Regulatory Strategies Are Unveiled

By
Original story posted on: March 13, 2017
Now that Secretary Tom Price has been confirmed to head the U.S. Department of Health and Human Services (HHS), other cabinet-level nominees are continuing through the confirmation process. Seema Verma was approved by a Senate committee and is expected to be confirmed by the full Senate as the next Centers for Medicare & Medicaid Services (CMS) administrator.

Reports are that the Trump administration has also chosen Brian Neale, who helped create Indiana’s conservative version of Medicaid expansion, to lead the Center for Medicaid and CHIP Services, the part of CMS that directs the Medicaid and CHIP programs. Other high-level executives are expected to be named in the coming months to complete the leadership team at HHS.

In regulatory news, President Trump has signed Executive Order (EO) 1377, which provides some further guidance to his regulatory reform policy. The EO requires the head of each federal agency to designate a regulatory reform officer to direct and enforce the policy. A regulatory reform task force will be named in each agency to evaluate which existing regulations should be repealed or modified.

Task force reports are due within 90 days. The task forces have been directed to concentrate on regulations that eliminate jobs or impose costs greater than the benefits they bring.

And the CMS bundled payment program regulation will have a small delay in its effective date. This rule establishes the mandatory bundled payment for cardiac procedures, as well as expanding the hip and knee replacement bundled payment program. The effective date of this rule has been moved from Feb. 18 to March 21, just beyond the 60-day limit for review of all new regulations by the Trump administration.
Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.
Stanley Nachimson, MS

Stanley Nachimson, MS is principal of Nachimson Advisors, a health IT consulting firm dedicated to finding innovative uses for health information technology and encouraging its adoption.   The firm serves a number of clients, including WEDI, EHNAC, the Cooperative Exchange, the Association of American Medical Colleges, and No World Borders.  Stanley is focusing on assisting health care providers and plans with their ICD-10 implementation and is the director of the NCHICA-WEDI Timeline Initiative.  He serves on the Board of Advisors for QualEDIx Corporation.

Stanley served for over 30 years in the US Department of Health and Human Services in a variety of statistical, management, and health technology positions.  His last ten years prior to his 2007 retirement were spent in developing HIPAA policy, regulations, and implementation planning and monitoring, beginning CMS’s work on Personal Health Records and serving as the CMS liaison with several industry organizations, including WEDI and HITSP.  He brings a wealth of experience and information regarding the use of standards and technology in the health care industry.

Related Stories

  • Coding Transition Care Management
    New patient management service codes. The Medicare Physician Fee Schedule (MPFS) recently added several patient management service codes that have face to face and non-face-to-face components to them for physician reimbursement. One of those services is transition care management (TCM).…
  • The Dangers of “Cloning Around”
    Cutting and pasting functions in the EMR and EHR can damage the integrity of the medical record. The practice of cloned or copied-and-pasted documentation is a significant issue in the use of electronic health records (EHRs). A recent study in…
  • Medical Necessity and Denial Management
    Quality work reduces the burden of the denial management process. When my children were young, they really enjoyed the movie “The Neverending Story.” It’s about a boy who reads a magical book that tells a story of a young warrior…