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OIG and CMS Audits Present New Round of Compliance Concerns for Healthcare Providers

McBrayer Law Blog

More > Tags: Audit , Centers for Medicare & Medicaid Services , CMS , COVID-19 , Healthcare Compliance Issues , Medicaid , Medicare , regulatory compliance. Just as the pandemic may finally be easing, federal focus on use of COVID-19 resources promises to increase healthcare providers’ stress.

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Pandemic Pivot to Telemedicine Creates New Compliance Issues for Healthcare Providers

McBrayer Law Blog

In April of 2019, the Centers of Medicare and Medicaid Service (CMS) finalized rules to increase telehealth benefits for Medicare Advantage enrollees, effectively incentivizing health systems with high numbers of private Medicare plan recipients to invest in telehealth services.

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Malnutrition Diagnosis Codes: The Compliance Danger You’re Not Taking Seriously Enough

McBrayer Law Blog

The Centers for Medicare & Medicaid Services ("CMS") also plans to implement review practices for malnutrition coding on a sample of inpatient claims. The increased payer audits will result in severe financial damage for hospitals and other MS-DRG applicable entities if they do not mitigate coding and documentation risks.

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SCOTUS Blocks OSHA ETS; Healthcare Mandate Moves Forward

McBrayer Law Blog

The Court upheld, however, a similar rule for healthcare employers contracted with the Centers for Medicare and Medicaid Services (“CMS”) as further outlined below.

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WEBINAR - RHCs and FQHCs: What You Need to Know NOW about New CMS Regulations on Vaccine Mandates

McBrayer Law Blog

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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Skilled Nursing Compliance Update: CMS Hands Surveyors Revised Details on How to Review the Staff Vaccine Requirement

Hall Render

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. Key Surveyor Guidance Revisions. Key Surveyor Guidance Revisions. Enforcement. Surveyor Review.

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Healthcare Providers Take Notice: AMA Updates E/M Codes for 2021

McBrayer Law Blog

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.