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The End of PHE Flexibilities – How to Navigate Upcoming Changes in Healthcare

On January 30, 2022, President Biden announced that the Covid-19 Public Health Emergency (PHE) will finally end on May 11, 2023.[1] Since the PHE was declared on January 31, 2020, emergency declarations and waivers were...more

South Carolina Medicaid to Restart Member Eligibility Reviews – Details and Action Steps for Providers and Their Medicaid...

At the end of January 2022, President Biden announced that the Covid-19 Public Health Emergency (PHE) will end on May 11, 2023. At that time, the Medicaid Program “continuous enrollment provision” will end and State Medicaid...more

CMS Directs Providers to “Prepare to Return to Normal”- Getting Ready for the

The current extension of the federal public health emergency declared as a result of the COVID-19 pandemic (“PHE”) will expire on October 15, 2022. As the need wanes for the waivers and flexibilities implemented due to the...more

Do You Have an Obligation to Conduct a Federally Mandated Single Audit?

By now, if you are a provider who received Provider Relief Funds, you are familiar with the related reporting requirements on the use of the Funds. But do you also have an obligation to conduct a mandatory Single Audit? ...more

The Accelerating Movement Towards Hospital Care in the Home Setting

The next time you step into an emergency room, you may learn the hospital can provide you with hospital-level services to treat your illness in your home. Until recently, the idea of hospitals providing services to patients...more

South Carolina Lightens COVID-19 Restrictions

At long last, South Carolina has seen significant improvements in fighting COVID-19 and has made enough progress in administering COVID-19 vaccines such that Governor Henry McMaster issued an executive order on May 11, 2021...more

As the J&J COVID-19 Vaccine Administration is Paused for Safety Concerns: What is the Impact on South Carolina and its Citizens?

On April 13, 2020, the Centers for Disease Control and Prevention (CDC) and U.S. Food and Drug Administration (FDA) issued a Joint Statement on the Johnson and Johnson (J&J) COVID-19 Vaccine. The CDC and FDA are recommending...more

Rapid Rise in Telehealth Leads to Significant Oversight: How to Prepare Now for New Audit Activities

The Pandemic led to a rise in the use of telehealth and a recognition of its value. When the COVID-19 pandemic began, the use of telehealth to provide healthcare services and enhance access to health care grew at an...more

CMS Releases Extensive Updated FAQs on Medicare COVID-19 Billing and Documentation Issues and Cares Act Provisions

On August 26, 2020, the Centers for Medicare & Medicaid Services (CMS) released extensive COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service Billing and certain provisions of the Coronavirus Aid, Relief,...more

Preparing for Increased Nursing Survey Facility Activity Related to COVID-19 and Infection Control

As of July 12, there have been 142,231 confirmed COVID-19 cases and 38,518 deaths in nursing homes. For this reason, CMS recently called nursing homes “ground zero for COVID-19” and announced enhanced survey activities and...more

CMS Directs Increased Nursing Facility Survey Activity and Penalties Related to COVID-19 and Infectious Control

As the COVID-19 pandemic began this spring, the Centers for Medicare and Medicaid Services (CMS) called on all health care providers to activate infection control practices to help limit the spread of the virus....more

Federal Distribution of Point-of-Care COVID-19 Testing Instruments for Nursing Homes Begins This Week

The U.S. Department of Health and Human Services (HHS) announced on July 14, 2020 that it is distributing rapid point-of-care diagnostic test instruments and tests to all 15,400 nursing homes throughout the country to...more

COVID-19 Fraud and Law Enforcement

Even in the midst of a global pandemic, some individuals and businesses have used the Coronavirus (COVID-19) crisis to take advantage of others. In response to reports of rampant fraud related to the pandemic, on March 16,...more

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