News & Resources

The CMS-855 Medicare Enrollment Process: Requirements to Establish and Maintain Medicare Enrollment

Any health care provider or supplier who wishes to participate in Medicare must first enroll with the program. In 2006, the Centers for Medicare and Medicaid Services (CMS) amended the requirements for health care providers and suppliers to establish… Read More
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Categories: Client Advisory

CMS Issues Accountable Care Organizations Proposed Rule

On April 7, 2011, the Centers for Medicare and Medicaid Services (CMS) issued long-awaited proposed rules governing the establishment of Accountable Care Organizations (ACO). This Client Advisory provides a brief introduction to the concept of Accoun… Read More
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Categories: Client Advisory

Obama Administration Revises Conscience Clause Rules for Healthcare Professionals

On February 23, 2011, the Department of Health and Human Services published a final rule (“Rule”) rescinding most of a federal regulation designed to provide additional protections to healthcare professionals who refuse to provide care they find… Read More
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Categories: Client Advisory

CMS Proposes Rule to Require Additional Notifications to Medicare Beneficiaries

On February 2, 2011, health care providers and suppliers saw the shadow of additional regulatory requirements headed their way: the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (Rule) that will require most Medicare certi… Read More
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Categories: Client Advisory

New PPACA Proposed Regulations Target Anti-Fraud Effort

Introduction The Centers for Medicare and Medicaid Services (CMS) recently released proposed new regulations to implement provisions of the Patient Protection and Affordable Care Act (PPACA) that establish new requirements for providers aimed at prev… Read More
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Categories: Client Advisory

CMS Proposes New Requirements for Nursing Facility and Hospice Arrangements

Introduction On October 22, 2010, the Centers for Medicare and Medicaid Services (CMS) released proposed new regulations that would revise the Conditions of Participation (COP) for Long Term Care (LTC) facilities by requiring written agreements betwe… Read More
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Categories: Client Advisory

Changes in MDS 3.0 Section Q and Implications for Nursing Facilities

The implementation of the Nursing Facility (NF) Minimum Data Set (MDS) version 3.0 occurred on October 1, 2010. Revised section Q in the MDS 3.0, termed “Participation in Assessment and Goal Setting,” has been substantially changed and expanded,… Read More
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Categories: Client Advisory

CMS Proposes New Rules for Civil Monetary Penalties

The Centers for Medicare & Medicaid Services (“CMS”) and states’ use of Civil Monetary Penalties (“CMPs”) – and the threat of CMPs – encourage nursing facilities to comply with Medicare and Medicaid participation requirements. CMS c… Read More
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Categories: Client Advisory

Health Reform 2010: New Elder Abuse Reporting Requirements

Every year approximately 11% of individuals 60 and over suffer some form of abuse, according to the National Institute of Justice. For each reported case of abuse, an estimated 5 more cases go unreported. The recently enacted health reform legislatio… Read More
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Categories: Client Advisory

Health Reform 2010: Highlights for Physicians

The following are a selection of key changes for physicians that come out of the Patient Protection and Affordable Care Act of 2010 (J.R. 3590 (Pub. L. 111-148)) and its subsequent amendment through passage of the Health Care and Education Reconcilia… Read More
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Categories: Client Advisory