. These changes are applicable to discharges occurring on or after October 1, 2009. We also are setting forth the update to the rate-ofincrease limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. The updated rate-of-increase limits are effective for cost reporting periods beginning on or after October 1, 2009. Second, we are updating the payment policy and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for rate year (RY) 2010, including responding to public comments received on a June 3, 2009 supplemental proposed rule relating to the proposed RY 2010 Medicare Severity Long-Term Care Diagnosis- Related Groups (MS–LTC–DRG) relative weights and the proposed RY 2010 highcost outlier (HCO) fixed-loss amount. In the Addendum to this final rule, we also set forth the changes to the payment rates, factors, and other payment rate policies under the LTCH PPS for RY 2010. These changes are applicable to discharges occurring on or after October 1, 2009. In addition, we are responding to public comments received on and finalizing a June 3, 2009 interim final rule with comment period that revised the MS–LTC–DRG relative weights for payments under the LTCH PPS for the remainder of FY 200 (that is, from June 3, 2009, through September 30, 2009). Third, in this final rule, we are responding to public comments we received on, and finalizing, two May 2008 interim final rules with comment period that implemented certain provisions of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA, Pub. L. 110–173) relating to payments to LTCHs and LTCH satellite facilities, the establishment of LTCHs and LTCH satellite facilities, and increases in beds in existing LTCHs and LTCH satellite facilities under the LTCH PPS. Fourth, through an interim final rule with comment period as part of this document, we are implementing those provisions of the ARRA that amended certain provisions of section 114 of the MMSEA relating to payments to LTCHs and LTCH satellite facilities and increases in beds in existing LTCHs and LTCH satellite facilities under the LTCH PPS.

Effective Date: These final rules are effective on October 1, 2009

In addition to the statutes passed by the Legislature, the Department of California Managed Healthcare has enacted a number of regulations under which health care plans must operate. These regulations help to bring some detail and clarity to the manner in which health plans must comply with the statutes enacted by the Legislature.

The Knox-Keene Health Care Service Plan Act (Knox-Keene Act), provides licensure and regulation of health care service plans. It also provides regulation of health insurers by the Department of Insurance and requires insurers to obtain a certificate of authority from the Insurance Commissioner. The bill would also authorize a joint venture formed between 2 or more nonprofit charitable organizations to contract with a health care service plan or health insurer for the purpose of providing health care coverage to the employees and retirees, and dependents thereof, of the participating nonprofit charitable organizations.
 

The Department of Managed Health Care proposed Title 28, California Code of Regulations, Timely Access to Non-Emergency Health Care Services to provide a better and quality service to the patients.

 

State of California Department  Of Managed Health Care has Propsed has new regulation on discount helath plan.This plan will help people to recive discount on health care and services.

Use NDU Health Fitness  form to pay your Health Fitness Facilities payment Related Agency: Department of Defense National Defense University

Use NDU Health Fitness  form to pay your Health Fitness Facilities payment Related Agency: Department of Defense National Defense University.

This Request For An Accounting of Disclosures order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient.

This REQUEST FOR REVOCATION OF RESTRICTION(S) 45 CFR 164.522(a) order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient.

This Request For Restriction(s) order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient.

This Request for Confidential Communication by Alternate Means or to an Alternate Location order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient.

This Order For Health Services order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient. order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient. order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient.

This authorization for use OR DisClosure Of health Information order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient. order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient. order for health services form used by a Health Care Provider to submit a claim for payment(s) of delivered health care services to an IHS patient.

The Secretary of Health and Human Services is adopting rules to implement certain aspects of the Patient Safety and Quality Improvement Act of 2005, Pub. L. 109–41, 42 U.S.C. 299b– 21—b–26 (Patient Safety Act). The final rule establishes a framework by which hospitals, doctors, and other health care providers may voluntarily report information to Patient Safety Organizations (PSOs), on a privileged and confidential basis, for the aggregation and analysis of patient safety events. The final rule outlines the requirements that entities must meet to become PSOs and the processes by which the Secretary will review and accept certifications and list PSOs. It also describes the privilege and confidentiality protections for the information that is assembled and developed by providers and PSOs, the exceptions to these privilege and confidentiality protections, and the procedures for the imposition of civil money penalties for the knowing or reckless impermissible disclosure of patient safety work product.

Effective Date: The final rule is effective on January 19, 2009.

The Minister of Health has, in terms of section 61(1)(c) of the Health Professions Act, 1974 (Act No. 56 of 1974), in consultation with the Health Professions Council of South Africa, made the regulations in the Schedule.

Significant gains have been made in highlighting the need for best practice in hand hygiene over the last four years. The reduction in MRSA bacteraemia can in part be attributed to the concerted action across the NHS. However, to maintain this and other improvements it is vital that hand hygiene remains high on the patient safety agenda. Improving the hand hygiene of healthcare staff at the point of patient care will reduce healthcare associated infection (HCAI). Hands are a repository for microorganisms that can cause infection. Healthcare staff in all healthcare settings have the greatest chance of transferring these as they move between patients, or different care activities for the same patient. ational and international studies continue to reinforce the fact that infection rates can be significantly reduced, by at least 15 per cent, where a multi-modal strategy has been introduced to improve hand hygiene.1, 2, 3, 4 Significant progress has been made, however hand hygiene compliance still remains lower than it should be.
 

The Department of Homeland Security (DHS) is amending its 
regulations governing representation and appearances by, and 
professional conduct of, practitioners in immigration practice before 
its components to: Conform the grounds of discipline and procedures 
regulations with those promulgated by the Department of Justice (DOJ); 
clarify who is authorized to represent applicants and petitioners in 
cases before DHS; remove duplicative rules, procedures, and authority; 
improve the clarity and uniformity of the existing regulations; make 
technical and procedural changes; and conform terminology. This rule 
enhances the integrity of the immigration adjudication process by 
updating and clarifying the regulation of professional conduct of 
immigration practitioners who practice before DHS.

Effective Date : March 4, 2010

This final rule adopts updated versions of the standards for electronic transactions originally adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This final rule also adopts a transaction standard for Medicaid pharmacy subrogation. In addition, this final rule adopts two standards for billing retail pharmacy supplies and professional services, and clarifies who the ‘‘senders’’ and ‘‘receivers’’ are in the descriptions of certain transactions

Effective Date: This rule is effective March 17, 2009