A report published in late 2022 revealed how lax oversight and the opportunity to earn significant profits had transformed the end-of-life industry in the United States from a movement based on altruism into a $22 billion business. The investigators discovered that...
More Than 20 Years Of Experience In The Field Of Health Care Law
CMS Conditions of Participation
Medicare Advantage might be in for some changes
CMS has proposed several changes to the regulations that govern Medicare Advantage. Some of the changes affect Medicare Advantage or MA plans in particular, so you'll want to be aware of how CMS's proposed changes might come into play for you in Texas. What does CMS...
Improved hospice law under the CARES Act
The CARES Act outlined telehealth provisions that are allowed during a public health crisis. When a national emergency happens, several, major federal laws are passed to provide assistance to struggling businesses. In 2020, new hospice laws were passed to help hospice...
EHR Incentives and Certifications – Attaining Meaningful Use
In 2009, legislation authorized the Centers for Medicare & Medicaid (CMS) to offer health care providers financial incentives to use certified electronic health recording technology (CEHRT) to keep electronic health records (EHRs) on patients. Learn about...
Rewards Exception to Beneficiary Inducement CMPL
The Office of the Inspector General of the US Department of Health and Human Services recently passed a regulation providing an exception to certain prohibitions under the Civil Monetary Penalties Law (CMPL). This exception allows pharmacies and other healthcare...
MACRA: Medicare Access and CHIP Reauthorization Explained
In 2015, the Medicare Access and CHIP Reauthorization Act was passed, and by 2019, healthcare providers will begin to see its impacts on Medicare payments. It replaces Medicare’s current reimbursement schedule—which was based on a sustainable growth rate (SGR)...
Medicare’s Hospital Readmission Reduction Program
Established as part of the Affordable Care Act (ACA), Medicare’s Hospital Readmission Reduction Program (HRRP) attempts to create an incentive for hospitals to cut down the number of readmissions they have for various types of acute care. As of 2017, these types of...
Hospitals and Healthcare Providers at High Risk for Ransomware
Due to their high vulnerability level, healthcare providers are frequent targets for ransomware attacks. Lives depend on hospitals and healthcare personnel being able to access vital patient data whenever it is needed. As such, hackers have targeted hospitals and...
Medicare Hospice CAP Demands and Appeals
Medicare Hospice CAP Demands and Appeals Beginning in 1982, Medicare began offering a hospice benefit to covered individuals needing end of life palliative care. Provisions for Medicare hospice reimbursement were set out in Hospice Statute of 1982. Under the system,...
About Medicare, Medicaid, Regulatory
The United States spends about $2.6 trillion annually on health care (17.5 percent of GDP) and with the reform initiatives under the Affordable Care Act (ACA), the number of Americans covered and the amount spent will grow dramatically, potentially leading to even...