Articles and Blogs

compliance

OIG Strategic Plan and Next Steps for Organizations to Prepare

[06/03/20]

Posted on June 3, 2020 in COVID-19 Daily Updates, Health Law News

Published by: Hall Render

On May 21, 2020, Hall Render published “Providers Beware: Avoiding the Pitfalls in Regulatory Flexibilities and Relief Funds.” On May 26, 2020, OIG published “OIG Strategic Plan: Oversight of COVID-19 Response and Recovery.” To those who follow health care compliance and enforcement issues closely, the OIG document should come as no surprise. Over the... READ MORE

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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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COVID-19’s Implications for EMTALA Compliance

[03/30/20]

Posted on March 30, 2020 in Health Law News

Published by: Hall Render

As COVID-19 continues to spread rapidly across the United States, emergency departments regardless of hospital size or location are being inundated with patients seeking emergency care. Providers have begun to question how they can fulfill their obligations to perform emergency screenings, stabilization and transfers in compliance with the Emergency Medical Treatment and Labor Act... READ MORE

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HIPAA Compliance Deficiencies and Failure to Comply with OCR’s Technical Assistance Leads to $100,000 Settlement

[03/12/20]

Posted on March 12, 2020 in Health Information Technology

Published by: Hall Render

On March 3, 2020, the Health and Human Services Office for Civil Rights (“OCR”) announced a $100,000 settlement with a physician practice (“Practice”) that it found to be significantly out of compliance with the requirements of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). While OCR was investigating the Practice’s complaint against... READ MORE

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DOJ’S 2019 False Claims Act Recoveries Total More Than $3 Billion

[01/15/20]

Posted on January 15, 2020 in Compliance, Health Law News

Published by: Hall Render

On January 9, 2020, the Department of Justice (“DOJ”) announced that it collected over $3 billion in settlements and judgments under the False Claims Act (“FCA”) in the federal fiscal year 2019. The FCA has historically been the government’s primary tool for combatting perceived fraud, waste and abuse in the health care system, and... READ MORE

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California Law Update: Changes to Firearm Laws for Assisted Living Facilities

[10/31/19]

Posted on October 31, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

On October 12, 2019, Governor Gavin Newsom signed California Senate Bill 172 into law (“Act”). The Act, known as the “Keep Our Seniors Safe Act,” makes changes to California’s Health and Safety Code by adding firearm storage requirements for firearms that are held by California residential care facilities for the elderly, more commonly known... READ MORE

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Next Up for Patient Driven Payment Model? Key Legal and Compliance Considerations Ahead for PDPM

[10/08/19]

Posted on October 8, 2019 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

With the October 1, 2019 beginning date now past for Patient Driven Payment Model (“PDPM”), the new skilled nursing case-mix classification mode under the Skilled Nursing Facility Prospective Payment System (“SNF PPS”) for classifying SNF patients in a covered Medicare Part A stay, providers need to consider several key legal and compliance program considerations... READ MORE

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New DOJ Guidance for Antitrust Compliance Programs: Why Health Care Entities Need Antitrust Focus

[09/20/19]

Posted on September 20, 2019 in Compliance, Health Law News

Published by: Hall Render

On July 11, 2019, the Antitrust Division of the DOJ (“Division”) announced a new initiative aimed at encouraging robust corporate antitrust compliance programs. The Division’s initiative incentivizes compliance programs by establishing that firms charged criminally for antitrust violations will be given credit in charging and sentencing recommendations if they have effective corporate antitrust compliance... 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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