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Centers for Medicare & Medicaid Services

Skilled Nursing Facilities: Compliance Lessons from Kirkland, Washington

[03/31/20]

Posted on March 31, 2020 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On March 23, 2020, Centers for Medicare & Medicaid Services (“CMS”) announced the preliminary results of a recent survey of a nursing home in Kirkland, Washington, the epicenter of the COVID-19 outbreak in Washington. According to a Centers for Disease Control and Prevention (“CDC”) report, 81 residents, 34 staff and 14 visitors also became... READ MORE

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Do SNFs, HHAs and Hospice Providers Need Individual Section 1135 Waivers for COVID-19 Activities?

[03/20/20]

Posted on March 20, 2020 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On March 13, 2020, Secretary Azar of the Department of Health and Human Services (the “HHS”) issued a letter titled “Waiver or Modification of Requirements Under Section 1135 of the Social Security Act” (the “Azar Letter”) that grants the Centers for Medicare & Medicaid Services (the “CMS”) the authority to issue waivers specific to... READ MORE

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COVID-19 Guidance for Home Health Agencies

[03/18/20]

Posted on March 18, 2020 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On March 10, 2020, the Quality, Safety & Oversight Group at the Centers for Medicare & Medicaid Services (“CMS”) issued a memorandum entitled “Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (“COVID-19”) in Home Health Agencies (“HHAs”)” (“QSO Memo”) that announced recommendations for HHAs regarding taking appropriate action to address potential and confirmed COVID-19... READ MORE

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CMS Offers COVID-19 Guidance and Flexibility to PACE Programs

[03/18/20]

Posted on March 18, 2020 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

On March 17, 2020, the Centers for Medicare & Medicaid Services (“CMS”) issued a memorandum titled “Information for PACE Organizations Regarding Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19)” (“CMS Memo”) that announced COVID‑19 guidance for Programs of All-Inclusive Care for the Elderly (“PACE”) program organizations (“PACE Organization”). The PACE program is a... READ MORE

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CMS Memo Offers Additional Revised COVID-19 Guidance for Skilled Nursing Facilities

[03/16/20]

Posted on March 16, 2020 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On March 13, 2020, the Quality, Safety & Oversight Group at the Centers for Medicare & Medicaid Services (“CMS”) issued a second revision of a memorandum entitled “Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (“COVID-19”) in nursing homes (REVISED)” (“QSO Memo”) that announced recommendations for skilled nursing facilities (“SNFs”) regarding restricting visitors, transfers... READ MORE

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CMS Suspends Most Non-Emergency Inspections Across the United States with Goal to Focus on Infectious Diseases and Abuse

[03/06/20]

Posted on March 6, 2020 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On March 4, 2020, the Quality, Safety & Oversight Group at the Centers for Medicare & Medicaid Services (“CMS”) issued a memorandum entitled “Suspension of Survey Activities” (“QSO Memo”) to announce that it is suspending non-emergency inspections across the United States so that inspectors may focus on infectious diseases and abuse. CMS states this... READ MORE

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Emergency! OIG SNF Audits Reveal Failure to Comply with Life Safety and Emergency Preparedness Regulations

[02/13/20]

Posted on February 13, 2020 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

Most skilled nursing facilities are not correctly complying with life safety requirements or emergency preparedness requirements, according to three recent reports by the Office of the Inspector General (“OIG”) of the U.S. Department of Health and Human Services. OIG recently issued three reports on its audits of life safety requirements or emergency preparedness requirements:... READ MORE

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MIPS Targeted Review Request Deadline September 30

[09/05/19]

Posted on September 5, 2019 in Health Law News

Published by: Hall Render

CMS recently posted reminders regarding the availability of MIPS final scores and the deadline to request review if an error has been made: “If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes your MIPS final score and payment adjustment factor(s), are available for review on the Quality... READ MORE

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CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services – What You Need to Know

[08/02/19]

Posted on August 2, 2019 in Health Law News

Published by: Hall Render

On July 29, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for Calendar Year (“CY”) 2020 Hospital Outpatient Prospective Payment System (“Proposed Rule”). Among many other changes, CMS proposed three key payment policy updates impacting hospital outpatient departments, including: (1) lowering the supervision standard for hospital outpatient therapeutic services... READ MORE

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D.C. Court Decides Medicare 340B Program Payment Reduction Lawsuit Remedy: Spoiler Alert – The End Is Not Here

[05/08/19]

Posted on May 8, 2019 in Health Law News

Published by: Hall Render

On May 6, 2019, the United States District Court in Washington, D.C. issued its opinion on the appropriate remedy to address the invalidated payment cuts set forth in the 2018 and 2019 Outpatient Prospective Payment System final rules (“2018 and 2019 OPPS Rules”) for drugs purchased under the 340B drug discount program (“340B Program”).... READ MORE

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