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CMS Approves Medicaid Section 1135 Waivers for 11 States to Fight COVID-19

25MarchMedical Billing & Collections, Newsletter

CMS approved an additional 11 state Medicaid waiver requests under Section 1135 of the Social Security Act (Act), bringing the total number of approved Section 1135 waivers for states to 13. Last week, CMS approved COVID-19 related state Medicaid section 1135

CMS Approves First State Request for 1135 Medicaid Waiver in Florida

17MarchMedical Billing & Collections, Newsletter

From CMS: “On March 13, 2020, President Trump declared the rapidly evolving COVID-19 situation a national emergency. This bold action enables the Centers for Medicare and Medicaid Services (CMS) to waive certain requirements in Medicare, Medicaid, and CHIP under Section

CHIA and Massachusetts Health & Hospital Assoc. Release Report on Social Risk Factors and Readmissions

26FebruaryNewsletter, Uncategorized

The CHIA (Center for Health Information and Analysis) has released a report from the statewide Social Risk Factors and Readmissions Workgroup, which details the proposed solution for accounting for social risk factors in the public reporting of all-payer, unplanned hospital readmissions. From

The Biggest Changes in President Trump’s Proposed 2021 Budget

11FebruaryNewsletter

The Trump Administration has released their proposed fiscal year 2021 budget. There are many proposed changes that will impact providers across the entire spectrum of healthcare. We have included some notable excerpts from the White House’s Budget for America’s Future

A New Bill May Slow Down Experimental Payment Models

5FebruaryMedical Billing & Collections, Newsletter

The Strengthening Innovation in Medicare and Medicaid Act—HR 5741—would require the HHS secretary to keep track of how a demonstration model affects beneficiaries’ access to care. HHS would also have to monitor the effects of delivery and payment changes on healthcare

New Primary Care First Webinar is Available from CMS

26JulyHospice Today, Newsletter

This week, CMS hosted a webinar that provided more details about Primary Care First. This program is designed to strengthen partnerships between primary care providers and palliative care providers to improve patient outcomes. The topics discussed in the webinar included the

The PACE Program Receives its First Update Since 2006

3JuneHome Health Today, Newsletter

CMS finalized a rule to update and modernize the PACE program. This rule is the first major proposed update to the Programs of All-Inclusive Care for the Elderly (PACE) since 2006. The majority of participants served by PACE are dually

Comment Period for CMS’ Proposed 2020 Hospice Payment Rates Ends Soon

24MayHospice Billing, Hospice Today, Newsletter

Last month, CMS released a new proposed rule, CMS-1714-P, which contained bad news for most hospice providers. If finalized as written, this rule would cut reimbursement for routine home care by 2.7%. This cut will “pay” for a 2.7% increase

Medicare’s Hospital Insurance Trust Fund Will Run Out by 2026

26AprilNewsletter

The Hospital Insurance Trust Fund will only be able to fund about 89% of Medicare costs over the next seven years, according to a new report from CMS. This is due to a combination of less tax revenue, higher payments

CMS to Release Improvements to Nursing Home Compare in April

5MarchNewsletter

Today, CMS announced updates coming next month to Nursing Home Compare and the Five-Star Quality Rating System. The April 2019 changes include revisions to the inspection process, enhancement of new staffing information, and implementation of new quality measures. The changes

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Blog

New G-Codes for Home Health Therapy Assistants
New Reporting Requirements: COVID-19 Provider Grant Expense Reporting
Updated PEPPER Retrieval Maps Allow Comparison By State
CMS Issues New Guidance for Nursing Home Visitation
SNFs: More Regulation Coming Your Way. New Report from the Coronavirus Commission for Safety and Quality in Nursing Homes.

Blog & Newsletters

New G-Codes for Home Health Therapy Assistants
New Reporting Requirements: COVID-19 Provider Grant Expense Reporting
Updated PEPPER Retrieval Maps Allow Comparison By State
CMS Issues New Guidance for Nursing Home Visitation
SNFs: More Regulation Coming Your Way. New Report from the Coronavirus Commission for Safety and Quality in Nursing Homes.
The Push Towards Value-Based Care Continues – New Roadmap for Medicaid from CMS

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Tortolano & Company specializes in providing financial, operational and clinical support to healthcare organizations and small businesses across the United States. We become your partner in success to ensure your goals are met. Contact us today so we can help you build the organization you have always wanted!

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Seabrook, NH 03874

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