SNF PDPM Claims Issue: New Guidance from CMS
CMS’ MLN Connects offers new guidance for SNFs struggling with PDPM initial claims: “Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence …
Insights and News
CHIA and Massachusetts Health & Hospital Assoc. Release Report on Social Risk Factors and Readmissions
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 …
CMS is Ramping Up Oversight of Accrediting Organizations
From Modern Healthcare: The CMS plans to enhance oversight of accrediting organizations in light of conflict of interest concerns and publicized safety issues at provider organizations, according to CMS Administrator …
REMINDER: The Next Home Health, Hospice & DME Open Door Forum is This Wednesday!
The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, February 26, 2020 PM at 2:00-3:00 PM Eastern Time (ET). The Open Door Forum will include …
Big Updates Coming at the Next Home Health, Hospice & DME Open Door Forum
The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, February 26, 2020 PM at 2:00-3:00 PM Eastern Time (ET). The Open Door Forum will include …
Bill Correctly for Medicare Telehealth Services
From CMS MLN Connects: In a recent report, the Office of Inspector General (OIG) determined that the Centers for Medicare & Medicaid Services (CMS) improperly paid practitioners for some telehealth …
A Deep Dive on SNF Oversight: Don’t Be Caught Off-Guard!
CMS has posted a new article about their new oversight initiatives for SNFs. Registered nurse staffing is being heavily scrutinized with CMS relying on a payroll-based journal reporting tool. It …
2021 Hospice Capitation Payment Rate Actuarial Methodology Webinar
CMS is holding a call on Wednesday, February 26, 2020 at 2:00 P.M. EST to discuss the CY 2021 Hospice Capitation Payment Rate Actuarial Methodology for the Value-Based Insurance Design …
You Can Never Be Too Careful: Check Out These HIPAA Administration Simplification Fact Sheets From CMS
CMS has created a series of fact sheets explaining the basics of HIPAA Administrative Simplification transactions and code sets. These fact sheets are designed to help the health care industry …
Still Struggling with the Basics of PDGM? Check Out this Resource from CMS!
Earlier this week, CMS hosted a presentation about PDGM that provides a good overview of the basics, as well as covering specific issues that have been popping up as the …