On Monday, July 1, 2019, the U.S. Department of Education (“ED”) formally published a final rule rescinding the Obama-era regulations known as the Gainful Employment rule. Institutions have the option to implement these changes immediately—including cessation of all GE disclosure obligations and direct-delivery requirements—provided they follow ED’s instructions for doing so, which are described below.
Rebecca Burke, Powers Counsel, was a speaker on remote patient monitoring at the CTel Spring Summit in Washington DC June 13-14. Her presentation addressed the evolving coverage and reimbursement environment of this rapidly expanding health care delivery model. See Ms. Burke’s presentation here.
WASHINGTON, DC—June 17, 2019— The Centers for Medicare & Medicaid Services (CMS) today announced that it will settle inpatient rehabilitation facility (IRF) appeals at rates very favorable to IRFs. The settlement was negotiated by Powers attorneys Peter Thomas and Ron Connelly on behalf of the Fund for Access to Inpatient Rehabilitation (FAIR), the American Medical Rehabilitation Providers Association (AMRPA), and the Federation of American Hospitals (FAH). FAIR’s participation in litigation challenging the backlog of Medicare Administrative Law Judge (ALJ) appeals was an important factor bringing CMS to the negotiating table.Read More
Department of Education Clarifies Borrower Defense to Repayment Reporting Obligations in June 3 Q&A
Summary
On June 3, 2019, the U.S. Department of Education issued additional guidance, styled as a question and answer document, regarding financial responsibility reporting requirements under the Borrower Defense to Repayment regulation (collectively, the “Reporting Requirements”).
Powers principal Peggy Tighe and the Regulatory Relief Coalition (RRC) recently shepherded the introduction of new legislation in the House of Representatives to reform the use of prior authorization in the Medicare Advantage program.
Powers Principal Diane Millman Speaks at ATC 2019
Powers Principal Diane Millman spoke at the American Transplant Congress (ATC) last week in Boston, Massachusetts on behalf of the American Society of Transplant Surgeons (ASTS).
