On August 12, 2024, OIG announced the results of an audit of payments made to hospitals for inpatient claims with the Medicare Severity Diagnosis-Related Groups (MS-DRGs) that require ninety-six hours of consecutive...more
Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more
I. Certificate of Need Program - A. Contested Case - AL2023-021, Affinity Hospital, LLC d/b/a Grandview Medical Center, Hoover, AL: Proposes to establish a Freestanding Emergency Department (FED) in the city of Hoover,...more
Part II of our New Jersey Regulatory Update further identifies proposed and adopted regulations that may impact healthcare providers, from additional financial transparency rules impacting facilities to rules attempting to...more
I. Certificate of Need Program - A. Project Modification Request - AL2021-003, Crimson Village, LLC, Tuscaloosa County, AL: The project modification request is for the approval to relocate the specialty care assisted...more
Medicare’s open enrollment period is just a few weeks away, and it is not too early to start thinking about your coverage options. One benefit area that Medicare recipients often overlook is long term rehabilitation coverage....more
I. Certificate of Need Program A. A. AL2023-013, Birmingham Operations, LLC d/b/a Harmony at Birmingham, Trussville, AL: Proposes to construct and operate a thirty-two (32) bed Specialty Care Assisted Living Facility...more
I. Certificate of Need Program - A. AL2023-011, Metro Treatment of Alabama, L.P. d/b/a Birmingham Metro Treatment Center, Birmingham, AL: Proposes to relocate Birmingham Metro Treatment Center, an existing outpatient...more
I. Certificate of Need Program - A. Contested Case: AL2022-022, St. Vincent’s Birmingham, Pelham, AL: Proposes to develop a multi-specialty building to include a freestanding emergency department (FED), imaging center,...more
I. Certificate of Need Program - A. AL2022-033, North Alabama Specialty Hospital, LLC, Huntsville, AL: Proposes to add sixteen (16) long term acute care (LTAC) beds to its existing thirty-one (31) bed LTAC hospital in...more
I. Certificate of Need Program - A. AL2022-020, Infirmary ASC - Saraland, LLC, Mobile, AL: Proposes to construct and operate a freestanding multi-specialty Ambulatory Surgery Center (ASC) consisting of four (4) operating...more
I. Certificate of Need Program - A. AL2022-005, Saad Enterprises, Inc. d/b/a Saad Hospice Services, Mobile, AL: Proposes to add ten (10) additional inpatient hospice beds to The Retreat, an existing inpatient hospice...more
I. Certificate of Need Program - A. AAL2021-052, The Piedmont Health Care Authority d/b/a Dugger Mountain Specialty Care Facility, Piedmont, AL: Proposes to add twenty-three (23) Specialty Care Assisted Living Facility...more
I. Certificate of Need Program - A. AL2021-039, Monroe County Health Care Authority d/b/a Monroe County Hospital, Monroeville, AL: Proposes to convert ten (10) acute care beds to ten (10) swing beds in order to provide...more
I. Certificate of Need Program - A. AL2021-028, Renal Treatment Centers - Southeast, LP d/b/a Crown Dialysis, Birmingham, AL: Proposes to expand its existing End Stage Renal Disease (ESRD) facility by adding four (4) new...more
I. Certificate of Need Program - A. AL2021-016, United Vascular of Huntsville, LLC, Huntsville, AL: Proposes to establish a two-operating-room ASC specializing in vascular access and peripheral vascular procedures....more
Tennessee healthcare providers will soon have a very different certificate of need (CON) law to consider as they plan new facilities and services. Tennessee’s legislature and governor recently enacted Public Chapter 557,...more
I. Certificate of Need Program - A. A.AL2021-011, DVA Healthcare Renal Care, Inc. d/b/a Northport Dialysis, Northport, AL: Proposes the relocation and expansion of its existing state-of-the-art ESRD facility by adding ten...more
Last week CMS issued a new round of regulatory waivers and rule changes in response to the COVID-19 public health emergency, including its Interim Final Rule with comment period, CMS-5531-IFC. The key changes relax certain...more
As part of sweeping exemptions aimed at facilitating all levels of healthcare during the coronavirus public health emergency, the Centers for Medicare and Medicaid Services (CMS) has been issuing waivers for a wide range of...more
The Senior Housing Industry has been uniquely impacted by the coronavirus pandemic. In addition to the various logistical, practical, and educational measures senior housing communities should be taking to monitor, respond to...more
1. Certificate of Need Program - A. AL2019-015, Great Oaks Management, LLC, Wetumpka, AL: Proposes to renovate and convert an existing sixteen (16) bed assisted living facility to a specialty care assisted living facility...more
Bradley presents our August 2019 Alabama CON Review Board Update, prepared for the firm's healthcare clients and other interested parties. The firm's Certificate of Need practice utilizes a cross-disciplinary team approach,...more
Hospital patients who need additional care after being discharged from the hospital are usually sent to either an inpatient rehabilitation facility (IRF) or a skilled nursing facility (SNF). Although these facilities may look...more
Well, it’s a start. New Medicare rules kicked in starting January 1, 2019 that are aimed at focusing less provider time on paperwork and more on patient care in inpatient rehabilitation facilities. Any change that reduces...more