New guidance issued by the U.S. Department of Justice (DOJ) highlights the importance of updating corporate compliance programs to satisfy regulatory requirements. The 2020 updates pick up where the 2019 guidance left off in addressing the evaluation metrics for compliance. The key takeaway for 2020 is that companies are encouraged to update and improve compliance programs with the latest in … Continue Reading
Dentists Can Apply for CARES Provider Relief Funds through August 3, 2020
Dentists are now able to receive funds from the U.S. Department of Health and Human Services’ Provider Relief Fund, as a result of the American Dental Association’s advocacy.
In a press release dated July 17, 2020, the U.S. Department of Health and Human Services (HHS) extended the deadline to apply for the funds to August 3, 2020, “to ensure … Continue Reading
Costs for COVID Tests – The Buck Stops Where?
Widespread testing for the novel Coronavirus is generally recognized as an important tool in combating the spread of the virus. The World Health Organization is an advocate for broad testing, so as to better locate incidents of infection for purposes of isolation, caring, and tracking.
However, the cumulative cost for such testing is significant. In a study commissioned by the … Continue Reading
THE ABC’S OF THE S.I.U.: What Providers Need to Know
Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order. Yet, not all requests should be treated the same. When a request for documentation is propounded by the “Special Investigation Unit” (S.I.U.) of an insurance company, special care should be exercised … Continue Reading
PA Health Care Practices and Facilities Should Modify Their COVID-19 Policies for New Travel Quarantine
On July 1, 2020, the Pennsylvania Department of Health and Gov. Wolf issued a 14-day quarantine recommendation for any individual returning to PA from any of 19 states. The Department expects to adjust the list from time to time to reflect the rise or decrease in COVID-19 cases in states around the country.
Health care practices and facilities should consider … Continue Reading
HHS Announces Relief Fund Payments for Medicaid & CHIP Providers, Safety Net Hospitals and Enhanced Provider Relief Fund Portal
***Update: Eligible providers that participate in Medicaid and CHIP programs must electronically submit an application for Provider Relief Funds through the Provider Relief Fund Portal by July 20, 2020. Note that such providers may select to use their gross revenues from patient care for CY 2017, or 2018 or 2019. The Instructions, Application and Terms and Conditions for Medicaid … Continue Reading
Medicare Appeals and Audit Waivers Amid the COVID-19 Pandemic
In the event of a national disaster or emergency under the Stafford Act or the National Emergencies Act and a Public Health Emergency Declaration by government officials, the Department of Health and Human Services (HHS) Secretary can temporarily waive certain Medicaid and Medicare criterion, which are commonly referred to as 1135 Waivers. By way of example, 1135 Waivers or … Continue Reading
Focused Infection Control Surveys for Nursing Homes to be Completed by July 31, 2020 — New Penalties for Identified Deficiencies
On June 1, 2020 CMS published QSO-20-31-All. It is effective immediately and provides in part as follows:
(1) States will need to perform focused infection control surveys (FICS) of 100% of the certified nursing homes in their State by July 31, 2020 or lose access to certain federal funding.
… Continue ReadingPA Dental Practices Permitted to Re-Open for Routine Cleanings
On June 3, 2020, the Pennsylvania Department of Health (DOH) issued revised Guidance permitting dental practices to re-open for non-urgent and non-emergent care, including, but not limited to, routine cleanings. Dentists around the State have been awaiting this green light from the DOH, as it has been difficult for practices to re-open without being able to perform routine cleanings.
The … Continue Reading
OSHA Revises its Guidance for Recording Work-Related COVID-19 Cases
The U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA) generally requires employers to report and record workplace injuries. OSHA has published revised guidance regarding its recordkeeping requirements for employers. Beginning May 26, 2020 and until further notice, OSHA is requiring most employers with more than 10 employees to record work-related employee COVID-19 illnesses.
While this applies to many … Continue Reading