2020 was an historical year in the health care industry with the global COVID-19 pandemic being the most impactful issue for most of the year. As we enter 2021, we are tracking the following issues which will have an impact...more
In November 2019, the Centers for Medicare and Medicaid Services (CMS) published the Final Rule implementing Section 2718(e) of the Public Health Service Act, aimed at making hospital pricing for common services more...more
On October 29, 2020, the Department of Health and Human Services (HHS), the Department of Treasury, and the Department of Labor issued a new “transparency in coverage” final rule that is focused on insurance companies and...more
Serving on a Board of Directors of a health care provider organization like a hospital, a physician practice, an ambulatory surgery center, a community health center, or some other type of provider is an important job that...more
At both the state and federal level, COVID-19 testing is the focus of regulatory focus. On May 6, 2020, the South Carolina Department of Health and Environmental Control announced that it will conduct statewide COVID-19...more
On March 13, 2020, in accordance with Sections 1-3-420 and 25-1-440 of the South Carolina Code of Laws, as amended, Governor Henry McMaster declared a state of emergency due to the public health emergency caused by the 2019...more
If you are a Medicaid and CHIP provider, please be aware of the latest post-payment claims reviewer we have detailed here.
We anticipate providers will be faced with additional stress and burden when this new PERM RC...more
Has your practice received a Targeted Probe and Educate (TPE) audit from a Medicare Administrative Contractor (MAC)? If so, did you know you only have three strikes before you’re out?...more
Over the last several years, the US Department of Veterans Affairs (VA) has experienced numerous high profile problems with its operations and the delivery of to our veterans. The recent discovery of the depletion of the...more