Articles and Blogs

Effective January 31, 2014, the Centers for Medicare & Medicaid Services (“CMS”) has issued a temporary moratoria for the enrollment of home health agencies in Fort Lauderdale, Florida; Detroit, Michigan; Dallas, Texas; and Houston, Texas.  CMS also announced it is extending the current enrollment moratoria in Chicago, Illinois and Miami, Florida for another six months. …Read More

Are you a Physician-Owned Hospital? Have you submitted your Hospital’s annual ownership and investment interest reporting data? Do you know that Physician-Owned Hospitals have until March 1, 2014 to report ownership and investment information required by the Affordable Care Act?

CMS announced last week that it is extending the deadline for eligible professionals to attest to meaningful use for the Medicare Electronic Health Record (“EHR”) Incentive Program 2013 reporting year from 11:59 PM ET on February 28, 2014 to 11:59 PM ET March 31, 2014.  This extension will allow more time for eligible professionals to submit their meaningful use…Read More

CMS Delays 2-Midnight Rule for Six Months Late on January 31, the Centers for Medicare and Medicaid Services (“CMS”) announced a further delay in the implementation of regulations known as the “2-Midnight Rule.”  As a result, Medicare Administrative Contractors (“MACs”) and other review contractors will not be permitted to perform post-payment “patient status reviews” of claims made…Read More

Recently, the Medicare Payment Advisory Commission (“MedPAC”) recommended that Congress reduce or eliminate the Medicare reimbursement differences between hospital-based departments and freestanding physician practices for certain services.  If Congress enacts legislation based on this recommendation, hospitals could see a decrease in Medicare revenue of 0.6% or $1.1 billion per year.

Executive Summary Recently, legislation was introduced in Congress that seeks to combat the growing problem of prescription drug abuse.  United States Representative Gus Bilirakis (R-FL), along with his co-sponsor Representative Ben Lujan (D-NM), introduced H.R. 3392, the Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013, in a bipartisan effort to strengthen…Read More

Here We Go Again, “Quickie Election II” As we predicted in our last post, “It’s Official – The NLRB’s “Quickie Election Rule” Is Rescinded,” the National Labor Relations Board (“NLRB”) announced on February 4, 2014 that it is issuing proposed amendments to its rules and regulations governing representation-case procedures. In substance, the proposed amendments are…Read More

Executive Summary On January 31, 2014, the Office of Inspector General (“OIG”) published its Work Plan for Fiscal Year (“FY”) 2014.  Normally, the OIG issues its Work Plan in early October to coincide with the beginning of its October 1 Fiscal Year. The Work Plan, which is published annually and describes the OIG’s new and ongoing…Read More

The Indiana Court of Appeals (“Court”) ruled that a daughter who signed a skilled nursing facility admissions agreement as her mother’s “responsible party” was not liable for her mother’s unpaid skilled nursing facility bill because the daughter did not have authority over her mother’s finances or access to her mother’s finances.

The Centers for Medicare and Medicaid Services (“CMS”) published important payment adjustment information this week for health care providers participating in the Medicare Electronic Health Records Incentive Program (“Incentive Program”). Eligible Professionals (“EPs”) participating in the Incentive Program may be subject to payment adjustments beginning January 1, 2015. CMS will determine the payment adjustment based on meaningful use data submitted prior to…Read More