[03/27/13]
Posted on March 27, 2013 in HR Insights for Health Care
Written by: Stephen W. Lyman
What Employers Need to Know about the Fair Credit Reporting Act If you use a third party to conduct background checks, then you have probably heard of the Fair Credit Reporting Act (“FCRA”). The FCRA is a federal law that imposes several very specific obligations on employers who use third parties to conduct background... READ MORE
Tags: background, Fair Credit Reporting Act, FCRA
[03/22/13]
Posted on March 22, 2013 in Federal Advocacy
Written by: John Williams
Congress Avoids Government Shutdown, Continues Work on Budget On March 20, the U.S. Senate approved a $984 billion continuing resolution (“CR”) that will fund the government through September 30, 2013, the end of the 2013 Fiscal Year. The bill is similar to the bill that passed the House earlier in the week and is... READ MORE
[03/22/13]
Posted on March 22, 2013 in Health Law News
Published by: Hall Render
U.S. Customs and Border Protection (“CBP”) announced today that it has submitted a rule to the Federal Register that will automate Form I-94 Arrival/Departure Record. Automation of the current paper-based process will streamline the admissions protocol for individuals lawfully visiting the United States. The automation means that affected visitors will no longer need to... READ MORE
[03/22/13]
Posted on March 22, 2013 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
During yesterday’s Open Door Forum, Jeanette Kranacs, the Director of the Division of Institutional Post-Acute Care for the Centers for Medicare and Medicaid Services (“CMS”) commented that CMS will not be issuing instructions to surveyors on evaluating compliance and ethics programs until the regulations have been promulgated. CMS was required to have final regulations and various tools in place as of... READ MORE
Tags: ACA, billing, bufford, cms, compliance, ethics, improvement, jent, long term care, nf, oig, PPACA, program, qapi, regulation, rug, sebelius, selby, snf
[03/20/13]
Posted on March 20, 2013 in Long-Term Care, Home Health & Hospice
Written by: Selby, Todd J.
On March 19, 2013, the Centers for Medicare & Medicaid Services’ (“CMS”) Final Rule regarding notification and relocation requirements for closing a long-term care (“LTC”) facility was published in the Federal Register. Under the new requirements, 60 days prior to the closure of an LTC facility, the administrator must provide written notice to the... READ MORE
Tags: ACA, administrator, bufford, closure, cmp, cms, facility, hhs, long term care, Medicaid/Medicare Enrollment and Regulatory Compliance, nf, nursing home, selby, snf
[03/19/13]
Posted on March 19, 2013 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Medicare Payment Advisory Commission’s (“MedPAC”) recent Report to Congress included a chapter dedicated to skilled nursing facilities (“SNFs”), which MedPAC reports received $31 billion in Medicare reimbursement in 2011. Recently, SNFs have been under pressure from repeated reimbursement cuts; however, MedPAC’s analysis states that SNF reimbursement is adequate. READ MORE
Tags: bufford, jent, long term care, Medicaid/Medicare Enrollment and Regulatory Compliance, MedPAC, nf, nursing facility, reimbursement, rug, selby, skilled, snf, therapy
[03/18/13]
Posted on March 18, 2013 in Health Law News
Published by: Hall Render
In Laska v. General Casualty Company of Wisconsin, No. 2010AP2410, slip op. (WI App Mar. 14, 2013), the Wisconsin Court of Appeals held that charitable hospitals may, instead of billing Medicare for treatment of a patient, pursue payment by filing a statutory lien against any tort claims and any settlement or judgment resulting from... READ MORE
[03/18/13]
Posted on March 18, 2013 in False Claims Act Defense
Written by: David B. Honig
Executive Summary On March 13, 2013, CMS concurrently released an immediately effective administrative ruling (“CMS Ruling 1455-R” or “Ruling”) and a proposed rule (“Proposed Rule”) reversing CMS policy precluding hospitals from billing on an outpatient basis for inpatient services denied payment on grounds the services should have been provided on an outpatient basis. Under... READ MORE
Tags: cms, denied, False Claims Act, inpatient, Medciare, outpatient, rebill, rule
[03/18/13]
Posted on March 18, 2013 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Medicare Payment Advisory Commission’s (“MedPAC”) March 25th Report to Congress outlines inefficiencies they believe exist in the post-acute world and lead to excessive Medicare payments to providers. MedPAC recommendations include Congress evaluate post-acute provider reimbursement and encourage use of the lowest cost mix of services necessary to achieve the best outcomes. READ MORE
Tags: bufford, congress, hha, Home Health, Hospice, jent, long term care, ltch, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, MedPAC, pps, provider, quality, rehab, reimbursement, report, selby, snf
[03/18/13]
Posted on March 18, 2013 in Health Information Technology
Written by: William A. Dummett
Governmental and nonprofit health care providers may begin applying for funding under the Federal Communications Commission Rural Health Care Program on Monday, April 8 for funding year 2013 (July 1, 2013 – June 30, 2014). The Rural Health Care program provides funding to governmental and nonprofit eligible health care providers for telecommunications services, including broadband, necessary... READ MORE
Tags: FCC, Healthcare Connect Fund, USAC, USF