The Hospice Outcomes & Patient Evaluation (HOPE) is a standardized patient assessment that CMS is developing for the HQRP. In theory, HOPE will provide hospices with “real-time patient assessments to …
Today, CMS is posting the first set of underlying COVID-19 nursing home data. On April 19, 2020, CMS announced the requirement that nursing homes to inform residents, their families, and …
From CMS: Hospice HIS provider preview reports and CAHPS Survey provider preview reports have been updated and are now available. These two separate reports are available in your CASPER non-validation …
CMS unveiled enhanced enforcement for nursing homes with violations of longstanding infection control practices. The enhanced and targeted accountability measures are based on early trends in the most recent data …
CMS updated their MLN Matters Article on the Medicare FFS Response to the Coronavirus Public Health Emergency. The revised article clarifies when you must use modifier CR (catastrophe/disaster related) and/or …
From UnitedHealthcare: “The following resources will help you quickly reference the effective dates for UnitedHealthcare’s temporary benefit, program and procedure changes related to COVID-19, as well as billing guidelines for …
CMS finalized requirements that will increase access to telehealth for seniors in Medicare Advantage (MA) plans, expand the types of supplemental benefits available for beneficiaries with an MA plan who …
From HHS: Today, the U.S. Department of Health and Human Services (HHS) is announcing it has begun distributing billions in additional relief funds to skilled nursing facilities (SNFs) to help …
The MassHealth Provider Access Improvement Grant Program (PAIGP) aims to help eligible MassHealth Fee-for-Service providers increase access to healthcare and improve outcomes for patients with disabilities, or for whom English …
From CMS and CGS: COVID-19: Which Laboratory Claims Require the NPI of the Ordering/Referring Professional? During the COVID-19 Public Health Emergency, CMS is relaxing billing requirements for a limited number …
