News & Analysis as of

Hospitals Acute Facilities

Bass, Berry & Sims PLC

CMS Finalizes New Mandatory Value-Based Payment Initiative: The Transforming Episode Accountability Model

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On August 28, as part of its Fiscal Year 2025 Hospital Inpatient Prospective Payment System (IPPS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the Transforming Episode Accountability Model (TEAM)...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - August 2024

I. Certificate of Need Program - A. Contested Case: AL2023-022, Affinity Orthopaedic ASC, LLC, Jefferson County, AL: Proposes to develop an ambulatory surgery center (ASC) concentrating on orthopaedic surgery on the...more

McCarter & English, LLP

New Jersey Statutory Update Part I

Every year, the New Jersey legislature passes statutes that impact healthcare beyond rate increases under the Medicaid program. Last year was no different, and the discussion below highlights some of those statutes, such as...more

Manatt, Phelps & Phillips, LLP

Examining the Financial Structure and Performance of Rhode Island’s Acute Hospitals and Health Systems

This study summarizes research conducted on behalf of the Rhode Island Foundation and partner organizations in early 2024....more

Nossaman LLP

Deadline Approaching for California Hospitals to Meet Seismic Requirements

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On January 17, 1994, a 6.7 magnitude earthquake struck Northridge, California, resulting in thousands of casualties and approximately $60 billion in damages and economic loss. Hospitals within the impacted area suffered...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - February 2024

I. Certificate of Need Program - A. Project Modification Request - AL2022-009, East Alabama Health Care Authority d/b/a East Alabama Medical Center (EAMC), Lee County, AL: The project modification request involves a...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - October 2023

I. Certificate of Need Program - A. AL2023-014, Medplex Outpatient Surgery Center, Ltd., Hoover, AL: Proposes to relocate the existing facility by constructing a new ambulatory surgery center (ASC) approximately two (2)...more

McDermott+

McDermottPlus Check-Up: August 4, 2023

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Congress is officially in recess for the month of August and will return after Labor Day. On the regulatory front, the Centers for Medicare & Medicaid Services (CMS) released the final fiscal year (FY) 2024 Inpatient...more

Nelson Mullins Riley & Scarborough LLP

North Carolina Health Planning Update for 2024: Summer Petitions Have Been Filed

As we reported last month, the draft 2024 State Medical Facilities Plan (SMFP) was released on July 3, 2023. The SMFP is North Carolina’s key health planning document in which the State publishes need determinations for...more

Health Care Compliance Association (HCCA)

Adding some spice to your compliance program

Every quarter, each acute care hospital that is paid under the Inpatient Prospective Payment System has access to an Excel workbook that contains valuable information about your hospital’s compliance with myriad Medicare...more

McDermott Will & Emery

Special Report - CMS Unwinds Waivers as the COvid-19 PHE Comes to an End

McDermott Will & Emery on

At the onset of the COVID-19 PHE, CMS was permitted to issue several temporary emergency statutory and regulatory waivers to help providers appropriately respond to the pandemic. On May 1, 2023, the Secretary released a memo...more

Bradley Arant Boult Cummings LLP

Alabama CON Report - January 2023

I. Certificate of Need Program - A. AL2022-010, Hand in Hand Therapy & Tutoring, LLC, Fairhope, AL: Proposes to add speech therapy services at an already existing occupational therapy clinic. Opposition: None. Approved. ...more

Nelson Mullins Riley & Scarborough LLP

The 2023 North Carolina State Medical Facilities Plan is Here – Time to Get Ready for 2024!

The arrival of a new year in North Carolina brings a new State Medical Facilities Plan (“SMFP”). The SMFP is the annual planning document issued by the North Carolina Department of Health and Human Services, and signed by the...more

Bass, Berry & Sims PLC

OIG Approves Hospital Provision of Nurse Practitioner Services in Advisory Opinion

The Office of Inspector General (OIG) for the U.S. Department of Health and Human Services recently posted Advisory Opinion 22-20, approving an acute care hospital’s arrangement under which its employed nurse practitioners...more

Nelson Mullins Riley & Scarborough LLP

The 2023 SMFP is Here: Strong Growth Ahead in North Carolina

The arrival of a new year in North Carolina brings with it a new State Medical Facilities Plan (“SMFP”). The SMFP is the annual planning document issued by the North Carolina Department of Health and Human Services, and...more

Katten Muchin Rosenman LLP

Joint Commission Eliminates 56 Acute Care Hospital Accreditation Standards

Effective February 19, 2023, The Joint Commission is eliminating 56 acute care hospital accreditations and revising four others. The explanation for these changes is set forth in quote provided below. Included among the...more

McDermott Will & Emery

10 Things Providers Should Know About California’s Data Exchange Framework

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By January 31, 2023, general acute care hospitals, clinical labs and certain physician organizations and medical groups in California are required to enter into the Single Data Sharing Agreement (DSA) to participate in the...more

Williams Mullen

Opportunity Knocks As North Carolina Anticipates First Look at New Health Care Plan and Entertains Petitions

Williams Mullen on

On March 2, the State Health Coordinating Council officially kicked off a new year of planning for development of new health care facilities, services, and equipment for North Carolina. A range of Petitions were filed seeking...more

Steptoe & Johnson PLLC

CMS Provides Relief to Hospitals Through Acute Hospital Care at Home Initiative

When the surge of COVID-19 patients threatened to strain the nation’s health care systems, the Centers for Medicare & Medicaid Services (“CMS”) implemented the Acute Hospital Care at Home Program, or Hospitalization at Home...more

Epstein Becker & Green

Podcast: What Is the Future of the Acute Care Hospital Industry? - Diagnosing Health Care

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As 2021 nears a close, acute care hospitals and health systems are facing a host of financial, regulatory, and legislative challenges. In this special episode of Diagnosing Health Care, Rick Pollack, President and CEO of the...more

Health Care Compliance Association (HCCA)

CMS offers correct billing tips for nonphysician outpatient services provided before or during inpatient stays

Compliance Today (March 2021) - The Centers for Medicare & Medicaid Services (CMS) has provided the following compliance notice: “In a recent report, the Office of Inspector General (OIG) determined that Medicare made...more

Benesch

Dialysis & Nephrology Digest - January 2021 #2

Benesch on

CMS to reprocess excepted off-campus provider-based outpatient claims following court ruling - CMS says it’ll begin reprocessing claims for outpatient clinic visit services provided at excepted off-campus provider-based...more

King & Spalding

Health Plan Responsibility to Pay for Hospital Inpatient Care When Members Await Placement at Post-Acute Facilities

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Hospitals that attempt to discharge a patient to a post-acute level of care but are not able to because they cannot find an appropriate accepting facility must continue providing care if the patient cannot be safely...more

Health Care Compliance Association (HCCA)

[Webinar] OIG Work Plan & Other Federal Compliance Guidelines – 2019 Year-End Review - December 10th, 12th, 16th, 12:00 pm CT

2019 has seen a major focus by federal departments on effective compliance programs at hospitals, clinics, and home health/hospice care. Get the OIG and other government updates you need as a compliance professional or...more

Bricker Graydon LLP

Post-Acute Providers Beware: Providing Free Staff Or Services To Hospitals Could Land You In Hot Water…Or Worse!

Bricker Graydon LLP on

The federal Anti-Kickback Statute prohibits the practice of knowingly and willfully offering, paying or receiving anything of value to encourage the referral of, or the recommendation of or arranging for the referral of,...more

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