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Report on Medicare Compliance Volume 30, Number 13. News Briefs: April 2021 | Health Care Compliance Association (HCCA)



Because of the COVID-19 pandemic, CMS said April 1 that it won’t update the 855 enrollment form with sections on “affiliation disclosures,” as planned in a 2019 program integrity regulation,
[1]
MLN Matters (SE21003).
[2] It also will adopt a phased-in approach to affiliation disclosures. The regulation, which implements provisions of the Affordable Care Act, is designed to keep, or kick, providers out of Medicare if they pose an “undue risk” of fraud, waste or abuse. It requires providers to disclose “affiliations” with other providers who have been suspended or excluded from Medicare, Medicaid or the Children’s Health Insurance Program (CHIP); owe the programs money; or had their billing privileges denied or revoked. ....

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Artia Solutions Announces Formation of New Partner: The Garner Group


Artia Solutions Announces Formation of New Partner: The Garner Group
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The Garner Group
TALLAHASSEE, Fla. (PRWEB)
April 08, 2021
Artia Solutions, LLC, today announced the formation of The Garner Group. The Garner Group is a consulting and lobbying firm that uniquely specializes in direct advocacy on health policy issues in the political and regulatory environment.
The Garner Group exists to guide clients by identifying key options and solutions in order for clients to confidently navigate and influence public and governmental healthcare policies and policymakers, while mitigating any risk of policy adoption delays.
“Today’s Medicaid marketplace demands innovation in order to execute successful pharmaceutical access strategies,” said George Kitchens, CEO of Artia Solutions. “The Garner Group is part of a strategic initiative that, together with Artia Solutions, will pr ....

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Texas and Louisiana Sue Biden Administration Over Treatment of Immigrant Felons


The states claim the Department of Homeland Security is letting dangerous immigrant felons roam free, rather than picking them up from prisons and jails to deport them.
Detainees walk with their hands clasped behind their backs along a line painted on a walkway inside the Winn Correctional Center in Winnfield, La., on Sept. 26, 2019. (AP Photo/Gerald Herbert)
(CN) Texas and Louisiana sued the Biden administration Tuesday in federal court, claiming the Department of Homeland Security is not issuing detainer requests for immigrants imprisoned on felony convictions, which means they are being released from custody after serving their time instead of deported. ....

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With tens of thousands of kids without insurance, Utah lawmakers want state to step up


Deseret News
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Scott G Winterton, Deseret News
SALT LAKE CITY Citing a rising rate in the number of uninsured children 87,000 in Utah two lawmakers are hoping the state will open its wallet to fund efforts to get health care coverage for all kids.
“We are a state that deeply cares for kids,” SB158 sponsor Senate Minority Whip Luz Escamilla, D-Salt Lake City, said Tuesday during a virtual news conference with lawmakers and the nonprofit group Voices for Utah Children.
And yet “we have one of the highest rates of uninsurance when it comes to children,” she said. ....

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