Walmart Opens Its First Health Clinic
The first Walmart Health clinic opened this month in Georgia. The clinic works with local providers to offer services including primary care, lab work, x-rays, EKGs, vision and hearing care, …
Insights and News
CMS Announces New Details About 2020 Medicare Advantage Plans
CMS announced today that most Medicare Advantage beneficiaries will enjoy lower premiums and expanded benefits next year. Among the facts released today, CMS highlighted: The Medicare Advantage average monthly plan …
CMS Releases New Post-Acute Care and Hospice Utilization and Payment Data
Today, CMS posted the first annual release of the Post-Acute Care and Hospice Utilization and Payment Public Use Files (PAC PUF) with data for 2017. The PAC PUF replaces the …
Final Stretch for PDPM: Download the New RAI Manual Today
CMS has released the final version of the MDS 3.0 RAI Manual (version 1.17.1). There are several important changes that providers should review before October 1st. This should be the …
Addressing Claims with Reason Code 37253: A Helpful Article from CGS
Many home health providers have received an increase in denials due to reason code 37253. This code causes your claim to go to the Return to Provider (RTP) file when …
Home Health & Hospice Providers FISS DDE Annual Recertification Must be Completed by September 30th!
Each year, Medicare providers are required to recertify their FISS DDE user access. September 30, 2019 is the last day to complete the Annual DDE PPTN Recertification form. Failure to recertify will …
California Law Targeting Gig Economy Workers Could Hurt Home Health Agencies
California’s Assembly Bill 5 (AB 5) passed in the State Senate last week, and is expected to be signed into law. AB5 is intended to ensure that “gig” workers like …
New Details about the HOPE Assessment Tool
As required in the 2020 Hospice Final Rule, CMS is moving forward with their development of a new patient assessment tool called HOPE (Hospice Outcomes and Patient Evaluation). The two …
Hospice Provider Preview Reports are Available Now
Hospice provider preview reports and Hospice CAHPS Survey provider preview reports have been updated and are now available. These two separate reports are available in your CASPER non-validation reports folder. …
CMS Issues a New Rule Targeting Fraud in Federal Insurance Programs
CMS issued a final rule designed to stop fraud before it happens by keeping unethical providers out of federal health insurance programs like Medicare. CMS wants to end what they …