Hall Render

MAY 2, 2023

COVID Regulations Impacted CMS issued several interim final rules during the PHE. Interim final rules are effective for a period of three years from the date of publication if CMS does not take further action. The CMS Memo addresses details on several interim final rules after the PHE ends. COVID Testing Requirements.

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Healthcare Law Blog

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). We’ve summarized some of the key changes in the Proposed Rule. Comments on due February 13, 2023. Star Ratings.

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Hall Render

JULY 12, 2023

For hospice programs deemed through a CMS-approved Accrediting Organization (“AO”), the AO would receive the IDR request from their deemed facility program, following the same process and coordinating with CMS regarding any enforcement actions. CMS’ goal is to select SFP hospices starting in 2024.

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Healthcare Law Blog

DECEMBER 15, 2022

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule , “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.

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Healthcare Law Blog

MAY 16, 2022

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). CMS proposed extending enrollee advisory committee requirements to D-SNPs.

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Healthcare Law Blog

JANUARY 11, 2023

Trying really hard not to start off with a “three health plans walk into a bar” joke…). Providers then share this coding with the health plans, which aggregate the data and submit it to CMS. It’s three things: Retroactivity – for what period will CMS be auditing under the new rule? Well, if you were at the 41st annual J.P.

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YouCompli

AUGUST 22, 2023

This is a major shift in coverage patterns – and with it comes a shift in compliance scrutiny as well. For example, in July 2023, a health care organization in Portland, Maine, agreed to pay $22,485,000 to resolve allegations that it violated the False Claims Act. However, there is also enforcement in the provider space.

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MedTrainer

NOVEMBER 27, 2023

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. Providers are responsible for staying up to date with these regulatory changes to maintain compliance.

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Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

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