Provider Operations

CMS’ Mandatory COVID-19 Vaccination Requirement Reinstated for Louisiana’s Healthcare Facilities

Hospitals and other healthcare facilities that participate in Medicare and Medicaid (collectively Healthcare Facilities) are once again required to comply with the Centers for Medicare and Medicaid Services’ (CMS) COVID-19 vaccine mandate. On Jan. 13, …..

2024-07-10T16:23:53-05:00January 10th, 2022|Categories: Health Law, Provider Operations|Tags: , , |

Navigating HHS’ COVID-19 Testing and Treatment for the Uninsured Program: The 5 Basics that Providers Should Know

Five Critical Things Providers Should Know Regarding HHS’ COVID-19 Testing and Treatment for the Uninsured Program Although it has been more than a year since HHS declared a public health emergency, providers are still struggling …..

2024-07-09T16:57:03-05:00February 11th, 2021|Categories: Health Law, Provider Operations|Tags: |

Final Rules on Reimbursement for Off-Campus Provider Based Departments

On Nov. 2, 2015, Congress surprised providers with the passage of Section 603 of the Bipartisan Budget Act of 2015 (the “Act”), which eliminates Medicare Outpatient Prospective Payment System (OPPS) reimbursement for off-campus outpatient provider-based …..

2024-07-10T19:31:21-05:00November 3rd, 2016|Categories: Health Law, Provider Operations|Tags: |

The Affordable Care Act and Closing the Prescription Benefit Coverage Gap

(“Doughnut Hole”) Medicare Part D Coverage Gap Under the Medicare Part D Prescription Drug Benefit, many Medicare beneficiaries have annually encountered a large gap in their prescription drug coverage that is commonly referred to as …..

2024-07-10T17:44:46-05:00October 8th, 2013|Categories: Health Law, Medicare & Medicaid Enrollment, Provider Operations|Tags: |

Hospital-Physician Employment Agreements: Sorting through the Aftermath of the Tuomey Decision

It is critically important for hospitals to be especially vigilant about complying with Federal and state fraud and abuse statutes in relation to the Hospital’s financial arrangements with physicians. A jury in a Federal trial …..

2024-07-10T18:53:21-05:00August 30th, 2013|Categories: Health Law, LLC Operating Agreements, Provider Operations|Tags: |
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