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3 Apr 2020, 9:24 am
The FBI arrested Santos in late March 2020 and charged him with conspiring to violate the Anti-Kickback Statute and conspiracy to commit health care fraud. [read post]
3 Apr 2020, 7:50 am
The OCR provides examples of good faith uses or disclosures: the Centers for Disease Control and Prevention (CDC), or a similar public health authority at the state level, for the purpose of preventing or controlling the spread of COVID-19, consistent with 45 CFR 164.512(b). the Centers for Medicare and Medicaid Services (CMS), or a similar health oversight agency at the state level, for the purpose of overseeing and providing assistance for the… [read post]
2 Apr 2020, 9:05 pm
CMS Administrator Seema Verma called the relaxation of current health care delivery requirements an “unprecedented” effort to allow frontline providers to “focus on patient care in the most flexible and innovative ways possible. [read post]
2 Apr 2020, 2:04 pm
The CMS is working hard to provide the guidance nursing homes need to protect their residents. [read post]
31 Mar 2020, 8:45 pm
Property and Casualty Insurance Alaska: On March 28th, the Alaska Legislature passed SB 241 which among other things, establishes COVID-19 as an occupational disease for firefighters, emergency medical technicians, paramedics, peace officers, and health care providers. [read post]
31 Mar 2020, 5:09 pm
The post COVID-19 Update: CMS Issues Wide Ranging Blanket Waivers to Assist Providers appeared first on Health Law Pulse. [read post]
31 Mar 2020, 9:01 am
CMS is also waiving the requirement for patients in the hospital to be under the care of a physician. [read post]
31 Mar 2020, 9:00 am
Read More › Tags: Health Care Reform, Hospitals, Medicare/Medicaid [read post]
31 Mar 2020, 8:38 am
Sections 3212 – 3213, Reauthorizations of HRSA Rural Development and Telehealth Network Grant Programs: The Act reauthorizes HRSA’s Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement grant programs, as well as the Telehealth Network and Telehealth Resource Center grant programs. [read post]
30 Mar 2020, 3:07 pm
On March 23, 2020, Texas Attorney General, Ken Paxton, warned all licensed health care professionals and all licensed health care facilities, including abortion providers, that they must postpone all surgeries and procedures that are not immediately medically necessary. [read post]
30 Mar 2020, 8:40 am
However, the NTAP system is limited not only to the Medicare program but also even further to inpatient care, meaning that these payments would not be available to doctors prescribing these products to patients who are not eligible for Medicare or who are being treated on an outpatient basis.Second, CMS’s Coverage with Evidence Development (CED) program permits the agency to provide reimbursement for a particular technology or service even if a clinical benefit… [read post]
30 Mar 2020, 8:15 am
Among other things, it added requirements for non-group health plans – workers’ compensation, no-fault, and liability (what CMS calls Responsible Reporting Entities, or RREs) – to electronically submit information about claims involving Medicare beneficiaries to CMS. [read post]
30 Mar 2020, 7:49 am
The post COVID-19 Update: CMS Publishes Fact Sheet Describing Process for Providers and Suppliers Seeking CARES Act Medicare Accelerated and Advance Payments appeared first on Health Law Pulse. [read post]
Loosening the Rules on Telehealth to Fight Coronavirus May Also Result in New Medicare Fraud Schemes
27 Mar 2020, 11:55 am
Specifically, on March 18, 2020, the FCC waived Rural Health Care (RHC) and E-Rate program rules to permit telecommunication providers to offer, and eligible healthcare providers to solicit and accept, various gifts, including but not limited to free upgrades to connections, connected devices, equipment, and other services for RHC program participants who provide care via telemedicine. [read post]
27 Mar 2020, 8:39 am
Please also see the additional information below on CMS provider enrollment waivers. [read post]
27 Mar 2020, 7:53 am
Health care providers should exercise caution before entering into business relationships with laboratories, pharmacies and other ancillary service providers who are marketing purported cures or treatment regimens for COVID-19. [read post]
26 Mar 2020, 2:21 pm
CMS recently indicated that it would not be enforcing the requirement that a provider have an established relationship with a patient. [read post]
26 Mar 2020, 7:43 am
See AHIP, “Health Insurance Providers Respond to Coronavirus (COVID-19)”, available at https://www.ahip.org/health-insurance-providers-respond-to-coronavirus-covid-19/? [read post]
26 Mar 2020, 6:30 am
In this unprecedented moment for our country, hospitals and health systems should be able to devote full attention to their health care missions without fear of penalty. [read post]
25 Mar 2020, 3:41 pm
Therefore, providers may furnish care to more than one beneficiary and may treat multiple instances of care over a 180-day period as long as the other four criteria have been met. [read post]
