MedTrainer

MAY 4, 2023

That includes many compliance professionals. There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start. The Department of Health and Human Services (HHS) is ending the vaccination requirement, which is one less item on your compliance list!

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Public Health Compliance COVID-19 COVID-19 Vaccine 52

Hall Render

OCTOBER 31, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has retooled guidance it armed surveyors with regarding how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements. Vaccination Enforcement – Flexibility. Key Surveyor Guidance Revisions. Key Surveyor Guidance Revisions.

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Medisys Compliance

APRIL 20, 2022

On 4 th April 2022, the Centers for Medicare & Medicaid Services (CMS) announced it will pay for a second COVID-19 booster shot of either the Pfizer-BioNTech or Moderna COVID-19 vaccines without cost sharing as it continues to provide coverage for this critical protection from the virus.

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Verisys

JUNE 13, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. It finalizes requirements to provide education about COVID-19 vaccines, and to offer vaccines to residents, clients, and staff. See below for changes from several states introducing legislation.

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COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Health Law RX

APRIL 27, 2023

To soften the transition, OCR is providing a 90-calendar-day period (ending on August 9, 2023, at 11:59 pm) to give covered entities and business associates relying on the telehealth services notification additional time to come into full compliance with the HIPAA rules. There is not a similar transition period for the other notifications.

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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

Hall Render

JANUARY 31, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has armed surveyors with detailed instructions on how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements. The surveyor’s Entrance Conference Worksheet update includes COVID-19 Vaccine review and COVID-19 Staff Vaccination Matrix.

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HIPAA Journal

JUNE 26, 2023

In the context of HIPAA enforcement discretion, the Secretary can waive sanctions and penalties that result from non-compliance with the following standards of the Privacy Rule: 164.510 – Uses and disclosures of Protected Health Information requiring an opportunity for the individual to agree or object.

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YouCompli

APRIL 5, 2023

How Compliance Can Leverage the OIG’s 7 Elements and HHS Roadmap With the end of the COVID-19 Public Health Emergency (PHE) coming in May, many healthcare compliance leaders are in the process of slowly returning their organizations to normal. Be sure to implement ongoing staff education programs.

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Hall Render

JANUARY 14, 2022

In a January 13 statement , CMS clarified that the decision would not change the compliance deadlines for health care employers in the 25 states, territories and the District of Columbia, where the CMS IFR was already in effect.

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Provider Trust

AUGUST 9, 2023

Through collaborative efforts with partners such as the Department of Justice (DOJ), Medicaid Fraud Control Units (MFCUs), and various federal, state, and local law enforcement agencies, the OIG employs a comprehensive and data-driven approach to detect, investigate, and prosecute instances of fraud.

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Nursing Homes COVID-19 Fraud Medicaid 52

Bill of Health

SEPTEMBER 9, 2022

patchwork ” system of incarceration, ultimately fall far short of the extensive regulatory framework governing Medicare/Medicaid, which shapes health care for over 83 million people in the U.S. health law and policy is the exclusion of people in custody in prisons, jails, and detention centers from Medicaid.

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Healthcare Law Today

JANUARY 20, 2022

As previously reported , on November 4, 2021 the Centers for Medicare and Medicaid (CMS) issued an Interim Final Rule (the CMS Rule) requiring most Medicare and Medicaid certified providers and suppliers to vaccinate staff members within 60 days. CMS has, however, modified the original compliance dates for the mandate.

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Health Law Gurus

DECEMBER 31, 2020

During the COVID-19 Public Health Emergency, the Centers for Medicare and Medicaid Services (the “CMS”) relaxed some rules to expand access to telehealth, including through audio-only communication platforms. With the COVID-19 vaccine rollout, the public health emergency is expected to be brought to an end.

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Telemedicine COVID-19 Vaccine COVID-19 Public Health 52

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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Hall Render

MAY 2, 2023

CMS expects all providers to be in compliance with the requirements for PASARR with all admissions taking place after May 11, 2023. The F-Tag associated with this regulation is F-884. The CMS Memo confirmed that this waiver will end at the end of the PHE. Three-Day Prior Hospitalization/Qualifying Hospital Stay.

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Nursing Homes Public Health Nurses COVID-19 40

Compliance Now

JANUARY 14, 2022

On January 13, 2022, the Supreme Court of the United States (SCOTUS) voted to block the continued enforcement of the federal Occupational Safety and Health Administration’s Emergency Temporary Standard (ETS) requiring large employers to either require all employees to obtain their COVID–19 vaccinations or submit to weekly virus testing.

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Hall Render

JUNE 30, 2023

for physician referral scheme In Los Angeles, hospital CEO pay could be capped Kaiser Permanente ratings affirmed amid healthy financial profile Nurses vote ‘no confidence’ in California hospital administration, board Nursing facility, management company settle physician kickback allegations for $3.8M

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AIHC

FEBRUARY 2, 2022

A separate program, the HRSA COVID-19 Coverage Assistance Fund, is available to reimburse providers for COVID-19 vaccine administration to underinsured individuals whose health plan either does not include COVID-19 vaccination as a covered benefit or covers COVID-19 vaccine administration but with cost-sharing.

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Hall Render

FEBRUARY 18, 2022

CMS may now enforce its COVID-19 vaccination policy for healthcare workers in all 50 states. CMS responds to states seeking vaccination mandate waivers. Federal vaccination mandate begins for healthcare workers in 24 states. Only 14% of Hospitals Met Price Transparency Rule Compliance. The future St.

