CIS Compliance Blog

By: | On: March 4, 2015 | In: CIS Compliance Blog
The laws and regulations of the healthcare industry grow more numerous and nuanced each year. Individual states have their own laws and requirements separate from federal mandates, and the flood of regulator updates, clarifications, drafts, and final rules shows no sign of letting up. With so many documents released...
By: | On: February 23, 2015 | In: CIS Compliance Blog | Government Programs
The TRICARE Retail Refund Team distributed a draft TRICARE Retail Refund Program Manufacturer Policy and Procedures Guide and corresponding Feedback Form on Friday, February 6, 2015. Manufacturers were asked to submit feedback no later than close of business today, Friday, February 20, 2015. Click here to view the comments...
If you are a manufacturer, you may have seen a recent letter or email from the state of Maine regarding the annual $500 fee. This program was put in place in 2011 due to the reduced funding in the drug trial and drug marketing programs, which was partially offset...
By: | On: February 18, 2015 | In: CIS Compliance Blog | Government Programs
The Defense Health Agency hosted a TRICARE Webinar on Thursday, January 29, 2015. The webinar focused on high level components of the TRICARE Retail Refund program.  The highlight of the call was DHA’s announcement of a new, formal Manufacturer Policy and Procedures Guide and the agency’s request for comments...
By: | On: February 12, 2015 | In: CIS Compliance Blog | Government Programs
CMS recently announced updates associated with the Medicare Part D Coverage Gap Discount Program Dispute and Appeal Process.   This update comes on the heels of another recent announcement of significant changes to the direct payment process (brief summary below). The dispute updates remove certain dispute codes rarely applied...
Many states are in the process of reviewing and adjusting their reimbursement methodologies.  North Carolina announced in January that they would start using NADAC (National Average Drug Acquisition Cost) as the basis of their reimbursement.  If you are not familiar with the NADAC refer to the following link –...
By: | On: February 9, 2015 | In: CIS Compliance Blog | Government Programs
The Defense Health Agency (DHA) hosted a TRICARE Webinar for manufacturers on January 29, 2015. DHA officials discussed high level/summary aspects of the TRICARE Retail Refund program, covering topics that ranged from program background to appropriate use of “Waiver” and “Compromise”.  The presentation lasted less than an hour, and,...
By: | On: February 9, 2015 | In: CIS Compliance Blog | Government Programs
It is nearly March again, and although spring is decidedly not in the air, it is not too early to make plans to attend the CIS Advanced GP Forum on the IIR Government Programs Summit Pre-Conference day, March 23rd. This forum has grown and evolved over the years.  It...
We are in for another year of interesting updates around Medicaid Expansion.  It was announced on January 27th, 2015 that the Indiana HIP 2 waiver to expand Medicaid was approved.  It only took seven months of negotiations with the federal government for them to iron out what would be...
By: | On: February 2, 2015 | In: CIS Compliance Blog | Commercial Compliance
Manufacturers must report quarterly on their transfers of value made to advance practice registered nurses (APRNs) practicing in Connecticut. This group includes nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives. APRNs are excluded from the reporting obligations under the Federal Physician Payments Sunshine Act, but Connecticut passed...