CMS Medicare FFS Provider e-News

Mandatory Payment Reductions in the Medicare Fee-for-Service (FFS) Program – “Sequestration”

See the news release here.

March 12th, 2013

Report Small Breaches by March 1st

HIPAA covered entities have through Friday, March 1, 2013, to report small breaches of unsecured protected health information that occurred in calendar year 2012 to the U.S. Department of Health and Human Services (HHS). A small breach is one that involves fewer than 500 individuals.

Report breaches here.

February 27th, 2013

WakeMed Raleigh Campus Corporate Integrity Agreement

WakeMed Raleigh Campus (including all divisions/entities operating under WakeMed Raleigh Campus’ Medicare Provider Number) (WakeMed) hereby enters into this Corporate Integrity Agreement (CIA) with the Office of Inspector General (OIG) of the United States Department of Health and Human Services (BBS) to promote compliance with the statutes, regulations, and written directives of Medicare, Medicaid, and all other Federal health care programs (as defined in 42 U.s.C. § 1320a~7b(f)) (Federal health care program requirements). Contemporaneously with this CIA, WakeMed is entering into a Settlement Agreement and Deferred Prosecution Agreement with the United States.

Read entire agreement here.

February 8th, 2013

Countdown to Affordable Health Insurance

By Kathleen Sebelius, Secretary of Health and Human Services

January is the perfect month for looking forward to new and great things around the corner.

I’m feeling that way about the new Health Insurance Marketplace. Anticipation is building, and this month we start an important countdown, first to October 1, 2013, when open enrollment begins, and continuing on to January 1, 2014, the start of new health insurance coverage for millions of Americans. In October, many of you’ll be able to shop for health insurance that meets your needs at the new Marketplace at

Read the entire article here.

January 28th, 2013


The U.S. Department of Health and Human Services (HHS) moved forward today to strengthen the privacy and security protections for health information established under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Read the entire article here.

January 21st, 2013

HHS Issues Letter to Providers on Disclosures to Avert Threats to Health or Safety

HHS has issued a letter to health care providers to ensure that they are aware of their ability under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule to take action, consistent with their ethical standards or other legal obligations, to disclose necessary information about a patient to law enforcement, family members of the patient, or other persons, when they believe the patient presents a serious danger to himself or other people.

Read the letter here.

January 18th, 2013

$3 Billion Settlement Reached With GlaxoSmithKline

The Justice Department announces that GlaxoSmithKline LLC (GSK) agrees to plead guilty and to pay $3 billion to resolve its criminal and civil liability due to the company’s unlawful promotion of certain prescription drugs, its lack of reporting certain safety data, and its civil liability for alleged false price reporting practices.

Find more information here.

July 2nd, 2012

Alaska Medicaid Settles HIPAA Security Case for $1,700,000

The Alaska Department of Health and Social Services (DHSS), agrees to pay the U.S. Department of Health and Human Services’ (HHS) $1,700,000 to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule.

Find the entire artilce here.

July 2nd, 2012

HIPAA Privacy & Security Audit Program

OCR pilots a program to perform audits of covered entities to determine privacy and security compliance.

Read entire article and information here.

July 2nd, 2012

Consumer Rights to Medical Records

The Department of Health and Human Services posts reminder for consumers of their rights with respect to accessing their medical records.

Read the entire posting here.

July 2nd, 2012

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