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Photo of Healthcare Law Blog Lisa English Hinkle
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lhinkle@mcbrayerfirm.com
859.231.8780; ext. 1256
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Lisa English Hinkle knows that because healthcare is one of the most regulated areas in the country, one of the most difficult and important issues that healthcare providers face is …

Showing 50 posts by Lisa English Hinkle.

A Potpourri of COVID-19 Takeaways for Healthcare Providers

While the COVID-19 virus surges and possibly re-surges in states all around us, Kentucky’s cautious management of this crisis has created opportunities for healthcare providers to ease back into business and shift into recovery. Whether Kentucky can continue to contain the virus is uncertain, but as healthcare providers retool and spend the federal dollars infused by the CARES ACT, here are the areas to watch. More >

Reimbursement Relief for Healthcare Providers Treating the Uninsured

Reimbursement relief is on the way for healthcare providers who have conducted COVID-19 testing or provided treatment for COVID-19 individuals who are uninsured. The COVID-19 Uninsured Program Portal allows for providers to submit claims for reimbursement beginning May 6, 2020 for COVID -19 services on or after February 4, 2020. These reimbursements will be made at Medicare rates. More >

FCC is awarding funds for the COVID-19 Telehealth Program

The Coronavirus Aid, Relief, and Economic Security (CARES) Act that was passed into law in March 2020 set aside $200 million in funds for the Federal Communications Commission (FCC) to establish the COVID-19 Telehealth Program. The program’s intent is to keep physicians and patients safe while continuing care remotely. The support provided through telehealth is intended for treatment of both coronavirus and other ongoing health conditions during the pandemic. More >

DOJ’s Nursing Home Initiative Targets Providers – Compliance Will Be Critical!

A new initiative announced by the Department of Justice (DOJ) on March 3, 2020, is aimed at investigating “grossly substandard care” in nursing homes. The National Nursing Home Initiative will initially be targeting the nation’s most problematic facilities and will use both civil and criminal enforcement actions where these facilities are putting the health and safety of residents in danger. The initiative serves as one focus in the DOJ’s larger efforts in protecting the elderly and is coordinated by the Elder Justice Initiative. More >

CMS Suspends the Advance Payment Program and Reevaluates Accelerated Payments

On April 26, 2020, the Centers for Medicaid & Medicare Services (CMS), announced that the Advance Payment Program for Part B suppliers was ending immediately and that the amounts being paid under the Accelerated Payment Program will be reevaluated. Going forward, new applications for the Advanced Payment program will not be accepted.  There are interesting implications and questions for providers who received funds under this program going forward as CMS has not issued any guidance concerning how this will be handled. More >

Kentucky Sets Detailed Timeline for Phased Reopening of Healthcare Providers

The Kentucky Department for Public Health (KDPH) has released a four-stage plan for reopening Kentucky’s health care services in the wake of the COVID-19 pandemic with the first phase beginning on April 27, 2020, and the fourth and final stage being implemented on May 27, 2020. The intention is to gradually loosen restrictions on services while providing requirements that must be met in order to mitigate against the COVID-19 pandemic.  More >

Kentucky Healthcare Providers: SB 150 Gives Some Liability Buffer and More

In the midst of the COVID-19 crisis, there is still good news to be found for healthcare providers. On March 30th, Gov. Beshear signed Senate Bill 150, a broad coronavirus response measure that touches on everything from licensing fees to alcohol sales.  Tucked into the bill is a provision that limits the liability of healthcare providers who treat COVID-19 patients in good faith. More >

Kentucky Board of Nursing Issues Advisory on Nurse Practitioner Prescribing During State of Emergency, Pushes Telehealth

Following the Kentucky Board of Medical Licensure’s Advisory, the Kentucky Board of Nursing issued advisory guidance regarding prescribing practices for Nurse Practitioners.

The guidance begins with a reminder of prescribing limits per the schedule of the drug prescribed, then immediately states that APRNs may utilize telehealth when prescribing controlled substances per 201 KAR 20:520. The good faith examination required to establish the provider-patient relationship under KRS 218A.010(4) can now, under the present emergency, be accomplished via telehealth. The definition of telehealth includes interactive audio, video, or other electronic media, and, as the Board points out, telephones.
More >

KBML Reminds Physicians of Exceptions to Prescribing Rules for Controlled Substances During Declaration of Emergency

The KBML has issued an advisory opinion on prescribing requirements for controlled substances, reminding licensees that 201 KAR 9:260 Section 2(2) addresses situations when a physician is unable to conform to professional standards for prescribing of controlled substances due to circumstances beyond the physician’s control or when the physician makes a professional determination that it is not appropriate to comply with a specific standard. Given the “current but temporary state of emergency,” the KBML notes that there may be circumstances where it would not be appropriate to require a patient to come into the office prior to refilling a prescription. More >

Providing Medically Assisted Therapy During the National COVID-19 Crisis

With the President’s declaration of a national emergency, the HHS Secretary has issued waivers of certain regulatory requirements that enable health care providers that provide medically assisted therapy to provide services in a manner that will reduce the risk of transmission of the COVID-19 virus. The waivers relax Medicare and other regulatory requirements for telehealth that are to the benefit of physicians who can implement a telehealth program.  With the Kentucky Board of Medical Licensure’s guidance about prescribing refills of controlled substances for established patients that will apply to Buprenorphine, clinics have the authority to establish robust telehealth programs during this crisis. This is especially appropriate for substance use disorder patients as they may be particularly susceptible to the COVID-19 virus, often facing respiratory challenges as a result of pulmonary damage caused by drug use. In addition, substance use disorder patients often experience co-morbidities. More >

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