Waltz, Young Comment on Developments on Medicare Compliance Front

Partner Judy Waltz and Senior Counsel Torrey Young were quoted in a Report on Medicare Compliance article, “Outlook 2020: Integrity Rule, Inpatient Audits Will Stir Things Up; Privacy is ‘Huge Focus,’” about compliance and enforcement issues that will be front and center this year.

Waltz said hospitals should prepare for enrollment changes because of a final 2019 CMS program-integrity regulation that could put their billing privileges in jeopardy. “It’s important for compliance officers right now to consider how the affiliation rules will impact them down the line,” she said.

Young said a proposed ESRD safe harbor provision would allow providers to give patients in-home dialysis telehealth technology if certain criteria are met. “It provides potential growth for ESRD, but the question is, if you have technology that doesn’t fit squarely within [the safe harbor], is their potential for enforcement?” she said.