Bill of Health

SEPTEMBER 9, 2022

Centers for Disease Control and Prevention’s failed responses to COVID-19, ranging from “testing to data to communications,” have prompted a call to reorganize the agency. Even as thousands of Americans continued to die from COVID, the Health Resources and Services Administration stopped accepting claims submitted under this program.

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Healthcare It News

OCTOBER 13, 2022

The new Microsoft Cloud for Healthcare tools have been designed to address provider burdens and facilitate proactive patient care, according to an October 12 Microsoft Health blog post by Tom McGuiness, corporate vice president of Microsoft's Worldwide Health. LARGER TREND.

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Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”).

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Bill of Health

FEBRUARY 28, 2023

Nicole Huberfeld has long advocated even greater federalization of Medicaid because the traditional cooperative federalism frame serves neither the program beneficiaries nor federalism values well. This was accomplished by the U.S. Supreme Court also ended this order.

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McBrayer Law Blog

FEBRUARY 23, 2022

COVID-19 has placed enormous stress on our healthcare system. Federal and state responses to COVID-19 have woven a complex and complicated safety net by easing regulatory requirements through waivers and funneling billions of dollars to providers among many other actions.

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Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

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Healthcare Law Blog

SEPTEMBER 6, 2022

In response to the COVID-19 Public Health Emergency (the “PHE”), the Centers for Medicare and Medicaid Services (“CMS”) issued numerous “blanket waivers” to increase access to medical services, and ease the regulatory burden on providers across the health care industry.

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Health Care Law Brief

OCTOBER 27, 2021

Although the COVID-19 pandemic is still active worldwide, health care industry leaders and regulators have already begun to think about how to implement post-pandemic changes to health care delivery based on lessons learned during the global emergency of the past year and a half.

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Bill of Health

FEBRUARY 27, 2023

OSHA , which limited federal authority to regulate worker safety with COVID-19 vaccination requirements. Medicaid expansion remains incomplete because the Medicaid Act dates to 1965 and has never had a fallback. The Court did so by building on decisions like National Federation of Independent Business v.

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Hall Render

JULY 28, 2023

Starting on August 1, 2023, Medicare validation edits will be activated to require service location addresses on the UB-04 hospital claim form to match exactly with the service location enrolled in Medicare’s Provider Enrollment, Chain, and Ownership System (“PECOS”).

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New Jersey Healthcare Blog

MARCH 3, 2021

On February 26, 2021, the Centers for Medicare & Medicaid Services, Department of Labor and Department of Treasury issued guidance removing barriers to COVID-19 diagnostic testing and vaccinations and strengthening requirements that plans and issuers cover diagnostic testing without cost sharing.

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McBrayer Law Blog

JANUARY 14, 2022

Posted In COVID-19 , Department of Health and Human Services (HHS) , Mandatory vaccination policies Thursday afternoon, the United States Supreme Court ruled to block the Emergency Temporary Standard (ETS) issued by the U.S.

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Healthcare IT News - Telehealth

FEBRUARY 18, 2021

A Health Affairs study found that telemedicine use during the COVID-19 pandemic was lower in communities with higher rates of poverty – suggesting that the industry must address the digital divide in order to ensure widespread access to virtual care. During the COVID-19 period of the study, researchers found that 30.1%

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Healthcare Law Blog

JANUARY 31, 2023

This blog is the second installment of our Digital Health Trends series. Overview Digital health services have exploded since the onset of the COVID-19 pandemic, and behavioral health services have seen large increases in utilization. billion in the first three quarters of 2022. [ii]

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YouCompli

MARCH 29, 2023

CMS Updates to beneficiary PHE waivers that matter to healthcare compliance Sharon Parsley, JD, MBA, CHC, CHRC, contributes regularly to the YouCompli blog. In this article, she discusses several issues that hospitals and health systems need to consider as a result of the scheduled end of the COVID-19 public health emergency.

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Public Health COVID-19 COVID-19 Vaccine Medicare 52

Healthcare Law Blog

DECEMBER 19, 2022

Addressing Declines in COVID-19 Vaccination Rates and COVID-19 Treatment. A pre-Thanksgiving analysis of this data revealed that just 45% of SNF residents and 23% of SNF staff were up-to-date with COVID-19 vaccines and boosters. [i]. Education for Staff Regarding Up-To-Date Vaccinations and Boosters.

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Health Law Attorney

APRIL 22, 2021

The Act extends the temporary suspension of certain mandatory Medicare FFS claim payment reductions until December 31, 2021. In response to the COVID-19 pandemic, Congress passed the Coronavirus Aid, Relief, and Economic Security (“ CARES ”) Act in March 2020. Continue Reading ?.

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Health Law Attorney

DECEMBER 18, 2020

The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Physician Fee Schedule ( PFS ) Final Rule. By way of background, the Trump Administration had greatly expanded telehealth as a means to counteract the spread of COVID-19 during the COVID-19 public health emergency ( PHE ).

