Category Archives: Long Term Care

Health Law Firm Opens Green Bay Office

By Fisher, JD, CHC, CCEP <   Health Care Attorney John Fisher Announces Virtual Legal Services for Green Bay, Menominee, Appleton, Oshkosh, and the Greater Fox Valley Attorney John Fisher, a health care lawyer with more than 30 years of … Continue reading

Posted in Ambulatory Surgery Centers, Anesthesiologists, Antitrust in Healthcare, Behavioral Health, Clinical Integration, Consierge & Cash-Based Practices, Dental Practice Issues, Fraud and Abuse, Health Care Contracting, Health Law Practice, HIPAA - Health Information Privacy, Home Health, Hospital Issues, Long Term Care, Medical Staff Organization & Structure, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Physician-Owned Hospitals, Radiology Issues, Reimbursement & Payment Practices, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine, Wisconsin Health Laws, Wisconsin Hospitals, Wisconsin Long Term Care, Wisconsin Physician Issues | Comments Off on Health Law Firm Opens Green Bay Office

DOJ Skilled Nursing Facility Settlement Involving Rehab – Highest Ever

By Fisher, JD, CHC, CCEP Skilled Nursing Facility False Claims Act Settlement Signals Continued Scrutiny of Therapy Billing Client Alert | Health Care Enforcement and Compliance Skilled nursing facility operators should continue to pay close attention to how rehabilitation therapy … Continue reading

Posted in Compliance Issues, False Claims Act, Fraud and Abuse, Long Term Care, Uncategorized, Wisconsin Long Term Care | Comments Off on DOJ Skilled Nursing Facility Settlement Involving Rehab – Highest Ever

New TEP Report Posted On Quality Measures for Long-Term Care

By Fisher, JD, CHC, CCEP The technical expert panel (TEP) has published a new summary report covering the Development and Maintenance of Quality Measures for Long-Term Care Hospital Quality Reporting Program.  The new report related to a meeting of the … Continue reading

Posted in Long Term Care | Comments Off on New TEP Report Posted On Quality Measures for Long-Term Care

CMS Will Hold Lessons from the Front Line

CMS COVID-19 Lessons from the Front Lines, Friday, May 22nd, 12:30 – 2:00 PM Eastern Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an … Continue reading

Posted in COVID-19 Resources, Health Care Legislation, Long Term Care, Physician Issues | Tagged | Comments Off on CMS Will Hold Lessons from the Front Line

Badger Bounce Back Plan – COVID-19 Recovery Plan

The Wisconsin DHS has issued a Badger Bounce Back Plan. The plan identifies steps and criteria to guide the reopening of health care and other services in the state. The Badger Bounce Back Plan identifies 6 areas where COVID-19 will … Continue reading

Posted in Compliance Issues, COVID-19 Resources, Health Care Legislation, Health Law Practice, Hospital Issues, Long Term Care | Tagged , , , , | Comments Off on Badger Bounce Back Plan – COVID-19 Recovery Plan

CMS COVID-19 Stated Objectives

To ensure that local hospitals and health systems have the capacity to handle COVID-19 patients through temporary expansion sites (also known as the CMS Hospital Without Walls initiative); To expand at-home and community-based testing to minimize transmission of COVID-19; To … Continue reading

Posted in Compliance Issues, COVID-19 Resources, Health Law Practice, Hospital Issues, Long Term Care | Tagged , , | Comments Off on CMS COVID-19 Stated Objectives

Coronavirus Checklist for Nursing Homes and Hospitals

By John Fisher, JD, CHC, CCEP Follow the links below to download from the CDC. A coronavirus preparedness checklist for hospitals, including long-term acute care hospitals are available from the CDC. Interim Infection Prevention and Control Recommendations for Patients with … Continue reading

Posted in Compliance Issues, COVID-19 Resources, Department of Health Services, Hospital Issues, Long Term Care, Medicare and Medicaid, Uncategorized, Wisconsin Health Laws | Tagged , , , , | Comments Off on Coronavirus Checklist for Nursing Homes and Hospitals

Personal Care Agency Fraud – Business Structure Can Impact Compliance Risk

By John Fisher, JD, CHC, CCEP Medicaid Personal Care Agency Fraud: Why Business Structure Can Trigger Compliance Risk Personal Care Agency Ownership, Staffing, and Family Caregiver Models May Invite Government Scrutiny Medicaid Fraud Enforcement Risk for Personal Care Agencies Medicaid … Continue reading

Posted in Compliance Issues, Fraud and Abuse, Home Health, Long Term Care, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices | Comments Off on Personal Care Agency Fraud – Business Structure Can Impact Compliance Risk

Health Care Compliance Resource Portal Launched by OIG

By Fisher, JD, CHC, CCEP Office Inspector General Launches New Compliance Resource Portal by John H. Fisher, II, JD, CHC, CCEP OIG Compliance Portal: Centralized Health Care Compliance Resources for Providers What the OIG Compliance Portal Adds At a recent … Continue reading

Posted in Accountable Care Organizations, Ambulatory Surgery Centers, Anesthesiologists, Compliance Issues, Consierge & Cash-Based Practices, Dental Practice, Dental Practice Issues, Fraud and Abuse, Health Law Practice, Home Health, Hospital Issues, Long Term Care, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Radiology Issues, Reimbursement & Payment Practices, Reimbursement Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine | Comments Off on Health Care Compliance Resource Portal Launched by OIG

RCS-1 Model Worksheet Gives a Glimpse of a World Without RUG

By Fisher, JD, CHC, CCEP RUG System for Skilled Nursing Facility Reimbursement – Time is Running Out It is currently anticipated that the RUG system, which is currently used to calculate reimbursement for Medicare Part A skilled nursing services, will … Continue reading

Posted in Compliance Issues, Health Law Practice, Long Term Care, Medicare and Medicaid, Reimbursement Issues, Uncategorized | Comments Off on RCS-1 Model Worksheet Gives a Glimpse of a World Without RUG