Date archive: February 2016

REMINDER: PHI Breaches Affecting Less than 500 Individuals Must Be Reported to HHS by 2/29/16

The annual reporting deadline for any breaches of unsecured protected health information (PHI) affecting fewer than 500 individuals is quickly approaching. HIPAA requires all covered entities to notify Office of Civil Rights (OCR) regarding a breach of unsecured PHI affecting fewer than 500 individuals within 60 days of the end of the calendar year. These…

Will Missouri be Next to Allow Electronic Monitoring Devices in Long Term Care Facilities?

Currently five states – Illinois, New Mexico, Oklahoma, Texas and Washington have laws requiring long term facilities to allow residents to request monitoring devices in resident rooms. Utah currently has legislation under consideration to allow monitoring, but the Utah legislation restricts the use of such devices to assisted living communities. Now, Missouri is looking at…

CMS Changes the Manual Medical Review of Therapy Claims Above the $3,700 Threshold and Extends Therapy Cap Exception

On February 9, 2016, CMS issued an update announcing changes related to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), signed into law on April 16, 2015. The changes extend the therapy cap exception process through December 31, 2017. MACRA also modifies the requirement for manual medical review for services over the $3,700…

Illinois Authorized Electronic Monitoring in Long-Term Care Facilities Act

As many of you are aware, on January 1, 2016, the Illinois Authorized Electronic Monitoring in Long-Term Care Facilities Act (the “Act”) became effective. This Act imposes various responsibilities on long-term care facilities in Illinois to allow residents to engage in electronic monitoring. The Department of Public Health (“IDPH”) also has certain responsibilities under the…


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