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”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

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Medicare Medicare COVID-19 Medicaid 98

HIPAA Journal

DECEMBER 14, 2022

The CARES Act also allows SUD information to be shared with a public health authority if it is de-identified in accordance with HIPAA Rules. The compliance date for the CMS rule was July 1, 2021. The compliance date for the CMS rule was July 1, 2021. The current definition is when harm is “serious and imminent.”.

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HIPAA COVID-19 COVID-19 Vaccine Compliance 124

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. As a result, these flexibilities will be in place until at least Dec. 1, 2024.

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Payment Systems Public Health Medicare Medicare 106

Verisys

JULY 12, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. CO SB23-083 CO Medical Board Rule Updates Indiana: Legislation has been passed to amend the Indiana Code Concerning Health. Major changes to Medicaid credentialing are effective July 1, 2024. Here is our monthly regulatory update.

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Licensing COVID-19 Medicaid Medicaid 52

Healthcare Law Blog

JANUARY 26, 2023

The provisions also prohibit entities that receive federal funds from denying admission or discriminating against any applicant for training or study based on their reluctance or willingness to counsel, recommend, perform, or assist in certain health services or research activities because of their religious beliefs or moral convictions.

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ACA Medicaid Medicaid Compliance 105

Healthcare Law Blog

MARCH 3, 2023

This surge was facilitated, in part, by certain flexibilities authorized by the Centers for Medicare & Medicaid Services in its response to the public health emergency (“PHE”) declared in March of 2020 and which was repeatedly renewed until now. including the home of an individual. [2] including the home of an individual. [2]

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Fraud Nurses Telemedicine COVID-19 52

C&M Health Law

OCTOBER 18, 2023

Section 504 covers all health care and human services programs and activities funded by HHS, from providers, like hospitals and doctors that accept Medicare or Medicare, to state child welfare programs, as well as Medicare Advantage Plans, and Medicaid Managed Care Plans. Web and mobile accessibility.

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ADA COVID-19 Medicare Medicare 98

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”). Refining Definition for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 and 422.107).

Medicare 52

Medicare Medicare Medicaid Medicaid 52

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. A definition has been added for electronic health records. It is now 10 years since the last major HIPAA update took effect.

HIPAA 107

HIPAA COVID-19 COVID-19 Vaccine Compliance 107

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Medicare covers many telebehavioral and telemental health services including audio-only services.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Verisys

JUNE 13, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. Changes include: Definition updates. Here is our monthly regulatory update. See below for changes from several states introducing legislation.

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 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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COVID-19 Vaccine COVID-19 Nurses Compliance 40

AIHC

JUNE 22, 2022

This is where the provider is enrolled into the health plans that they would like to accept from their patients. If the provider is not enrolled in the plan, you will not be able to bill for services rendered, ESPECIALLY with Medicare and Medicaid. Code of Federal Regulations (CFR) comprising the Public Health Service Act.

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Medicaid Medicaid Due Diligence Medicare 52

Innovaare Compliance

MARCH 4, 2024

Until the enactment of the Medicare Modernization Act (MMA) in 2006 [1] , the Centers for Medicare & Medicaid Services does not cover most outpatient prescription drugs under Part B (“Part B drugs”). When a public health emergency (PHE) was in effect, CMS noticed that Part B versus Part D evaluation was omitted.

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Medicare Medicare Nurses Medicaid 52

Healthcare Law Today

NOVEMBER 9, 2022

” This new reimbursement is intended to further the Centers for Medicare and Medicaid Services’ (CMS) objectives in its 2022 Behavioral Health Strategy , with a particular focus on improving access to substance use disorder (SUD) prevention, treatment, and recovery services.

Medicare 52

Medicare Medicare COVID-19 Telemedicine 52

Health Law Advisor

AUGUST 10, 2023

4] This definition has been remarkably durable, because instead of focusing on a particular technology, it focuses on how products are intended to be used. 4] This definition has been remarkably durable, because instead of focusing on a particular technology, it focuses on how products are intended to be used. Very brief.

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FDA Licensing Hospitals Medicaid 98

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. Following a thorough review in compliance with Executive Order No.

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COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. Even developing this data may not be sufficient.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Hall Render

OCTOBER 20, 2023

Luke’s sign definitive agreement, close in on merger How Mayo Clinic Is Approaching Generative AI Risk Mitigation St. joint venture Hospitalist Companies Agree To Pay Nearly $4.4 1 start as federal regulators give final OK Pfizer to cut costs by $3.5B.

COVID-19 Vaccine 40

COVID-19 Vaccine Nursing Homes COVID-19 Nurses 40

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M operating margin, $1B net gain halfway through its first year Illinois public health officials warn of “rising COVID-19 activity” St.

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COVID-19 Nurses Nursing Homes Hospitals 40

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.

Governance 59

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

Redox

DECEMBER 4, 2020

As an aside, I definitely enjoyed Pfizer’s bump from 90% to 95% efficacy after Moderna’s announcement …yay for capitalism? Lisa is an excellent health tech policy follow, by the way). Even in jurisdictions with laws requiring children to be inoculated, places such as Alaska were seeing as high as 30% non-compliance.

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Public Health Governance Doctors Medicare 52

Health Populi

APRIL 27, 2023

The COVID-19 pandemic re-shaped European Union leaders to reimagine healthcare, public health, and health citizenship in the EU. Nonetheless, VP Schinas enthused, “Never before in the history of the EU are we able to do so much in the area of public health,” he explained. health citizen-consumers.

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Pharmaceutical Industry Public Health COVID-19 Governance 62

Drug & Device Law

JANUARY 16, 2022

It concern’s the Supreme Court’s 6-3 decision to permit the government to continue enforcement of its requirement that healthcare workers (at least those in facilities that accept Medicare/Medicaid, which is most of them) be vaccinated to avoid infecting themselves and their patients with COVID-19.

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