There are numerous adverse actions that can be taken against a provider’s Medicare ordering and referring or billing privileges. In general, however, deactivation is not considered such an “adverse action” that will reflect on the providers PECOS; however, it does “stop” your ability to use your Medicare privileges. If you…
For various reasons, licensed medical providers may choose to voluntarily surrender their state medical license. Earlier this year, our healthcare and business law firm blogged about the repercussions of voluntarily surrendering a state medical license on the physician’s Medicare enrollment. Our firm recently had success in challenging a Medicare MAC’s…
Our healthcare and business law firm previously published a blog post on the federal telemedicine rules. Both Federal and State rules govern the provision of telemedicine. Each state’s rules governing telemedicine are different, but the applicable laws and rules are generally found in the state medical board’s rules, insurance code,…
Given the increased use of telehealth during the Public Health Emergency (“PHE”), the Centers for Medicare and Medicaid Services (CMS) passed a final rule modifying the rules around when Medicare will reimburse for mental health visits. A previous blog post analyzed Federal laws and rules governing telehealth visits, including the…
Many of our healthcare and business law firm’s clients have an interest in offering a practice that offers more flexibility to patients when it comes to in-person versus virtual visits. Deciding to offer telemedicine visits to your patients not only requires acquiring a video product that satisfies HIPAA and other…
We have seen a continued growth in the popularity of medical spas despite the hurdles presented by the COVID-19 pandemic. See Unpacking the Success Factors of the Medical Spa Industry During the Pandemic, Forbes (May 21, 2021). Medical spas present unique compliance challenges from determining whether certain aesthetic services are…
Previous blog posts provided an overview of the Centers for Medicare and Medicaid Services’s (“CMS”) Vaccine Mandate and addressed whether boosters are required. To continue supporting our healthcare and business law firm’s clients, herein we have tackled more specific questions about CMS’s Vaccine Mandate. This blog post outlines CMS’s current…
For various reasons, licensed medical providers may choose to voluntarily surrender their state licensure. Sometimes, the provider does not intend to work in the state anymore and no longer wishes to maintain the licensure. Other times, the licensing agency may intend to discipline the provider and the provider chooses to…
Our previous blog post provided an overview of the Centers for Medicare and Medicaid Services’ (“CMS”) Vaccine Mandate and addressed two basic questions of the mandate: What providers are covered and what’s the timeline to comply? Many of our healthcare and business law firm’s clients have additional questions about the…
Many of our healthcare and business law firm’s clients have questions about whether CMS’ vaccine mandate (a.k.a. the “federal healthcare worker vaccine mandate”) applies to their workforce. The vaccine mandate landscape is evolving. For instance, the OSHA vaccine mandate applicable to 100+ employee-businesses was overruled by the Supreme Court. The…