News & Analysis as of

Hospice

Arnall Golden Gregory LLP

Hospice Providers May Dispose of Controlled Substances under New Federal Opioid Law

by Arnall Golden Gregory LLP on

On October 24, 2018, the SUPPORT for Patients and Communities Act (Pub. L. 115-271, the “Act”) was signed into law. Section 3222 of this sweeping federal opioid legislation amends the Controlled Substances Act to permit...more

Manatt, Phelps & Phillips, LLP

Supreme Court Declines to Provide Guidance on FCA Pleading Requirements

On October 1, 2018, the U.S. Supreme Court denied a petition for a writ of certiorari asking the Court to weigh in on just how precisely a whistleblower must plead the submission of a false claim. Since the False Claims Act...more

Burr & Forman

Tennessee Health Services and Facilities Report: October 2018

by Burr & Forman on

The Tennessee Health Services and Development Agency (“HSDA”) is responsible for regulating the health care industry in Tennessee through the Certificate of Need Program. A Certificate of Need (“CON”) is a permit for the...more

King & Spalding

District Court Grants Motion to Dismiss Hospice Qui Tam Action

by King & Spalding on

Hospice providers continue to face increased scrutiny and enforcement actions based on allegations that beneficiaries do not meet the requisite eligibility requirements. On October 1, 2018, a United States District Court...more

Poyner Spruill LLP

CMS Proposes Revisions to Hospice and Home Health Conditions of Participation

by Poyner Spruill LLP on

The Centers for Medicare and Medicaid Services (CMS) recently issued a proposed rule — Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction — to revise...more

Epstein Becker & Green

OIG Portfolio Highlights Hospice Fraud and Quality-of-Care Concerns

by Epstein Becker & Green on

On July 31, 2018, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services released a portfolio titled “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program...more

King & Spalding

CMS Proposes Revising Medicare Conditions of Participation

by King & Spalding on

On September 20, 2018, CMS published a proposed rule that the agency states is aimed at reducing the regulatory burden for providers by revising certain aspects of the Medicare Conditions of Participation and Conditions of...more

Baker Ober Health Law

CMS Increases Hospice Payments, Updates Quality Reporting Requirements for 2019

by Baker Ober Health Law on

CMS updated payment rates, implemented statutory changes, and continued to provide guidance on quality reporting measures and requirements in the FY 2019 Hospice Wage Index and Payment Rate Update Final Rule published on...more

Morgan Lewis

OIG Report on Hospice Vulnerabilities: Recommendations Receive Lukewarm Support from CMS

by Morgan Lewis on

The Office of Inspector General Portfolio Report is a rehash of the watchdog agency’s 2006–2016 findings on quality of care concerns and program integrity issues. The report, which garnered some critical press attention for...more

Flaster Greenberg PC

It’s Important to Choose Where Hospice Is Provided

by Flaster Greenberg PC on

It is understandable but unfortunate that family members frequently hesitate to broach the subject of end of life care. Instead of avoiding the subject, have a sensitive and frank discussion of hospice as a vehicle for...more

King & Spalding

OIG Releases Report on Vulnerabilities in the Medicare Hospice Program

by King & Spalding on

On July 30, 2018, OIG released “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity: An OIG Portfolio” (the Report). The Report reviews hospice care since 2005 and describes key...more

Mintz - Health Care Viewpoints

The OIG Identifies “Significant Vulnerabilities” in the Medicare Hospice Program: What This Might Mean for Hospice Providers?

