Caroline Reignley
Subscribe to Caroline Reignley's PostsCaroline Reignley provides valuable counsel on healthcare regulatory and reimbursement law to her clients, including for-profit and nonprofit hospitals, health systems and physician groups. She is particularly focused on advising clients on Medicare and Medicaid fee-for-service reimbursement, billing and coding, licensure, accreditation and healthcare compliance matters.Read Caroline Reignley's full bio.
Remote Monitoring and Digital Therapies: CMS Updates Coverage and Payment Policies
By Caroline Reignley, Michael Ryan and Deborah Godes on Dec 26, 2023
Posted In Employee Benefits, Health and Welfare Plans
In recent years, the Centers for Medicare & Medicaid Services (CMS) has expanded payment for remote monitoring services in an effort to pay for non-face-to-face services that improve care coordination for Medicare beneficiaries. On November 2, 2023, CMS released the calendar year 2024 final rule for services reimbursed under the Medicare Physician Fee Schedule. In...
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Remote Monitoring Services Under Review: Update on Potential Medicare Coverage Policies
By Caroline Reignley, Deborah Godes, Michael Ryan, Dale C. Van Demark, Marshall E. Jackson, Jr. and Abby Higgins on Jul 12, 2023
Posted In Digital Health, Employee Benefits, Health and Welfare Plans
On May 19, 2023, Novitas Solutions and First Coast Options sent an email to certain interested parties, with whom they had engaged following the multijurisdictional contractor advisory committee (CAC) meeting, explaining that they have decided to not pursue at this time a local coverage determination for remote physiological monitoring (RPM) and remote therapeutic monitoring (RTM)....
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OCR Issues Proposed Rule to Modify HIPAA Privacy Rule to Include Explicit Protections for Reproductive Healthcare
By Stacey Callaghan, Jiayan Chen, Caroline Reignley, Scott Weinstein and Dexter Golinghorst on Apr 20, 2023
Posted In Digital Health, Employee Benefits, Health and Welfare Plans
On April 12, 2023, the US Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued a notice of proposed rulemaking detailing its proposal to modify the HIPAA Privacy Rule (Proposed Rule). The Proposed Rule comes as a part of the Biden administration’s response to the US Supreme Court’s ruling in Dobbs v. Jackson Women’s...
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Texas Abortion-related Litigation ‘just getting started’
By Caroline Reignley on Sep 2, 2022
Posted In Benefit Controversies, Employee Benefits, Health and Welfare Plans
It was a busy end of August for abortion-related litigation in Texas. Multiple pro-reproductive justice nonprofit groups sued Texas Attorney General Ken Paxton and other prosecutors to protect the ability of pregnant Texans to obtain abortions in outside states, and Texas’ new trigger ban law went into effect. In this MedCity News article, McDermott Partner Caroline...
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Biden Administration Takes Action to Improve Competition, Transparency and Quality for Hospitals and Nursing Homes
By Caroline Reignley, George Tzanetakos, Evie Atwater and Gregory Fosheim on Jul 14, 2022
Posted In Employee Benefits, Health and Welfare Plans
The Centers for Medicare & Medicaid Services (CMS) recently published detailed databases summarizing changes of ownership of Medicare-enrolled hospitals and skilled nursing facilities (SNFs). The databases currently include information from 2016 to 2022, but the data will be updated and released quarterly. CMS also released the skilled nursing facility prospective payment system (SNF PPS) proposed...
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Preparing for the Demise of Roe v. Wade and the Criminalization of Abortion in Some US States: Practical Considerations for a Post-Roe World
By David Quinn Gacioch, Stacey Callaghan, Dana McSherry, Caroline Reignley, Paul Thompson and Sarah Raaii on Jun 15, 2022
Posted In Benefit Controversies, Employee Benefits, Health and Welfare Plans
Sometime in the next several weeks, the Supreme Court of the United States will issue its decision in Dobbs v. Jackson Women’s Health Organization (Dobbs). Based on the draft majority opinion authored by Justice Samuel Alito that was leaked to Politico in early May, there is a significant chance that the Court will overrule Roe v. Wade (Roe) and Planned Parenthood...
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