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The development and growth of ambulatory surgery centers (“ASCs”) has continued and even accelerated in recent years. Shifts in allowable cases from inpatient to outpatient, temporary closures of hospital outpatient departments because of COVID, and private equity funding have all bolstered this… CMS Takes Another “Shot” at COVID Vaccination Transparency in Nursing Facilities
The Centers for Medicare and Medicaid Services (“CMS”) announced a new tool on the CMS Compare website to permit consumers to access each nursing facility’s staff and resident vaccination rates and make informed decisions when choosing a nursing facility. CMS has required certified nursing… Hurry Up and Wait: Feds Delay Enforcement of Medical Billing Transparency Requirements
The Federal Departments of Labor, Health and Human Services (HHS), and the Treasury recently announced a delay to certain portions of their Interim Final Rules implementing the surprise billing provisions of the No Surprises Act, set to become effective on January 1, 2022. While most of the delays… Getting Staff to Report Impaired Physicians May Have Just Become More Difficult
In a recent decision, Rebecca J. Denman, M.D. v. St. Vincent Medical Group, Inc., St. Vincent Carmel Hospital, Inc., 20A-PL-1236 (Aug. 18, 2021), the Indiana Court of Appeals upheld a $4.75 million verdict awarded by a Marion County jury to Dr. Rebecca Denman against a charge nurse, St. Vincent… What is a “Referral” Under the Anti-Kickback Statute?
Central to the practice of medicine, referrals are an important part of patient care. Referrals are also a critical component when evaluating whether arrangements between parties violate the Anti-Kickback Statute (“AKS”), which prohibits knowingly or willfully offering, paying, soliciting, or… Into the Unknown: A look Into the Uncertain Future of New Surprise Billing Laws (Podcast)
In this podcast we'll discuss how State and federal governments are rapidly pushing new medical billing transparency requirements. These new laws are raising many questions about what to expect and how to comply. Krieg DeVault attorneys discuss these new laws and steps that health providers can… Rural Emergency Hospital Providers - What We Know and What's to Come
The Consolidated Appropriations Act of 2021 adds a new rural emergency hospital (“REH”) provider type for Medicare and adds Medicare coverage for REH Services, effective January 1, 2023. New REH provider type for Medicare:
Don't Let Expiration of Emergency COVID Waivers Leave You With Unlicensed Members of the Care Team
Indiana Executive Orders that temporarily authorized certain health care students to practice in Indiana under a temporary license are set to expire on September 30, 2021. Executive Orders (EO 21-17 and EO 21-19) allowed physician assistant students, nursing students, respiratory care practitioner… Under New Hospital Cost Transparency Requirements, Is the Cost of Noncompliance Now Too Much?
The Centers for Medicare and Medicaid Services (“CMS”) is prepared to increase hospital cost transparency penalties for noncompliance established under prior rules beginning January 1, 2022. In a proposed rule published on July 19, 2021, CMS proposed several new requirements that include: 1) basing… Indiana’s New Advanced Health Care Directive
On July 1, 2021, Indiana significantly broadened the options for an individual to make health care wishes known through an “Advanced Directive for Health Care Decisions” (an “Advanced Directive”). Senate Enrolled Act No. 204 (“SEA 204”), effective as of July 1, allows individuals to make their… Senate Appropriations Committee Votes to Expand Vet Access to Medicinal Cannabis
On Wednesday, August 4, 2021, the Senate Appropriations Committee approved an amendment to the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2022 (“2022 VA Appropriations Bill”) that would allow doctors with the Department of Veterans Affairs (“VA”) to recommend… The Continuation of Long Term Care Provider Waivers
On July 29, 2021, Governor Holcomb renewed the public health emergency (“PHE”) for another 30-day period, set to expire on August 30, 2021 unless otherwise withdrawn or further renewed. The Indiana Department of Health (“IDOH”) has published a series of emergency orders waiving certain requirements… |
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