HHS sent notices to noncompliant physicians and facilities on March 10, 2022 giving them 30 days to return funds paid to healthcare providers who have not complied with the agency’s reporting requirements....more
There is almost universal agreement regarding predictions for 2022 federal enforcement in the following areas:
..The use of fraudulently obtained COVID relief funds in both healthcare and in general, but specifically as...more
1/20/2022
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Coronavirus/COVID-19 ,
Corporate Misconduct ,
Department of Justice (DOJ) ,
Enforcement ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Personal Liability ,
Physicians ,
Relief Measures ,
Yates Memorandum
Medical practices are now beginning to encounter Medicare payment claw backs by CMS for COVID Accelerated and Advanced Payments (CAAP) and Department of Justice (DOJ) prosecution for Paycheck Protection Program (PPP)...more
4/22/2021
/ Advanced Payment Program ,
Centers for Medicare & Medicaid Services (CMS) ,
Clawbacks ,
Coronavirus/COVID-19 ,
Criminal Liability ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Fraud and Abuse ,
Health Care Providers ,
Medicare ,
Paycheck Protection Program (PPP)
The Resuming Business Toolkit is designed to assist employers in slowing the spread of COVID-19 and lowering the impact in their workplace when reintegrating employees into non-healthcare business settings. Not sure whether...more
This is a link to the update of the OIG Work Plan that you will see it includes several new entries regarding COVID issues at nursing homes:
..Meeting the challenges presented by COVID
..Audit of nursing homes reporting...more
The COVID pandemic has illuminated the need to modernize professional licensing. Although professional licensing has always been a necessary vigilance with licensing has always been appropriate, and never more so than as...more
Although the Office of the Inspector General (“OIG”) has previously announced that it would exercise discretion with respect to financial arrangements entered into to facilitate and enhance the availability of COVID-19...more
The following are just some random thoughts or curated information regarding the impact the COVID pandemic will have on privacy in general, and health information privacy in particular.
I have attached a link to...more
Attached is a PDF issued by CMS regarding blanket waivers of the Stark Law in order to allow physicians and hospitals to adjust 18 different potential financial relationships in order to deal with the COVID-19 emergency. The...more
The open payment deadline for reporting is March 31, 2020, but CMS has released an updated FAQ, attached in the link below, indicating that, although the deadline is established by statute and cannot be changed by CMS, CMS...more
Although many believe the HIPAA rules already allow for disclosure of COVID-19 cases on the basis of a public emergency, OCR just issued Guidance, attached in the link below, confirming disclosure is permitted when needed to...more
The Centers for Medicare and Medicaid Services (CMS.gov) issued a Telemedicine Tool Kit. ...more