COVID-19 for Compliance Professionals

The Health Ethics Trust is pleased to present a series of briefings addressing compliance issues related to the COVID-19 crisis. Specifically, we thought it would be useful to set out some of the recent guidance provided by CMS, OCR, and the CDC, among others, to assist you in navigating the laws, rules and regulations with which your organizations have to comply.

For ease of reference, we are grouping the guidance by the type of organization to which it applies (hospitals, home health, health plan, etc.), although some of the guidance may apply across organization types.

These guidance documents are not meant to cover every issue or all guidance involving a particular organization type, but may serve as a helpful starting point for the compliance issues related to COVID-19.

These guidance documents are prepared with the support of Lynn Barrett, Esq., CHC, CCP a private practice attorney and former CCO who speaks at many Trust programs and is active in Compliance Resource Group, Inc.

COVID-19 Waivers: An Overview

COVID-19 Waivers: An Overview

As a result of the public health emergency caused by COVID-19, on March 30, 2020, CMS issued Blanket Waivers with respect to 18 categories of referrals and/or remuneration arrangements.

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COVID-19 for Compliance Professionals: Telemedicine

COVID-19 for Compliance Professionals: Telemedicine

Generally, Medicare Advantage Organizations (MAOs) maintain provider networks and either limit an enrollee’s ability to obtain Medicare-covered services from out-of-network providers or charge enrollees more when they receive services from out-of-network providers.

On March 10, 2020, CMS released guidance for MAOs (as well as for Part D sponsors) regarding certain obligations as well as permitted flexibilities related to disasters and emergencies resulting from COVID-19.

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COVID-19 for Compliance Professionals: Medicare Advantage Plans

COVID-19 for Compliance Professionals: Medicare Advantage Plans

Generally, Medicare Advantage Organizations (MAOs) maintain provider networks and either limit an enrollee’s ability to obtain Medicare-covered services from out-of-network providers or charge enrollees more when they receive services from out-of-network providers.

On March 10, 2020, CMS released guidance for MAOs (as well as for Part D sponsors) regarding certain obligations as well as permitted flexibilities related to disasters and emergencies resulting from COVID-19.

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COVID-19 for Compliance Professionals: Hospitals

COVID-19 for Compliance Professionals: Hospitals

The Health Ethics Trust is pleased to present a series of briefings addressing compliance issues related to the COVID-19 crisis. Specifically, we thought it would be useful to set out some of the recent guidance provided by CMS, OCR, and the CDC, among others, to...

read more