Summary of Long-Term Care and Post-Acute Care Provisions in the American Taxpayer Relief Act of 2012

Posted by Jason Greis on January 3, 2013 under Articles | Be the First to Comment

On Wednesday, January 2, 2013, President Obama signed into law the American Taxpayer Relief Act (Act) of 2012—the House and Senate approved bill to avert the fiscal cliff.  The Act, while raising taxes on high-income earners, also contains certain amendments to existing healthcare statutes and regulations and new regulations and programs that will effect providers and suppliers.  This article summarizes key provisions of the Act impacting long-term care and post-acute care providers. Read More...

HHS Puts Industry on Notice: OCR is Serious About HIPAA Enforcement

Posted by Jason Greis on March 2, 2011 under Articles | Be the First to Comment

On Feb. 22, 2011, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced that it had issued a civil money penalty (CMP) of $4.3 million against Cignet Health of Prince George’s County, MD., the first imposition of a CMP by OCR for a violation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. Two days later, HHS announced that General Hospital Corporation and Massachusetts General Physicians Organization, Inc., collectively referred to as Mass General, agreed to pay $1 million to settle potential violations of the HIPAA Privacy Rule. Read More...

CMS Rule Expands Long-Term Care Facility Administrators’ Responsibility to Report Facility Closures

Posted by Jason Greis on under Articles | Be the First to Comment

On February 18, 2011, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule (Interim Rule) implementing Section 6113 of the Patient Protection and Affordable Care Act (PPACA).  The Interim Rule, which becomes effective March 23, 2011, requires administrators of long-term care facilities (LTCF), including skilled nursing facilities (SNF) eligible for reimbursement under Medicare and nursing facilities (NF) eligible for reimbursement under Medicaid, to submit prior written notification of an impending LTCF closure to the Secretary of the U.S. Department of Health and Human Services (Secretary), the state’s long-term care ombudsman and residents of the facility and their legal representatives or other responsible parties.  LTCF administrators that do not comply with the new notice requirements may face sanctions, including civil monetary penalties of up to $100,000 and exclusion from participation in Federal health care programs.  In addition, LTCFs must have related policies in place to avoid being cited for survey deficiencies. Read More...

Save the Date: NALTH 2011 Education Conference

Posted by Jason Greis on January 9, 2011 under Events | Be the First to Comment

LTACH PHYSICIAN FOCUS
October 6-7, 2011
Omni Royal Orleans Hotel
New Orleans, Louisiana Read More...

NCQA Releases Draft Criteria for Accountable Care Organizations (ACOs)

Posted by Jason Greis on November 9, 2010 under Articles | Be the First to Comment

 The National Committee for Quality Assurance (NCQA), a private, not-for-profit organization that accredits and certifies health plans and other healthcare related organizations published on Oct. 19, 2010, its 2011 Draft Accountable Care Organizations Criteria. The draft criteria describe the standards NCQA believes ACOs should meet in order to ensure that an ACO has the infrastructure necessary to function as an accountable entity and achieve improvements in quality and reductions in costs. The draft criteria were developed with the guidance of a multistakeholder Accountable Care Organization Task Force assembled by NCQA. Read More...

CMS Issues Stark Act Voluntary Self-Referral Disclosure Protocol – 9 Key Concepts

Posted by Jason Greis on October 17, 2010 under Articles | Be the First to Comment

The Patient Protection and Affordable Care Act (PPACA) requires the Secretary of the Department of Health and Human Services (HHS), with the Office of the Inspector General (OIG) of HHS, to establish a protocol for healthcare providers and suppliers to disclose actual or potential violations of Section 1877 of the Social Security Act (Stark Act). Under the Stark Act, healthcare providers and suppliers may not refer patients to any entity for certain services if the physician has a financial relationship with that entity, unless an exception for such referral applies. Read More...