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Health Law Advisor

MAY 3, 2022

DOJ’s enforcement action covers a broad range of alleged schemes, including misappropriation of Provider Relief Fund (PRF) payments for personal use, manufacture and distribution of fake COVID-19 vaccination record cards, and billing for health care services that were either unnecessary or never provided. 2] See id. [3]

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COVID-19 Fraud COVID-19 Vaccine Medicaid 52

HIT Consultant

OCTOBER 20, 2021

Additionally, singled out specifically, COVID-19 vaccinations will now be required for all healthcare workers at Long-Term Care facilities who serve Medicare and Medicaid enrollees. (No No reimbursement from Medicare/Medicaid unless all workers are fully vaccinated.)

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Hall Render

MAY 2, 2023

Employers should be aware of the changes coming and evaluate whether any changes to their plans are warranted to align plan administration and compliance with the pre-NE regime. With the expiration of the PHE, these requirements will also end.

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Public Health COVID-19 COVID-19 Vaccine ACA 40

New Jersey Healthcare Blog

JULY 22, 2022

509(a), Governor Murphy issued an Executive Order updating and clarifying timeframes for requiring covered workers at health care facilities and high-risk congregate settings to be up-to-date with their COVID-19 vaccinations, including having received a booster shot. On April 4, 2022, at 54 N.J.R. See Executive Order No.

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COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

MARCH 3, 2023

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M

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Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing?

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US Department of Health and Human Services Nursing Homes Nurses COVID-19 40

Healthcare Law Blog

JANUARY 11, 2022

Centene noted that for Centene Medicare members, the inpatient utilization trend was higher than 60%, but lower than 60% for Medicaid and Marketplace members. According to Lloyd Dean, CommonSpirit Health CEO, CommonSpirit Health’s COVID census was nearing what it had been at the Delta peak. billion in net income in the first ½ of 2021.

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COVID-19 Medicare Medicare COVID-19 Vaccine 52

Total Medical Compliance Resources

APRIL 14, 2023

Diagnosis code education: The Centers for Medicare and Medicaid developed educational materials for providers so they can use the new ICD-10 code for Long COVID. Staff are trained on Long COVID guidance and resources, and the DIAL has since provided assistance to nearly 80,000 people with disabilities.

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Governance COVID-19 Department of Veterans Affairs COVID-19 Vaccine 59

Hall Render

MAY 19, 2023

Chicago system names COO CommonSpirit’s operating losses swell, sparking job cuts Illinois hospital agrees to pay $12.5 operating loss in Q2 As RI legislators near session’s end, compromise on expensive proposals looks inevitable ‘It is wrong’: Charlesgate workers ask state to keep nursing home open.

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Nurses COVID-19 Hospitals Nursing Homes 40

HIPAA Journal

DECEMBER 14, 2022

The Centers for Medicare and Medicaid Services (CMS) also published an interoperability rule in March 2020 that applies to Medicare- and Medicaid-participating short-term acute care hospitals, long-term care hospitals, rehabilitation hospitals, psychiatric hospitals, children’s hospitals, cancer hospitals, and critical access hospitals (CAHs).

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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. Verification.

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Hall Render

MAY 5, 2023

Health systems ‘taking a breath’ on major construction projects HHS to drop COVID-19 vaccine rule for hospitals HHS to Start Unwinding COVID-19 Vaccine Requirement How Are Health Care Organizations Working on DEI Efforts? of Iowa Health Care denies sharing patient data with Facebook, but are they right?

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US Department of Health and Human Services COVID-19 Nurses Hospitals 40

Hall Render

OCTOBER 20, 2023

nursing home advocate: industry in ‘death spiral’ from lack of health care providers, low pay Georgia medical center named one of the ‘most beautiful hospitals in the U.S.’ Maryland hospitals have ways to help them stop. grant to train 140 ‘complex care’ nurses Health Foundation of Central Mass.

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COVID-19 Vaccine Nursing Homes COVID-19 Nurses 40

Hall Render

JULY 8, 2022

CMS issues updated nursing home staffing compliance guidelines. Report: Arizona hospitals not in full compliance with pricing transparency laws. COVID-19 weekly update: Cases increase by 20,198 as 28% of weekly tests return positive. Hospital Can Sue Illinois to Enforce Medicaid Pay, Court Says. MASSACHUSETTS.

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US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

JULY 1, 2022

Arizona Medicaid Director Points to Success of Supportive Housing. Balderas Joins $230M Settlement Against Pharmaceutical Company Over Allegations Of Medicaid Fraud. Report: Arizona hospitals not in full compliance with pricing transparency laws. COVID hospitalizations on the rise in Mississippi. for COVID-19 response.

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US Department of Health and Human Services COVID-19 Nurses Hospitals 40

HIPAA Journal

JANUARY 9, 2023

Such major HIPAA updates placed a significant burden on HIPAA-covered entities and considerable time and effort were required to introduce new policies and procedures to ensure continued HIPAA compliance. What is certain is HIPAA officers and other compliance staff will have a busy few months when the Final Rule is published.

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Hall Render

MARCH 22, 2024

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

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Nursing Homes US Department of Health and Human Services Nurses Hospitals 40