Last week, the Department of Health and Human Services – Office of Inspector General (“OIG”) released a portfolio report identifying multiple vulnerabilities in the Medicare Hospice Program (the “Hospice Portfolio Report”),...more

Arnall Golden Gregory LLP

OIG Issues Report on Hospice Program Vulnerabilities

by Arnall Golden Gregory LLP on

In July 2018, the Department of Health and Human Services’ Office of Inspector General (OIG) issued a report entitled, Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity...more

Poyner Spruill LLP

Updated Hospice Quality Reporting Program Notices of Noncompliance and Reconsideration Requests

by Poyner Spruill LLP on

The Centers for Medicare and Medicaid Services (CMS) has issued notification letters to hospice providers that are not in compliance with the Hospice Quality Reporting Program requirements. According to CMS, all noncompliance...more

Sheppard Mullin Richter & Hampton LLP

Humana, TPG Capital, and Welsh, Carson, Anderson & Stowe Create the Country’s Largest Hospice Provider, “Kindred at Home”

Kindred Healthcare. On July 2, 2018, Humana Inc. and private equity firms TPG Capital (TPG), and Welsh, Carson, Anderson & Stowe (Welsh) (collectively referred to as the Consortium) issued a press release announcing the...more

Farrell Fritz, P.C.

Legislation Affecting Long Term Care & Aging

by Farrell Fritz, P.C. on

The latest installation in our series on legislation recently passed by the New York State Legislature addresses legislation in the long term care and aging space. It follows upon descriptions of legislation in the pharmacy...more

Buchanan Ingersoll & Rooney PC

News from Second & State

Weekly Wrap - As it gets further into the month of June, budget negotiations, like the weather, are beginning to heat up. Although there hasn’t been any movement on budget-related legislation, talks are ongoing and things...more

Buchanan Ingersoll & Rooney PC

News from Second & State

Weekly Wrap - As the calendar turns from May to June, the Pennsylvania legislature turns its full attention to the budget. The June 30 deadline will be here in no time, meaning both chambers have plenty of work to do....more

King & Spalding

Nonprofit Hospice Settles $2.5 Million False Claims Suit

by King & Spalding on

On May 18, 2018, the Department of Justice announced a settlement with a hospice facility for $2.5 million regarding what was characterized as “documentation errors” by the facility. Health and Palliative Services of the...more

Akerman LLP - Health Law Rx

Florida Court Affirms Rejection of CON of a Hospice Operator’s Application, Despite a “Regional Monopoly”

by Akerman LLP - Health Law Rx on

Florida’s First District Court of Appeals has affirmed a decision by the Florida Agency for Health Care Administration (AHCA) that denied an application by Compassionate Care Hospice of the Gulf Coast (CCH) to open a hospice...more

Bricker & Eckler LLP

Recent hospice settlements highlight where things can go wrong

by Bricker & Eckler LLP on

Two recent settlements highlight important Medicare hospice program requirements and the need to remain vigilant about compliance with Medicare program rules....more

Buchanan Ingersoll & Rooney PC

News from Second & State

Weekly Wrap - Both chambers were in session three days this week, but with a little bit of an unusual schedule: the Senate was in Harrisburg Monday through Wednesday, while the House of Representatives was here Tuesday...more

Baker Ober Health Law

CMS Releases FY 2019 Proposed Payment Rules

by Baker Ober Health Law on

On April 24 and 27, 2018, CMS launched its annual gaggle of proposed regulations – each with the theme of "Patients over Paperwork" – with the stated goal of "advanc[ing] the agency's priority of creating a patient-driven...more

Bricker & Eckler LLP

Hospice news update

by Bricker & Eckler LLP on

Hospice audits - In late 2017, the Centers for Medicare and Medicaid Services (CMS) expanded its targeted probe and educate (TPE) audit program to include hospices....more

Arnall Golden Gregory LLP

Hospice and the Opioid Crisis: Pending Senate Legislation Would Allow Certain Hospice Employees to Assist with Controlled...

by Arnall Golden Gregory LLP on

The U.S. Senate is continuing to ramp up efforts to address the opioid abuse crisis. As a part of that effort, on April 16, 2018, the Senate introduced S. 2680, the Opioid Crisis Response Act of 2018. The Bill is currently in...more

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Updated: May 25, 2018:

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Privacy Officer
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Sausalito, California 94965

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