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Latsha Davis & McKenna, P.C. at PACAH Spring Conference

On Thursday, April 26, 2018, Tanya Daniels Harris, Esq. will give a lecture entitled, "DOH Sanctions: A New Era" from 10:30 to 11:30am at PACAH's 2018 Spring Conference, held at The Penn Stater Hotel & Conference Center. Later that day, David Marshall and Steve Montresor will host Latsha Davis & McKenna's Booth at the Spring Vendor Show. We hope to see you at Tanya's session and at the Vendor Show, and wish all attendees a successful Conference.

Home Health Conditions of Participation

The Centers for Medicare & Medicaid Services (CMS) have finalized new Conditions of Participation ("CoPs") for home health agencies ("HHAs") that will become effective on January 13, 2018. These CoPs represent the first major update to the rules governing HHAs in roughly 20 years.

LDM Attorneys to Present at PHCA 2017 Annual Convention

PHCA's 2017 Annual Convention is scheduled for September 26-28 at the Seven Springs Mountain Resort. On Tuesday, September 26, 2017, from 9:45am-10:45am, Kimber Latsha and Tanya Harris will be presenting the following session: "What You Need to Know About Preparing for Surveys and Responding to an Adverse Survey/Licensure Action".

Contracting With MCOs Under Community Health Choices

In order to implement Pennsylvania's Community Health Choices ("CHC") initiative, the Commonwealth has selected three managed care organizations ("MCOs") to maintain CHC provider networks and distribute MA funds accordingly. The MCOs selected by Pennsylvania are AmeriHealth Caritas, Pennsylvania Health and Wellness (Centene), and UPMC for You.

Nursing Home Medical Assistance Per Diem Payments To Be Denied If Resident's Attending Physician Not An MA Certified Provider

In a Medical Assistance (MA) Bulletin issued April 1, 2016, the Department of Human Services (DHS) stated that effective September 25, 2016, physicians and practitioners who order, refer or prescribe items or services for MA beneficiaries must themselves be enrolled in the MA Program. The Bulletin states that to "track" this requirement, DHS will look to the claim field for the "ordering or referring physician" and the NPI number associated with that physician. If that physician is not on file as an MA provider, then the claim will be denied.

LDM Attorneys To Present At PACAH 2017 Spring Conference

PACAH's 2017 Spring Conference is scheduled for April 25th through 28th in State College, PA. Our attorneys will be available during the conference and will be presenting the following sessions:

OIG Issues Resource Guide For Measuring Effectiveness of Corporate Compliance Programs

On March 27, 2017, the Office of the Inspector General ("OIG") posted a Resource Guide for Measuring Compliance Program Effectiveness. You can access the OIG's Guide here. The Guide is organized under the following "elements" that should be addressed under an organization's Compliance Program:

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