CMS recently issued Transmittal 153, entitled – ”Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertifications”. The transmittal provides guidance on the ability of physician assistants to perform level of care certifications and recertifications in skilled nursing facilities. The guidance implements Section 3108 of the Affordable Care Act. According the guidance, a physician assistant may now perform the certification or recertification if the physician assistant collaborates with the physician but does not have a direct or indirect employment relationship with the facility. The new rules become effective for items and services furnished on or after January 1, 2011.
You can find a copy of the new guidance here —> Transmittal 153
The Centers for Medicare and Medicaid Services (CMS) has updated its guidance for reporting of suspicious crimes by long term care facilities. The Survey and Certification Memo from June 17, 2011 (S&C-11-30-NH) has been updated as of January 20, 2012 with additional definitions and questions and answers. Guidance was provided for state agencies, ICF/MRs as well as nursing facilities. For more information you can get a copy of the revised S&C letter here —> S&C 11-30-NH
Posted in Certification, Continuing Care, Health Care, Health Care Providers, Long Term Care, Medicare, Nursing Facility, Nursing Home, Participation, Post Acute Care, Regulatory Compliance, Skilled Nursing Facility
Benesch had the opportunity to sponsor the ACG NY 4th Annual Health Care Conference on January 25th, 2011 at the Metropolitan Club in New York City. The conference was a great success with attendees from the private equity, lending, investment and service provider communities. We want to thank all those who attended the conference. It was a great event.
More importantly, we wanted to thank the panelists who put on a great presentation. The panel presentation provided significant insight into the coming challenges and unknowns for the hospital sector in 2012. The discussion of policy initiatives that are pushing toward more integration and the assumption of risk by providers was enlightening. Continue reading
Posted in Accountable Care Organizations, Acute Care, Benesch Events, Health & Human Services, Health Care, Health Care Providers, Health Reform, Hospital, Integration, Investors, Medicare, Private Equity
A new report (OEI-12-10-00190) entitled Questionable Billing Patterns of Portable X-Ray Suppliers was issued by the Department of Health and Human Services, Office of the Inspector General (“OIG”). The report concluded that twenty portable x-ray suppliers exhibited questionable billing patterns. The study was conducted as part of the Health Care Fraud Prevention and Enforcement Action Team (“HEAT”) initiative, and is another prime example of the increased scrutiny facing health care providers.
Posted in DHHS, Fraud and Abuse, Health Care, Health Care Providers, Long Term Care, Medicare, Nursing Facility, Nursing Home, OIG, Physicians, Post Acute Care, Program Integrity, Regulatory Compliance, Reimbursement, Skilled Nursing Facility