Federal and state enforcement agencies expect providers to have a compliance plan. Too often providers postpone developing a compliance plan or allow the plan to become stale due to cost concerns and/or not knowing where …..
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, …..
While providers have welcomed the vitally important general and targeted Provider Relief Fund (PRF) payments to cover COVID-19 related expenses and lost revenues, providers also have been waiting for the U.S. Department of Health and …..
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House Bill 492 – New Process for Appealing Medicaid MCOs’ Adverse Claim Determinations On June 7, 2017, Louisiana House Bill 492 (HB 492) was sent to the Governor for executive approval. This Bill establishes a …..
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 …..
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