OIG Report Could Trigger Increased CMS Oversight of Skilled Nursing Facilities
The U.S. Department of Health & Human Services ("HHS") Office of Inspector General ("OIG") recently issued a preliminary report regarding quality of care concerns at skilled nursing facilities ("SNFs"). The report was issued in connection with the OIG's ongoing review of potential abuse and neglect of Medicare beneficiaries in SNFs. Read More ›
Categories: Long Term Care, Medicare/Medicaid
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OIG Recommends Audits of Meaningful Use Incentive Payments
In order to encourage health providers to use electronic medical records (“EHRs”) in lieu of paper records, Congress passed the Medicare and Medicaid Health Information Technology for Economic and Clinical Health Act (“HITECH Act”) in 2009. Read More ›
Categories: HITECH Act, Medicare/Medicaid
HHS Office for Civil Rights Publishes Checklist for HIPAA Covered Entities Responding to Cybersecurity Incidents
The U.S. Department of Health and Human Service's Office for Civil Rights ("OCR") recently published guidance for entities covered by HIPAA, entitled "My entity just experienced a cyber-attack! What do we do now?" Read More ›
Categories: Cybersecurity, Digital Assets, Electronic Health Records, Fraud & Abuse, HIPAA
CMS Extends Home Health Agency Enrollment Moratorium for Six Months
The Centers for Medicare & Medicaid Services ("CMS") recently extended the temporary moratorium on the Medicare enrollment of new home health agencies ("HHAs"), subunits, and branch locations in Michigan. Read More ›
Categories: Medicare/Medicaid, Providers
CMS Delays Enforcement of Nursing Home Mega Rule
The Centers for Medicare & Medicaid Services ("CMS") recently announced that they will delay enforcement penalties related to Phase 2 of their revised nursing home Requirements for Participation (commonly referred to in the industry as the "Mega Rule"). Read More ›
Categories: Compliance, Long Term Care, Medicare/Medicaid, News & Events, Providers
Top Health Care Trends in 2017-Part 1: Pricing and Reimbursement
For the past decade, health care has remained one of the most tumultuous and dynamic industries; uncertainty, along with opportunity, are likely to continue in 2017. This three-part series will discuss some of the most important health care trends. This section will focus on some of the largest factors affecting costs and reimbursement in health care: 1) MACRA Implementation; 2) Medicaid Reimbursement; 3) Shifting Payment Models; and 4) Drug Pricing. Read More ›
Categories: Medicare/Medicaid, Pharmacy, Providers
Michigan Health Care Providers May Now Prescribe Controlled Substances via Telemedicine
Governor Snyder recently signed into law Public Act 22 (Senate Bill 213), which revises the 2016 telehealth bill to clarify that health professionals in Michigan may prescribe controlled substances without an in-person examination. Michigan now joins a growing number of states that allow health professionals to prescribe controlled substances via telemedicine. Read More ›
Categories: Physicians, Technology
CMS Releases 2018 Inpatient PPS Proposed Rule
On April 14, 2017, the Centers for Medicare & Medicaid Services issued its 2018 Medicare Inpatient Prospective Payment System proposed rule (the “Proposed Rule”). The Proposed Rule was published in the Federal Register on April 28, 2017, and comments will be accepted through June 13, 2017.
The Proposed Rule suggests a number of changes that would affect hospital rates, inpatient quality reporting and readmissions reduction programs. Some of the most significant changes are highlighted below. Read More ›
Categories: Compliance, Medicare/Medicaid, Providers
What’s Next After Health Care Bill’s Failure in Congress?
Despite controlling the presidency, and both houses of Congress, the Republican’s bid to repeal and replace the Affordable Care Act (ACA) failed. The Republican’s replacement bill - the American Health Care Act (AHCA) - was pulled before proceeding to a vote in the U.S. House of Representatives, as it apparently lacked the votes to pass. Here’s what businesses need to know now that this (first?) attempt to repeal the ACA failed. Read More ›
Categories: Compliance, Insurance
Obamacare Repeal and Replacement Plan- What does it mean for Employers?
Late in the afternoon on March 6, two committees of the U.S. House of Representatives introduced legislation that would replace and repeal significant portions of the Patient Protection and Affordable Care Act, also known as the ACA or Obamacare. The new legislation, titled the American Health Care Act, addresses a number of key complaints that have been raised by employers since the ACA's implementation. Several provisions of the new legislation that are of particular interest to employers are described briefly below. Read More ›
Categories: Employment, Health Care Reform, Providers
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