Payors Recouping Monies Paid for Covid Testing

May 11, 2022

  Garfunkel Wild (GW) has recently seen a dramatic increase in government and commercial payors seeking to recoup payments made during the Covid pandemic for Covid testing and related services.  The GW clients who have received recoupment notices demanding substantial repayments include urgent care centers, primary care providers, hospitals, and labs.  We also anticipate this …

Over $300 Million in Grant Funds Available For Behavioral Health and Substance Use Disorder Providers

May 10, 2022

  The U.S. Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMSHA) is making available grant funding opportunities for community-based behavioral health not-for-profits seeking to form Certified Community Behavioral Health Clinics (CCBHC) and to current CCBHCs looking to enhance or expand their services.  156 awards of up to $1,000,000 are …

Good News for Connecticut Ambulatory Surgery Centers

May 6, 2022

  The Connecticut Legislature recently passed the state budget for the next fiscal year. Once signed into law by Governor Lamont, ambulatory surgery centers in Connecticut will no longer be taxed beginning July 1, 2022. Under current law, an ASC’s gross receipts (excluding certain items) are taxed each quarter at 6%. On July 1, 2023, …

OIG Approves Loan of Smartphones to Patients

May 5, 2022

  In Advisory Opinion 22-08, posted on April 27, 2022, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) stated that it would not impose sanctions on a federally qualified health center (“FQHC”) that had loaned smartphones to its patients. The OIG is authorized to impose administrative sanctions on Medicare and …

CMS Rescinds COVID-19 Emergency Declaration Blanket Waivers for Medicare Long-Term Care Facilities

April 19, 2022

  On April 7, 2022, the Centers for Medicare & Medicaid Services (“CMS”) released a memorandum, QSO-22-15, announcing the restoration of certain minimum regulatory requirements that had been waived in response to the COVID-19 Public Health Emergency.  CMS will end the waivers in two groups, under two time frames. Skilled Nursing Facility (“SNF”)/Nursing Facility Blanket …