News & Resources

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…
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…
Categories: Client Advisory

CLIENT ADVISORY: Assisted Living Facilities Classified as Type I-1 (Condition 2) Now Able to Serve More NonAmbulatory Residents

A recent guidance document published by the Virginia Department of Housing and Community Development (“DHCD”)—the “DHCD Matrix”—will allow ALFs classified as Type I-1 (Condition 2) buildings to serve a greater number of non-ambulatory res…
Categories: Client Advisory

CLIENT ADVISORY: CMS Seeking Input to Reduce Potential Stark Law Barriers to Coordinated Care

Seeking to remove unnecessary government obstacles to care coordination, the Centers for Medicare & Medicaid Services (CMS) has issued a Request for Information (RFI) to help identify aspects of the physician self-referral law (Stark Law) that ma…
Categories: Client Advisory

CLIENT ADVISORY: Understanding the New “Autonomous Practice” Option for Nurse Practitioners

The passage of Virginia General Assembly House Bill 793 (HB 793) authorized a new option for eligible nurse practitioners to practice without a practice agreement.[1] HB 793 amends Va. Code § 54.1-2957, which governs the licensure and practice of nu…
Categories: Client Advisory

CLIENT ADVISORY:  CMS Clarifies Restrictions on Text Messaging Among Health Care Providers

In a recent memo released to state survey agencies, the Centers for Medicare and Medicaid Services (CMS) clarifies standards governing texting among health care providers, including both traditional SMS text messaging and messaging through apps desig…
Categories: Client Advisory

CLIENT ADVISORY: Revised Standards for Licensed Assisted Living Facilities will Require Operational Changes

The previous Standards for Licensed Assisted Living Facilities (22VAC40-72) are being repealed and will be replaced with new comprehensive regulations (22VAC40-73).[1] The new regulations take effect on February 1, 2018, although the Department of So…

CLIENT ADVISORY: A New CMS Survey Process is Headed to Your Nursing Facility

The Centers for Medicare & Medicaid Services (CMS) intends to implement a new long-term care survey process on November 28, 2017. This new process is part of a larger regulatory revision to implement parts of the Affordable Care Act (ACA), and Im…
Categories: Client Advisory

CLIENT ADVISORY: Physician Scope of Practice and Board of Medicine Due Process Illustrated in Recent Appeals Court Decisions

Two recent Virginia Court of Appeals decisions illustrate important morals:  If a provider chooses to practice outside the scope of her specialty and training or opts to use alternative courses of treatment, she may encounter licensing board sanctio…
Categories: Client Advisory

CLIENT ADVISORY: New SAMHSA Rules on Substance Use Treatment Record Disclosure Released

On January 18, 2017, the Substance Abuse and Mental Health Services Administration (SAMHSA) published a Final Rule that revises the requirements for the disclosure of substance use disorder patient records. Barring intervention by the Trump administr…
Categories: Client Advisory