On November 5, 2021, the Centers for Medicare & Medicaid Services (CMS) issued an emergency regulation, requiring the workforce of Medicare- and Medicaid- certified providers and suppliers to be fully vaccinated against...more
The Centers for Medicare and Medicaid Services (CMS) recently issued recommendations regarding reopening facilities to provide non-emergent, non-COVID-19 health care. CMS recognizes that as states and localities begin to...more
5/12/2020
/ Ambulatory Surgery Centers ,
Coronavirus/COVID-19 ,
Elective Surgical Procedures ,
Health Care Providers ,
Healthcare Workers ,
Hospitals ,
Non-COVID-19 Care Zones (NCC Zones) ,
Nurses ,
Personal Protective Equipment ,
Physicians ,
Re-Opening Guidelines ,
Sanitation ,
Surgical Center Requirements ,
Virus Testing ,
Workplace Decontamination
The Coronavirus Aid, Relief and Economic Security (CARES) Act, which was signed into law last week, provides for loans to small businesses which may include medical practices. Hinshaw covered the CARES Act extensively in an...more
In accordance with the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), the Center for Medicare and Medicaid Services (CMS) has expanded its current Accelerated and Advanced Payment Program for Medicare Part A...more
4/16/2020
/ Advanced Payment Program ,
CARES Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Healthcare Workers ,
MACs ,
Medicare Part A ,
Medicare Part B ,
Provider Payments ,
Repayment Options ,
Temporary Regulations
The Illinois Hospital Licensing Act regulations (Regulations) have been revised significantly to reflect the new reality of health system governance of hospitals. The revisions focus on the governance and medical staffs of...more
This is the second of three alerts discussing the mid-year update to the Fiscal Year 2016 Work Plan issued by the Office of Inspector General (OIG). In the first alert we discussed the top management performance challenges...more
6/24/2016
/ Department of Health and Human Services (HHS) ,
Fiscal Year ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Hospitals ,
Medical Devices ,
Medicare ,
Medicare Outlier Payment Rules ,
MedPAC ,
OIG ,
Two-Midnight Rule ,
Work Plans
Summary of Decision -
On June 16, 2016, the United States Supreme Court decided a case which could have significant impact on healthcare providers. In Universal Health Services Inc. v Escobar, the Court expanded...more
6/22/2016
/ Conditions of Payment ,
False Claims Act (FCA) ,
False Implied Certification Theory ,
Federal Contractors ,
Fraud ,
Implied Certification ,
Material Misrepresentation ,
Materiality ,
Medicaid ,
SCOTUS ,
Universal Health Services Inc v United States ex rel Escobar ,
Unlicensed Medical Providers
The Office of Inspector General (OIG) recently released its mid-year update of its Fiscal Year Work Plan for 2016. The Work Plan summarizes new and ongoing reviews and activities that the OIG plans to pursue. Not...more
6/20/2016
/ Affordable Care Act ,
Alternative Payment Models (APM) ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Electronic Health Record Incentives ,
Fiscal Year ,
Fraud Abuse and Waste ,
Medicaid ,
Medicaid Expansion ,
Medical Devices ,
Medicare Part A ,
Medicare Part B ,
OIG ,
Prescription Drugs ,
Work Plans
The Illinois Supreme Court released a decision on May 19, 2016 that provides useful guidance in defending and protecting a claim by a medical staff member against a hospital for improperly failing to appoint or reappoint or...more
Recently, the Health and Human Services Office of Civil Rights announced that it has implemented its HIPAA Phase II Audit Program. Some entities may have already received initial emails from the Office of Civil Rights (OCR)...more
On February 11, 2016, the Center for Medicare and Medicaid Services (“CMS”) clarified several issues with regard to Medicare reporting and returning of self-identified overpayments.
The Affordable Care Act (the "ACA"),...more