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Articles Tagged With: waivers

  • In 2021, Assisted Living Litigation Might Hinge on Immunity

    Assisted living facilities and their affiliated hospitals and health systems are bracing for a wave of lawsuits associated with COVID-19. It remains to be seen how much immunity they can expect from laws implemented during the pandemic. Risk management for assisted living facilities should be more responsive, nimble, and organized than ever before.

  • Telemedicine Law Changes Confusing, but Waivers Protect During Pandemic

    Legislation passed in December 2020 changed some telehealth requirements for mental health services. The change has prompted concern over false claims.

  • TJC Offers Guidance on Accreditation and Effects from COVID-19

    COVID-19 has affected hospitals and health systems in many ways, extending to the accreditation requirements and processes of The Joint Commission (TJC). Responding to many questions and concerns from accredited facilities, TJC recently offered answers in a webinar. The topics were wide-ranging, from the waiver of certain requirements to telehealth and documentation.

  • CMS Extends Hospital Survey Limitations

    Agency restricts hospital complaint surveys to immediate jeopardy allegations.

  • Leading the Charge in 2021: Managing Capacity

    Approaching one year after COVID-19 began spreading in the United States, case managers are considering how to make the most of their new perspective in 2021 and beyond. The pandemic has shone a light on case management program and healthcare facility weaknesses, but also has brought new opportunities for leadership and advocacy. What can case managers do to maximize these opportunities and avoid pitfalls?

  • Uncertainty on Auths Means Anxiety for Patients, Registrars

    Many health plans waived some authorization requirements during the COVID-19 pandemic, but the actual effect on revenue is unclear.

  • CMS Issues Waivers to Help Case Managers, Hospitals Cope with COVID-19

    New York City struggled, as did other hotspots. Patient care units sprung up in public spaces. Busloads of out-of-state nurses, medical residents, and retired doctors, nurses, and therapists pitched in. To expedite patient care, insurance companies waived copays and deductibles. Discharge planning regulations were relaxed. Paperwork took a back seat, as all efforts were directed toward patient care. All this was due to the declaration of a national emergency, which gave impetus to changes from the Centers for Medicare & Medicaid Services.

  • COVID-19 Changes HIPAA Compliance, But Caution Necessary

    The Office for Civil Rights has issued waivers and notices of enforcement discretion for several issues related to Health Insurance Portability and Accountability Act compliance, but healthcare organizations still must be careful to comply with the privacy law even during the pandemic.

  • Auth Requirements Are Relaxed During COVID-19 Crisis — Or Are They?

    Relaxed authorization requirements sounds like great news. However, payers are vague on the specifics. For this reason, some patient access leaders are erring on the side of caution and continuing to secure all authorizations per usual protocol.

  • EMTALA 1135 Waivers Allow Flexibility

    The Centers for Medicare & Medicaid Services issued waivers for some Emergency Medical Treatment & Labor Act (EMTALA) requirements, acknowledging certain expectations are not reasonable to achieve during a pandemic. However, EMTALA still applies.