[08/04/11]
Posted on August 4, 2011 in Firm News
Published by: Hall Render
Hall Render recently launched a Long-Term Care blog (www.hallrender.com/ltc) to share industry information and insights with long-term care, home health and hospice care providers. Blog conversations will focus on Medicare, Medicaid and health care reform. In addition to sharing relevant news, the team will present its thoughts on common questions surrounding compliance, provider specifications... READ MORE
[08/02/11]
Posted on August 2, 2011 in Health Law News
Published by: Hall Render
On August 1, 2011, the Centers for Medicare & Medicaid Services (CMS) published the Federal Fiscal Year (FFY) 2012 Final Rule for Inpatient Prospective Payment System (IPPS) and the Long-term Care Hospital Prospective Payment System on its website. For FFY 2012, Providers will receive a net total increase of 1% to the standardized amount. This... READ MORE
[08/02/11]
Posted on August 2, 2011 in Firm News
Published by: Hall Render
Hall Render is proud to announce that the Firm’s Shareholders have elected Bill Thompson to become the next Chairman of the Board and John Ryan to become the next President. Effective January 1, 2012, Bill Thompson, who has served as President of the Firm for the past nine years, will succeed John Render, who... READ MORE
[07/29/11]
Posted on July 29, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Effective fiscal year (FY) 2012, The Centers for Medicare & Medicaid Services (CMS) final rule on Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012, released July 29, reduces Medicare skilled nursing facility (SNF) Prospective Payment System (PPS) payments by 11.1%. CMS states this action was taken to “better align... READ MORE
Tags: ACA, Affordable Care Act, bufford, case mix index, change of therapy, classification, cmi, cms, consolidated billing, COT, final rule, fy 2011, fy 2012, jent, long term care, market basket, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, omra, other medicare required assessment, payment, PPACA, pps, recalibration, reduction, rug, rug-iv, selby, skilled nursing facility, snf, spike, therapy
[07/29/11]
Posted on July 29, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
The Centers for Medicare & Medicaid Services (CMS) increased fiscal year (FY) 2012 Medicare payments by 2.5% for hospice providers in a final regulation released July 29. Also included in the final regulation are requirements for hospice providers to start collecting quality of care data and changes to the way CMS counts hospice patients... READ MORE
Tags: ACA, accountable care, beneficiary, bufford, cap, cap accounting, cms, current method, days of care, elect, encounter, face to face, fiscal year, fy, fy 2011, fy 2012, fy 2014, Hospice, hospice cap, increase, jent, long term care, market basket, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, october, payment, PPACA, qapi, quality assessment and performance improvement, rectification narrative, reduction, selby, terminal illness, two-percentage point, wage index
[07/29/11]
Posted on July 29, 2011 in Health Law News
Published by: Hall Render
SUMMARY On June 24, 2011, the United States Court of Appeals for the District of Columbia released a decision in Auburn Regional Medical Center v. Sebelius. The decision reversed an unfavorable district court decision ruling that statutory deadlines to file appeals with the Provider Reimbursement Review Board (PRRB) were not subject to the doctrine... READ MORE
[07/27/11]
Posted on July 27, 2011 in Health Law News
Published by: Hall Render
Late last week, a wide-ranging initiative to update federal human research protection regulations was announced by the U.S. Department of Health and Human Services (HHS) and the White House Office for Science & Technology Policy (OSTP) through issuance of an Advance Notice of Proposed Rulemaking (ANPRM), which aims to catch the regulations up to... READ MORE
[07/26/11]
Posted on July 26, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
As record-breaking temperatures scorch the Midwest, long-term care providers are reminded to evaluate their emergency preparation plans. Proper planning can mitigate a situation from a potential disaster to a mere inconvenience. CMS provides a checklist, Emergency Preparedness for Every Emergency, for providers to use to evaluate their current emergency plans. Federal regulations at 42... READ MORE
Tags: administrator, bufford, certified, cms, disaster, emergency, facility, federal, jent, long term care, longterm care, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, nursing home, oig, OIG work plan, preperation, regulation, selby, work plan
[07/25/11]
Posted on July 25, 2011 in Health Law News
Published by: Hall Render
On May 4, 2011, we issued a bulletin alerting hospital clients that the Office of Inspector General (“OIG”) Office of Audit Services was in the process of sending numerous Contact Letters to hospitals across the country in an effort to verify their levels of compliance with Medicare billing requirements. As part of this audit,... READ MORE
[07/22/11]
Posted on July 22, 2011 in Long-Term Care, Home Health & Hospice
Written by: Kendra Conover
Recently, the Office of Inspector General (“OIG”) published a report of its findings pertaining to the nearly 70% growth of Medicare spending for hospice care provided to nursing facility (“NF”) residents from 2005 – 2009. During that time, Medicare spending on hospice care for residents in NFs increased sixty-nine percent (69%) from $2.55 billion to... READ MORE
Tags: cms, conover, Hospice, long term care, MAC, MedPAC, oig, RAC