Compliance

As COVID-19 vaccination deadlines arrive for healthcare providers, CMS offers explanatory resources

As the deadlines arrive for providers to comply with the COVID-19 vaccine mandate, CMS has made various resources available to help healthcare entities determine whether and when the regulations apply to them.

Nick Hut January 27, 2022

HHS’s Office of Inspector General announces audit of providers’ COVID-19 billing practices

OIG has announced an audit of Provider Relief Fund recipients to ensure they did not balance-bill presumptive or actual COVID-19 patients.

Nick Hut January 26, 2022

The COVID-19 vaccine mandate for healthcare workers can take effect nationwide, Supreme Court says

The court lifted injunctions that had halted implementation of the COVID-19 vaccine mandate in half the country, leaving hospitals and other affected providers with likely only a few weeks to begin complying.

Nick Hut January 21, 2022

New surprise billing regulations: Assessing a patient’s network status will be a key challenge

With new surprise billing regulations in place, providers should seek to implement efficient processes for gauging whether a patient is in-network.

Nick Hut January 4, 2022

Studies find glaring issues with federal price transparency requirements

The first year of federal price transparency regulations for hospitals hasn’t had high rates of compliance, nor has it consistently led to actionable information for consumers, according to two new studies.

Nick Hut December 21, 2021

Provider Relief Fund Phase 4 payments will be transmitted starting later this week, HHS announces

Provider Relief Fund Phase 4 payments will be made starting Dec. 16 to providers that applied and were deemed eligible.

Nick Hut December 18, 2021

Court injunction stops federal COVID-19 vaccine mandate for healthcare workers from being implemented as scheduled

A federal judge has halted implementation of a new rule that would require all on-site staff in hospitals and most other healthcare settings to be vaccinated against COVID-19.

Nick Hut December 2, 2021

CMS makes templates available to help with aspects of the new surprise billing regulations

CMS has published templates and resources that can guide healthcare providers in implementing some of the surprise-billing requirements that take effect in January.

Nick Hut December 2, 2021

CMS finalizes vaccination requirements for hospitals and most other healthcare settings

If hospital staff aren’t fully vaccinated by Jan. 4, their organization will be deemed noncompliant with Medicare and Medicaid regulations, according to a new rule handed down Thursday by CMS.

Nick Hut November 13, 2021

CMS finalizes changes to the price transparency penalty, inpatient-only list and more for 2022

Medicare policies affecting price transparency, the inpatient-only list and more will take effect Jan. 1 after CMS published its 2022 final rule for hospital outpatient departments and ambulatory surgical centers.

Nick Hut November 7, 2021
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