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CLIENT ADVISORY: CMS Final Rule Permits and Regulates Pre-Dispute, Binding Arbitration Agreements in Nursing Facility Admission Agreements

A new Final Rule, effective September 16, 2019, revises Medicare’s Requirements of Participation (ROPs) to permit and regulate the use of pre-dispute, binding arbitration agreements in nursing facility admission agreements. Nursing facilities using… Read More
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CLIENT ADVISORY: Drugs are hazardous to your…drinking water and budget: New EPA standards for wasting and managing pharmaceuticals go into effect this month

Introduction  Attention hospitals, physician offices and nursing homes: there is a new regulatory requirement for drug disposal, requiring new standards, paperwork, and training for many facilities. The new rule published by the Environmental Protec… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Gives Nursing Facilities Some ROP (Changes): Nursing Facilities Will See Some Regulatory Relief and Likely Financial Relief Due to Proposed Rule

Introduction The Centers for Medicare & Medicaid Services (CMS) recently published a Proposed Rule (the “Proposed Rule”) with the stated intention to relieve the administrative burden placed on nursing facilities that participate in Medicare… Read More
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Categories: Client Advisory

CLIENT ADVISORY: New Charity Care Definition and Reporting Requirements

Virginia’s Certificate of Public Need (COPN) law has long stated, as a guiding principle, the development and maintenance of health care services and access to those services by every person who needs them without respect to their ability to pay. I… Read More
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Client Advisory: EKRA and Its Impact on Behavioral Health and Medical Providers

Introduction                 Congress recently passed an omnibus bill (the SUPPORT Act) intended to combat this country’s growing national opioid epidemic. One of the measures included in this legislation was the Eliminating Kickback… Read More
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Client Advisory: Therapy Contract Approaches for Skilled Nursing Facilities Under the Patient Driven Payment Model

Introduction             For over a year, skilled nursing facilities (SNFs) have prepared for the impending adoption of the Patient Driven Payment Model (PDPM) for fiscal year 2020 (beginning October 1, 2019). The adoption of the PDPM has… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Drops the Hammer on "Late Adopters" of Psychotropic Medication Restrictions

Over the past decade, the Centers for Medicare and Medicaid Services (CMS) has implemented numerous initiatives to expand oversight of the use of antipsychotic medications in nursing facilities (NFs). CMS takes credit for a 38.9% reduction in the use… Read More
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Categories: Client Advisory

CLIENT ADVISORY: Recent Changes to the CMS Nursing Home Compare Five Star Quality Rating System

Effective April 2019, CMS made changes in the Five Star Quality Rating System of the Nursing Home Compare website that affected all domains of the rating system. This advisory provides a brief description of these changes, how they will directly impa… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Regulatory Reduction Proposal for Hospitals and Other Providers

This advisory provides a brief overview of proposed revisions to current CMS regulations and their potential effect on various practices and procedure if adopted. The proposed changes would eliminate Medicare regulations identified as unnecessary, ob… Read More
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Categories: Client Advisory

CLIENT ADVISORY: CMS Seeks Comment on Proposed Policy, Payment, and Quality Changes to the Medicare Physician Fee Schedule – E/M Payment and Coding, Telehealth, Off-Campus Payment, MACRA Reporting, PTA & OTA Payments Targeted

The Centers for Medicare & Medicaid Services (CMS) seeks comment on a proposed rule published on July 27, 2018 to update payment policies and rates and quality provisions for services provided under the Medicare Physician Fee Schedule (PFS) begin… Read More
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Categories: Client Advisory

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