Home Health


CMS Issues Guidance on Blanket Stark Law Waivers During COVID-19 Crisis
April 1, 2020 | Geoffrey R. Kaiser | Ada Kozicz | Fraud and Abuse | Home Health | Hospitals | Legislation and Public Policy | Medicare and Medicaid
On March 30, the Secretary of the U.S. Department of Health and Human Services issued blanket waivers of certain requirements of the federal physician self-referral law (Stark Law), retroactive to March 1, in response to the COVID-19 crisis. A detailed discussion of the waivers may be found here. …
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CISA Guidance Clarifies “Essential Industry” for Healthcare
March 31, 2020 | Marc S. Ullman | Behavioral Health | Home Health | Hospitals | Legislation and Public Policy | Medical Devices and Wearables | Pharmaceuticals
On March 28, the U.S. Department of Homeland Security’s Cybersecurity and Infrastructure Security Agency (CISA) issued a much-needed update clarifying what constitutes “essential industry” during the national COVID-19 response. This updated Guidance is especially important as many of the individual state declarations of emergency refer to “essential industry” without any enumeration, or specifically reference DHS-CISA agency …
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Rivkin Radler Launches Coronavirus Resource Center
March 24, 2020 | Rivkin Rounds Staff | HIPAA | Home Health | Hospitals | Legislation and Public Policy | Medicare and Medicaid | Private Insurers | Telehealth
Rivkin Radler has launched a Coronavirus Resource Center on the firm’s website. All of the firm’s COVID-19-related articles and blog posts, across our many practice groups, are now compiled in one place for easy reference. We’ll continue adding to the Resource Center as the pandemic continues. …
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NYS Takes Emergency Steps to Encourage Telehealth
March 19, 2020 | Eric D. Fader | Margarita Christoforou | Home Health | Legislation and Public Policy | Medicare and Medicaid | Private Insurers | Telehealth
On March 17, the New York State Department of Financial Services (DFS) announced the issuance of a new emergency regulation requiring insurance companies in the state to waive cost-sharing, including deductibles, copayments, and coinsurance, for in-network telehealth visits, whether or not related to coronavirus. The new regulation will “encourage New Yorkers to seek medical attention …
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CMS Expands Medicare Telehealth Coverage
March 18, 2020 | Margarita Christoforou | Home Health | Hospitals | Legislation and Public Policy | Medicare and Medicaid | Telehealth
In an effort to limit the spread of the COVID-19 (coronavirus) outbreak, the Centers for Medicare & Medicaid Services (CMS) on March 17 announced the expansion of Medicare coverage for telehealth nationwide, effective immediately. CMS will temporarily pay clinicians to provide telehealth services for Medicare beneficiaries residing anywhere in the U.S. so that those who …
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CMS Website Compiles Emergency Waivers and Guidance
March 17, 2020 | Eric D. Fader | Home Health | Hospitals | Legislation and Public Policy | Medicare and Medicaid | Telehealth
The Centers for Medicare & Medicaid Services (CMS) has created a “Current Emergencies” page on its website that compiles links to the agency’s recent press releases and guidance regarding coronavirus in one place. CMS has already issued more than 30 press releases and guidance documents in March alone and there are too many to summarize, …
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CMS Issues Coronavirus Guidance
March 11, 2020 | Eric D. Fader | Home Health | Hospitals | Legislation and Public Policy | Medicare and Medicaid | Private Insurers | Telehealth
Over the past week, the Centers for Medicare & Medicaid Services (CMS) has issued a flurry of guidance documents and FAQs regarding COVID-19 for healthcare providers in private practice, hospitals, nursing homes, hospices and dialysis facilities, and for Medicare Advantage and Part D insurance plans. The guidance includes how to bill and collect for coronavirus …
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Sentara in $2.175 Million Settlement for Improper HIPAA Breach Reporting
December 10, 2019 | Eric D. Fader | HIPAA | Home Health | Hospitals | Litigation
The U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) announced on November 27 that Sentara Healthcare agreed to pay $2.175 million to settle allegations that it failed to properly report a breach of protected health information. Sentara operates 12 acute care hospitals and provides other types of care at more than …
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NY Deadline Approaching to Certify Compliance Programs
December 9, 2019 | Rivkin Rounds Staff | Fraud and Abuse | Home Health | Hospitals | Legislation and Public Policy | Medicare and Medicaid
The annual December 31st deadline for certain Medicaid providers and third-party billers to certify as to the effectiveness of their compliance program is fast approaching. New York State Medicaid providers and third-party billing companies who claim, bill, order or receive at least $500,000 in any consecutive 12-month period from the Medicaid Program or Managed Medicaid …
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CMS Announces New Medicare Program Integrity Strategy
October 23, 2019 | Eric D. Fader | Fraud and Abuse | Home Health | Legislation and Public Policy | Medicare and Medicaid
In an October 21 blog post titled “The Future of Medicare Program Integrity,” Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma described a new five-pronged approach to combat waste, fraud, and abuse in the Medicare program. The five “pillars” of the initiative are: Stop bad actors. CMS works with the Office of Inspector …
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