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Legal & Regulatory Issues

A group of House Democrats has introduced legislation to delay penalties for not purchasing health insurance under the Patient Protection and Affordable Care Act until the HHS Office of Inspector General certifies the federal exchange website is fully operational.

The Senate Finance and House Ways and Means committees have crafted a proposal that would repeal and replace Medicare's sustainable growth rate, the formula the program uses to determine physician reimbursement rates.

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HHS has issued guidance clarifying that qualified health plans, programs related to the federally facilitated marketplaces and other programs under Title I of the Patient Protection and Affordable Care Act aren't considered federal healthcare programs.

Mary Washington Hospital in Fredericksburg, Va., will have to repay $327,180 in Medicare funds to the government after an audit found the hospital did not comply with several billing requirements, according to a report from the HHS Office of Inspector…

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