- Posts by Colin P. McCarthyOf Counsel
Colin McCarthy is a healthcare regulatory attorney with more than 15 years of experience advising healthcare providers on compliance, reimbursement, and operational matters. Based in Richmond, Virginia, he advises clients ...
Medicare is the single largest payer for health care services in the United States. In FY 2023, the Medicare program spent an estimated $1.0 trillion to provide health care services for approximately 66 million elderly and disabled individuals, processing over 1 billion transactions from more than 1.4 million health care providers. When the Centers for Medicare & Medicaid Services (CMS) revokes a provider’s billing privileges, the consequences can be immediate and severe — cutting off revenue, triggering reputational damage, and in some cases, barring the provider from ...
Every healthcare provider—from solo practitioners to large health systems—faces a complex web of federal and state regulations. Whether it's Medicare billing rules, the Stark Law, the Anti-Kickback Statute, HIPAA privacy requirements, or state licensing regulations, the regulatory landscape is vast and constantly evolving. An effective compliance program isn't just a defensive measure against government enforcement—it's a strategic tool that protects your organization, improves operations, and demonstrates your commitment to quality care.
The Office of ...
Healthcare providers subject to HIPAA must revise their Notice of Privacy Practices (NPP) by February 16, 2026, to comply with recent federal regulatory changes. The changes align substance use disorder (SUD) record confidentiality with HIPAA/HITECH rules to improve care coordination. Failure to update your NPP by the deadline could result in noncompliance with federal privacy regulations.
What Changed and Why
The Department of Health and Human Services published amendments to the HIPAA Privacy Rule in April 2024, taking effect February 16, 2026. The principal objective is ...
