After the well-publicized CMS enforcement action against St. Peter’s Hospital in Helena, Montana, in October, 2015, there was substantial confusion within the hospital industry about the effect of leasing licensed hospital space to private physicians for the purpose of periodic outreach clinics. In the case of St. Peter’s, the hospital […]
Health Law Alert
CMS Announces Delay in Effective Date for New Home Health Agency Conditions of Participation; Congress Questions Impact of Proposed Home Health Agency Reimbursement Changes
Home health agencies (“HHAs”) are struggling to deal with changes from the Centers for Medicare and Medicaid Services (“CMS”) on two fronts. On July 10, 2017, CMS released a final rule delaying the effective date of the changes to the Conditions of Participation (“COPs”) for HHAs that was published on […]
Written Physician Assistant Supervisory Agreements Are Now Required in Iowa
On September 15, 2017, the Iowa Board of Medicine published final administrative regulations governing the supervision of physician assistants PAs in Iowa. Although the new rules are effective September 20, 2017, enforcement of the rule is delayed until January 1, 2018 in order to allow time for education and implementation. […]
OIG’s “Eye on Oversight” Video Series – Compliance Training Supplement
Beginning in January 2016 and usually produced monthly since then, the OIG has released videos on a wide variety of topics that the OIG states “highlight an emerging health care issue or trend.” The videos are not copyrighted and may be viewed from the OIG website www.oig.hhs.gov or accessed and […]
CMS Website About Jimmo Ruling is Now Posted
The Jimmo v. Sebelius case, settled in 2013, clarified Medicare coverage of nursing services and therapy to prevent deterioration, the so-called “maintenance coverage” standard. The clarification was necessary to dispense with a long-held erroneous belief that Medicare only covered nursing and therapy services when the beneficiary was expected to improve. Ironically, there […]

