Medicare Compliance & Reimbursement
HHS Pushes SUNSET Rule Implementation to Fall 2022
The Department of Health and Human Services (HHS) has opted to push back the SUNSET regulation for a second time, with a start date now in September. Update: On March 3, HHS issued a final rule in the Federal Register delaying the implementation of the Securing Updated and Necessary Statutory Evaluations Timely (SUNSET) rule by six months. Originally, the SUNSET rule was published on Jan. 19, 2021, the final day of the Trump administration, and the Biden administration first delayed it on March 19, 2021. On Oct. 29, 2021, “HHS published a notice of proposed rulemaking to withdraw or repeal the SUNSET final rule,” and allowed public commentary until Dec. 28, 2021, the March 3 final rule indicates. Additionally, several lawsuits from industry organizations have been filed, demanding that HHS revoke the controversial rule. Another reason for the implementation delay is to wait for judicial review of the complaints, HHS says. The SUNSET rule “establish[es] a new process for regulatory review of HHS regulations, which includes the automatic expiration of regulations under certain circumstances,” the rule reminds. Review the final rule in the Federal Register at www.govinfo.gov/content/pkg/FR-2022-03-04/pdf/2022-04524.pdf.
Medicare Compliance & Reimbursement
- Fraud & Abuse:
Feds Focus on Physicians in March Enforcement
Warning: Several settlements include million-dollar fines — and prison time. If you thought the feds [...] - Policy:
Understand This Medicare Update on Locum Tenens
Reminder: Don’t forget about the NPI nuances when billing. With warmer weather on the horizon, [...] - HIPAA:
Don’t Put Cybersecurity on the Back Burner in 2022
Utilize these free tools from the feds to boost your cyber health. The pandemic magnified [...] - Clip And Save:
Add These 2 Resources to Your QPP Wheelhouse
CMS offers new help to small practices. With the pandemic still impacting policy reforms, you [...] - Reader Question:
Know These VA and Medicare Nuances
Question: One of our patient’s was originally covered by Medicare, but his main health insurance is [...] - Industry Notes:
OIG Begins Investigating Nursing Home COVID Vaccination Compliance
During the pandemic, long-term care facilities struggled to care for the nation’s most vulnerable patients. [...] - Industry Notes:
OSHA Plans ‘Focused Inspections’ of Hospitals’ and SNFs’ COVID Protocols
The Department of Labor (DOL) wants to protect healthcare workers and get ahead of the [...] - Industry Notes:
HHS Pushes SUNSET Rule Implementation to Fall 2022
The Department of Health and Human Services (HHS) has opted to push back the SUNSET [...] - Industry Notes:
OIG Finally Get a New Leader
After years of being stuck in limbo, Christi Grimm has been sworn in as the [...]
