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Skilled Nursing Arbitration Agreements Are Back with Restrictions – CMS Issues Final Regulations on Skilled Nursing Arbitration Agreements

[08/14/19]

Posted on August 14, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On July 18, 2019, the Centers for Medicare & Medicaid Services (“CMS”) published final regulations titled “Medicare and Medicaid Programs; Revision of Requirements for Long-Term Care Facilities: Arbitration Agreements” (“Final Regulations”) to Part 483 to Title 42 of the Code of Federal Regulations the Requirements for States and Long-Term Care Facilities. The Final Regulations... READ MORE

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Stakeholders Asked and CMS Listened – Agency Proposes to Modify Stark Law Advisory Opinion Process

[08/13/19]

Posted on August 13, 2019 in Health Law News

Published by: Hall Render

In the recently issued Physician Fee Schedule Proposed Rule for Calendar Year 2020, the Centers for Medicare & Medicaid Services (“CMS”) proposed several revisions to its Stark Law advisory opinion process. These proposed revisions follow CMS’s receipt of several stakeholder comments in response to its Request for Information Regarding the Physician Self-Referral Law published... 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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Evaluating Ligature Risk Prevention Requirements and Regulations: The Challenges of Protecting Patients Without Restricting Access

[07/22/19]

Posted on July 22, 2019 in Health Law News

Published by: Hall Render

Effective July 1, 2019, The Joint Commission (“TJC”) implemented new and revised requirements regarding suicide prevention for all TJC-accredited hospitals and behavioral health entities. The seven new and revised requirements, part of TJC’s elements of performance (“EPs”) under National Patient Safety Goal (“NPSG”) 15.01.01, are designed to improve quality and safety of care for... READ MORE

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CMS Proposes One-Year Delay for Certain Phase 3 Skilled Nursing Requirements – Changes Made to Compliance and Ethics Programs and Quality Assurance and Performance Improvement Programs

[07/17/19]

Posted on July 17, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On July 16, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released a pre-publication copy of the revisions (“Proposed Rule”) to Part 483 to Title 42 of the Code of Federal Regulations the Requirements for States and Long-Term Care Facilities (“RoPs”). CMS stated that it identified a number of existing skilled nursing facility... READ MORE

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Countdown to Phase 3 Skilled Nursing Compliance Programs – Component #8 – Respond and Take Corrective Action

[07/15/19]

Posted on July 15, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

This is another article in a series discussing the complete overhaul of Part 483 to Title 42 of the Code of Federal Regulations the Requirements for States and Long-Term Care Facilities (“Final Regulations”) by the Centers for Medicare & Medicaid Services (“CMS”). To view other articles in this series, click here. Beginning on November 28,... READ MORE

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Additional Telehealth Benefits Coming to Medicare Advantage in 2020

[07/12/19]

Posted on July 12, 2019 in Health Law News

Published by: Hall Render

Thanks to a final rule issued by the Centers for Medicare & Medicaid Services (“CMS”) this spring, Medicare Advantage (“MA”) plans will now be able to offer additional telehealth benefits to enrollees starting in 2020. Historically, MA plans have been able to offer more telehealth services compared to Original Medicare as part of their... READ MORE

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Countdown to Phase 3 Skilled Nursing Compliance Programs – Component #7 – Consistent Enforcement of Discipline Procedures

[06/28/19]

Posted on June 28, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

This is another article in a series discussing the complete overhaul of Part 483 to Title 42 of the Code of Federal Regulations the Requirements for States and Long-Term Care Facilities (“Final Regulations”) by the Centers for Medicare & Medicaid Services (“CMS”). To view other articles in this series, click here. Beginning on November 28,... READ MORE

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Countdown to Phase 3 Skilled Nursing Compliance Programs – Component #6 – Auditing and Monitoring Procedures to Promote Compliance

[06/21/19]

Posted on June 21, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

This is another article in a series discussing the complete overhaul of Part 483 to Title 42 of the Code of Federal Regulations the Requirements for States and Long-Term Care Facilities (“Final Regulations”) by the Centers for Medicare & Medicaid Services (“CMS”). To view other articles in this series, click here. Beginning on November 28,... READ MORE

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Staff Training and Policy Reviews Needed: OIG Finds Skilled Nursing Facilities Failing to Report and Investigate Incidents of Potential Abuse and Neglect

[06/14/19]

Posted on June 14, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

Most skilled nursing facilities and state survey agencies are not correctly reporting and investigating abuse and neglect incidents that occur against skilled nursing residents, according to the June 7, 2019, Office of the Inspector General (“OIG”) of the U.S. Department of Health and Human Services report titled Incidents of Potential Abuse and Neglect at Skilled Nursing... READ MORE

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