Articles and Blogs

Executive Summary On May 17, 2013, the Centers for Medicare and Medicaid Services (“CMS”) published Change Request 8219 (Transmittal 465) (“CR 8219”) announcing new guidance on the use of rubber stamp signatures. For medical review purposes, Medicare requires providers to authenticate services provided or ordered with a handwritten or electronic signature. Currently, CMS does not…Read More

Paul Ryan Tells Hall Render Congress “Ready” to Reform SGR, but Questions Remain On Monday, House Budget Committee Chairman and Ways and Means Committee member Paul Ryan (R-WI) told John Williams, the head of Hall Render’s federal advocacy practice area, that Congress is “ready” to permanently reform the Sustainable Growth Rate (“SGR”) formula.  “We’re ready to…Read More

Adverse Inference from Deleted Evidence Litigation happens.  When it does, and sometimes even before it does, you need to be aware that, unless you take steps to preserve discoverable or relevant evidence such as emails, memos or data banks, a jury might be instructed by the court to assume that the deleted evidence was harmful…Read More

In November 2011, the Office of Inspector General (“OIG”) initiated a study regarding the use of atypical antipsychotic drugs in nursing homes.  The findings from the study indicated these types of drugs were being overprescribed to high-risk nursing home residents suffering from dementia; were being prescribed for uses not approved by the FDA; and were…Read More

Release and Waiver of Claims Can’t Release and Waive Too Much  Employee severance agreements often grant severance benefits conditioned upon the departing employee’s signing an agreement that includes a general waiver and release of all claims.  That’s a common and prudent practice.  However, a recent complaint filed by the EEOC shows that common release and…Read More

Introduction What Is  a Scribe?  A scribe is a documentation assistant.  A scribe records, in “real time,” facts and events that occur between a patient and a physician or other practitioner1 (“Physician”) during a patient encounter.  In a hospital emergency department, the scribe accompanies the Physician to the treatment area and records in the electronic or…Read More

Hall Render Launches Stark Law Correction Initiative On May 30, Hall Render announced the formation of a coalition of health systems to pursue changes to the Stark Law.  The coalition, known as the Stark Law Correction Initiative (“SLCI”), will lobby Congress to adopt a “technical noncompliance” amendment that will fix the monetary penalty a hospital…Read More

Please be advised that the Wisconsin Division of Quality Assurance (“DQA”) has requested your response on the new online automated caregiver background check process for the four-year renewal background checks requirements by May 31, 2013.

In the Case of a Director at an Acute Care Hospital the Answer Is No Employers covered by Title VII of the Civil Rights Act are required to reasonably accommodate the religious practices of employees as long as it doesn’t create an undue hardship on the employer’s operations. Was it discrimination for an acute care hospital…Read More

One of the more difficult tasks facing medical staff leadership is determining when and how to respond to complaints of unprofessional physician behavior. A physician’s clinical competence can be assessed objectively, relying on case reviews by physicians in the same specialty area and accepted standards of care. Conducting such reviews are well within the professional…Read More