OASIS Quarterly Q & As Now Available! Important PDGM Info Inside!
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 …
Insights and News
CMS Requests Feedback on Using Out-of-State Providers for Medicaid-Covered Children
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 DOJ Recovers over $3 Billion from False Claims Act Cases in 2019
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. …
CMS Releases New Survey Process for Psychiatric Hospitals
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 …
Four Times as Many Medicare Advantage Plans Offer Palliative Care in 2020 than in 2019
Duke University’s Margolis Center for Health Policy has released a new study examining all the latest changes in supplemental benefits offered by Medicare Advantage Plans. Key among the changes is …
IRS Tools for Gig Economy Workers
The gig economy—also called sharing economy or access economy—is activity where people earn income providing on-demand work, services or goods. Often, it’s through a digital platform like an app or …
New Report from MACPAC May Show Regulations to Come for Substance Use Disorder Treatment
States are using Medicaid funding to pay for behavioral health and substance use disorder treatment at non-federally approved facilities, according to a report from MACPAC released this month. Like many …
MassHealth Amends the Personal Care Attendant Program
MassHealth is amending the Personal Care Attendant program regulations to update and clarify certain requirements of the MassHealth Personal Care Attendant (PCA) program. The amendments promote the effective operation of …
The Next CMS Home Health, Hospice & DME Open Door Forum
This Wednesday, January 8th at 2:00 PM Eastern Time (ET), CMS is hosting the next Home Health, Hospice, and DME Open Door Forum. This call will be Conference Call Only. To …
Medicaid Supplemental Payment Changes Target SNF Revenue
From Modern Healthcare: “A proposal to ramp up reporting requirements is threatening one of skilled nursing operators’ most significant revenue streams and could dent profitability, analysts said.” “CMS’ proposed new rule would …