Some SNF Claims Being Placed on Hold
CMS is holding a number of claims from SNFs as they continue to refine their payment systems for PDPM. See the following from CMS’ Medicare Learning Network (MLN): “CMS is …
Insights and News
CMS Approves Major Medicaid Behavioral Health Demonstration in Washington D.C.
Today CMS announced the approval of a first-of-its-kind Medicaid demonstration project that broadens treatment services available to Medicaid beneficiaries living in the District of Columbia diagnosed with serious mental illness …
CMS Releases the 2020 Physician Fee Schedule Final Rule
CMS has released the finalized 2020 Physician Fee Schedule. The final rule is mostly unchanged from the proposed rule that was released in July. The most significant new policies are …
CMS Releases the 2020 Home Health Final Rule
CMS issued a final rule that finalizes routine updates to the home health payment rates for 2020. This rule also includes: a modification to the payment regulations pertaining to the …
Updated Information on Health Insurance Responsibility Disclosure (HIRD) Filing Period
An important update for all Massachusetts employers from Mass Tax Connect: “Update on the correct dates for the HIRD filing for 2019 We recently sent out a notice to you …
US House Passes Important Hospice Bill
The House of Representatives has passed the Palliative Care and Hospice Education and Training Act (PCHETA). The bill will now move on to the Senate. PCHETA would increase the number …
2019 HIRD Reporting Requirement for Massachusetts Employers
Massachusetts state law requires every employer with six or more employees to annually submit a HIRD (Health Insurance Responsibility Disclosure) form. If you are an employer who currently has (or …
Health Plan Identifier Final Rule Release
HHS has announced a new rule, eliminating several regulatory requirements related to HIPAA. Health plans are no longer required to obtain and use a health plan identifier (HPID) and eliminates the …
Important Update: RAP Overpayment Demand Letters!
IMPORTANT INFORMATION FROM PALMETTO FOR HOME HEALTH PROVIDERS: “As of October 1, 2019, due to the implementation of CR 10776, Home Health Agencies (HHAs) may have received a demand letter …
CMS Delays Primary Care First Until 2021
CMS has delayed the start of Primary Care First Until 2021. The program was originally scheduled to begin next year. Primary Care First is a set of voluntary five-year payment model …