The National Quality Forum has released their 2019-2020 Measure Applications Partnership Workgroup Recommendations. A total of 16 new quality measures are either supported or conditionally supported for rule-making. A new measure …
If drug manufacturers want certain drugs covered by Medicaid, they must participate in both “340B” and Medicaid Drug Rebate programs. The 340B program allows certain hospitals and clinics to buy …
From the RELI Group: “PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data …
Today, CMS’ “Compare” websites are separate entities that provide information on different provider types. Last week, CMS announced plans to combine and standardize these eight existing Compare tools, allowing users …
A new DRAFT version of the MDS 3.0 Item Set Change History for October 2020 (v1.18.0) was posted. This document reflects the changes in the DRAFT version of the 2020 …
From CGS: CGS monitors quarterly data for the top home health and hospice (HHH) medical review denial reasons. In addition to the quarterly data, you will find CGS and CMS …
CMS has posted the January 2020 refresh of the OASIS Quarterly Q and As. These are always worth reading, and with PDGM causing confusion and headaches for most home health …
CMS is requesting input from providers to determine “best practices for using out-of-state providers to provide care to children with medically complex conditions; determine how care is coordinated for such …
The Department of Justice obtained more than $3 billion in settlements and judgments from civil cases involving fraud and false claims against the government in the fiscal year ending Sept. …
Yesterday, CMS announced a streamlined survey and certification process for psychiatric hospitals. Beginning in March 2020, CMS will implement a streamlined process in which psychiatric hospitals will receive one comprehensive hospital survey …
