CMS released an informational bulletin announcing the opportunity for 10 states to apply to participate in a wellness program demonstration project. This bulletin gives states and issuers new flexibility to …
The DOJ is making a push to identify criminal charges that can be brought against nursing homes and staff accused of abusing and defrauding elderly patients. The DOJ’s civil division has …
This week CMS released Omnibus Burden Reduction (Conditions of Participation) Final Rule. The rule “removes Medicare regulations identified as unnecessary, obsolete, or excessively burdensome on hospitals and other healthcare providers …
Today CMS issued a final rule that sets new requirements for discharge planning. CMS wants patients to have a more active role in the process, as well as continue to …
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, …
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 …
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 …
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 …
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 …
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 …
