by Dr. Mark Pastin | Mar 27, 2020 | COVID-19, News
Generally, Medicare Advantage Organizations (MAOs) maintain provider networks and either limit an enrollee’s ability to obtain Medicare-covered services from out-of-network providers or charge enrollees more when they receive services from out-of-network providers.
On March 10, 2020, CMS released guidance for MAOs (as well as for Part D sponsors) regarding certain obligations as well as permitted flexibilities related to disasters and emergencies resulting from COVID-19.
by Dr. Mark Pastin | Mar 25, 2020 | COVID-19, News
The Health Ethics Trust is pleased to present a series of briefings addressing compliance issues related to the COVID-19 crisis. Specifically, we thought it would be useful to set out some of the recent guidance provided by CMS, OCR, and the CDC, among others, to...
by Dr. Mark Pastin | Sep 20, 2018 | News
The Annual Best Compliance Practices Forum is upon us (October 15-16; DC Metro) and it will be an exciting Forum. Eleven Best Practices have been selected from all submissions nationally. Best Practices are selected by a panel of senior compliance professionals who...
by Dr. Mark Pastin | Sep 6, 2018 | News
The Annual Best Compliance Practices Forum is upon us (October 15-16; DC Metro) and it will be an exciting Forum. Ten to twelve Best Practices will be selected from all submissions nationally with five Best Practices already approved. Best Practices are selected by a...
by Dr. Mark Pastin | Jan 31, 2018 | News
The Washington Executive Course Overview: The Washington Executive Course is offered to senior compliance professionals of organizations, business units (hospital, health plan, region) or business lines (behavioral health, home care, hospice, commercial health plan,...
by Dr. Mark Pastin | May 26, 2017 | News
While submissions are coming in, many potential submitters have asked for more time to assemble their submissions. With this in mind, we are extending the submission deadline for the Annual Healthcare Best Compliance Practices Forum until August 15 provided that the...
by Dr. Mark Pastin | Jun 25, 2015 | News
In collaboration with UPMC Insurance Services Division, the Health Ethics Trust held its second annual National Symposium on Quality and Compliance (NSQC) on June 8-9 in Pittsburgh, PA. Over the two-day event, 11 presentations from an accomplished and diverse faculty...
by Dr. Mark Pastin | May 28, 2015 | News
The HHS Office of Inspector General today released its Work Plan Mid-Year Update for Fiscal Year 2015 which according to the OIG website, “summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations...
by Dr. Mark Pastin | Mar 2, 2015 | News
You may enjoy this article from the Report on Medicare Compliance in which Mark Pastin discusses hurdles that compliance officers often face. Click this link to view the article: Report on Medicare Compliance
by Dr. Mark Pastin | Dec 16, 2014 | News
HET President Mark Pastin discusses the potential impact of making an ethical mistakes in the workplace as part of the Leadership Lab series in The Globe and Mail newspaper. It is often far harder to recover from an ethics mistake than an ordinary mistake. While an...
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