Proposed Physician Payment Rule Addresses Attending Physician Services Provided by RHCs, FQHCs

–CMS Proposes Part D EPCS Exceptions that Exclude Hospice Waiver The Centers for Medicare & Medicaid Services (CMS) recently issued its proposed CY2022 physician payment rule  and, as is frequently the case, the rule addresses some issues relevant to hospice care (as well as other matters).  This article will discuss two hospice issues: Proposed implementing…

Survey Reforms & Other Significant Changes for Hospice

The Consolidated Appropriations Act 2021 was passed at the end of December 2020, contains numerous provisions applicable to all provider types and some that are hospice-specific. (See this NAHC Report for earlier news & analysis on the subject.) Below is a detailed summary of the hospice-specific provisions in date order, as appropriate, and any additional information…

Writing off Expenses Paid for with PPP Money & a New DoL Decision

By Littler Mendelson

The Consolidated Appropriations Act of 2021 contains an important aspect of that legislation that many of you have been clamoring for: companies now may write off expenses paid for with PPP money.  This change was buried in section 276(a) of the Economic Aid to Hard-Hit Small Businesses, Nonprofits and Venues Act (which is part of the stimulus bill). As you likely know, the Internal Revenue Service (IRS) refused to adopt this position absent express language to this effect in the statute. There was bipartisan support for this new language, but it never seemed to make it into any of the draft stimulus bills. Further cementing this victory, the IRS has announced that an official change in its position on this issue.  We know this is a welcome, albeit belated, result.

Also in the news and relevant to this industry is the DOL’s recent action taken to finalize the independent contractor rule.  This rule impacts traditional registries and the online virtual marketplace platforms that facilitate caregiving services as it provides a new paradigm for analyzing whether a caregiver is truly an independent contractor or employee (focusing on two key factors – control and opportunity for profit or loss – instead of weighing seven factors).  The rule is supposed to go into effect March 8, 2021, but President Joseph Biden has announced his intent to issue a memorandum on his first day in office freezing the effective date of any legislation that is not yet in effect. He also has expressed an interest in derailing the rule entirely. If the rule were to become effective, the biggest question would be its impact on the Field Assistance Bulletin No. 2018-4, which provided guidance on when registries are employers under federal wage and hour law. This is because the new rule would replace any inconsistent previous interpretation of independent contractor status.  So stay tuned for more developments on this front!