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Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). This option is available for five years and ends on March 31, 2027.

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Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

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McBrayer Law Blog

SEPTEMBER 28, 2021

Posted In COVID-19 , Health Care Fraud , Healthcare Regulation , Telehealth The shift to telemedicine in the United States predates the pandemic, but COVID-19 has accelerated its widespread use.

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Hall Render

JANUARY 6, 2022

Nursing homes face possible citations, civil monetary penalties, denial of payments and—as a final measure—termination of participation from the Medicare and Medicaid programs by the Centers for Medicare & Medicaid Services (“CMS”) as they embark on complying with the new CMS COVID-19 vaccine requirements for their staff.

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Healthcare Law Blog

FEBRUARY 22, 2023

The Rebate Programs are administered as part of the prescription drug affordability provisions of the Inflation Reduction Act (the “IRA”), which is aimed at “lower[ing] out-of-pocket drug costs for people with Medicare and improv[ing] the sustainability of the Medicare program for current and future generations.” [1]

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McBrayer Law Blog

FEBRUARY 8, 2022

Posted In Centers for Medicare & Medicaid Services (“CMS”) , COVID-19 , Mandatory vaccination policies More > Tags: Centers for Medicare & Medicaid Services , CMS , COVID-19 , employer mandate , Healthcare Compliance Issues , Healthcare Provider , Healthcare Providers , Mandatory vaccination.

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Health Law RX

NOVEMBER 5, 2021

The first rule, issued by the Occupational Safety and Health Administration (the “OSHA Rule”), will require private employers with 100 or more employees to ensure that each of their workers is either fully vaccinated, or tests negative for COVID-19 at least once per week. The OSHA Rule. and wear a face covering.” Verification.

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McBrayer Law Blog

DECEMBER 6, 2021

More > Tags: CMS , coronavirus , COVID-19 , Healthcare Organizations , Healthcare Provider , Healthcare Providers , hospitals , Mandatory vaccination. Here’s what healthcare employers need to know.

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Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

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Provider Trust

AUGUST 9, 2023

This post will delve into the key highlights, focus areas, and accomplishments presented in the semiannual report, shedding light on the OIG’s crucial role in safeguarding the integrity of federal healthcare programs and addressing emerging challenges such as the COVID-19 pandemic.

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Health Law Attorney

DECEMBER 18, 2020

The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Outpatient Prospective Payment System ( OPPS ) and Ambulatory Surgical Center ( ASC ) Final Rule, which may be accessed here. CMS will be phasing the IPO list out over the next three years, with the IPO being completely phased out by CY 2024.

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Hall Render

MAY 9, 2022

Last week, the American Hospital Association released a report on the impact of COVID-19 on hospitals’ operating margins. Hall Render blog posts and articles are intended for informational purposes only. The cost of staffing, drugs and supplies have had a significant impact on hospital margins.

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McBrayer Law Blog

APRIL 16, 2021

Posted In Centers for Medicare & Medicaid Services (“CMS”) , Code Enforcement , Medicare In addition to staying up to date on the constantly changing landscape of COVID-19 requirements, healthcare providers must also stay well-informed of industry changes unrelated to the pandemic.

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Hall Render

JUNE 5, 2023

On May 31, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a final rule (“Final Rule”) that withdraws the COVID vaccine requirement for health care workers of Medicare-certified and Medicaid-certified long-term care facilities (“LTC Facilities”).

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Hall Render

MAY 11, 2023

Following CDC Recommendations In the CMS Visitation Memo, CMS emphasized that during any future COVID-19 outbreak among residents or staff, the facilities are to adhere to the infection control regulations in 42 CFR §483.80 Hall Render blog posts and articles are intended for informational purposes only.

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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”).

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Healthcare Law Blog

JANUARY 14, 2022

On January 13, 2022, the United States Supreme Court upheld the Centers for Medicare & Medicaid Services (“CMS”) Interim Final Rule (the “Rule”) in a 5-4 decision, staying the preliminary injunctions issued for 24 states by the District Courts for the Eastern District of Missouri and the Western District of Louisiana.

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Bill of Health

FEBRUARY 10, 2023

That is why the ACA’s Medicaid expansion doesn’t exist in 11 states , why the penalties for failing to have insurance under the “individual mandate” has been set to $0.00. How do we imagine a better result to the next epidemic if our future leaders are no better prepared than those who didn’t do all that well against COVID-19?

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Healthcare IT Today

FEBRUARY 7, 2024

This requirement was relaxed by DEA and HHS early in the COVID-19 shutdown, but the old restrictions are set to return at the end of the 2024. Kelly says that a federal bill in 2021 required EPCS for Medicare prescriptions. Traditionally, the doctor has given a paper prescription to the patient, who delivers it to the pharmacy.

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