Private Equity Home Health Purchases Slow Down Ahead of PDGM
The home health industry has been experiencing record amounts of merger and acquisition activity over the past few years. However, there are signs that the market may be cooling off, …
Insights and News
New Demand Letter Process Affecting Auto-Cancelled RAPs
CMS issued Change Request (CR) 10776, which implemented a new demand letter process affecting auto-cancelled RAPs. Effective October 1, 2019, a demand letter is issued when an overpayment exists as …
New Performance Data for Medicare Part C and D Programs
The number of Medicare Part D prescription drug plan members who will be in plans with four stars or higher increased to 27.6% for 2020, according to a new report …
Medicare Diabetes Prevention Program (MDPP) Billing and Claims Webinar
CMS is hosting a webinar that will provide an overview on the MDPP Billing and Claims process this Thursday, October 17th at 3pm EST. During this webinar, participants will become familiar …
Important MIPS Dates and Deadlines
Clinicians and groups participating in MIPS have several important deadlines coming up. Add these tasks to your calendar and get them done early! December 31 – 2019 Promoting Interoperability Hardship …
Physician Self-Referral Regulations Proposed Rule Offers an Easier Path to Value-Based Reimbursement
From CMS: “On October 9, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral …
CMS to Place “Stop” Icon Next to SNFs that Have Received Abuse Citations
From the CMS Newsroom: “The Trump Administration and CMS announced a major enhancement of the information available to nursing home residents, families, and caregivers on the Agency’s Nursing Home Compare website. Later …
SNFs Begin Making Cuts to Stay Profitable Under PDPM
Last week, Genesis Healthcare said “it has reorganized its therapy gyms in response to PDPM and other industry changes.” The company laid off 585 out of about 10,000 Genesis Rehab …
President Trump Signs Executive Order to Expand Medicare Advantage
President Donald Trump signed a new executive order created to expand Medicare Advantage. The order requires HHS and CMS to eliminate payment discrepancies between Medicare Advantage and traditional Medicare within …
SNF PDPM Assessments and Grouper Update from CMS
Important news for all SNF providers from CMS: “CMS is aware of issues with the latest PDPM DLL Package (V1.0002 FINAL). We are targeting to release an updated version on Monday, October …