Is it the Beginning of the End for the Affordable Care Act?
U.S. District Judge Reed O’Connor issued a ruling last Friday on the case of Texas v. Azar, which invalidated the Affordable Care Act (ACA). President Trump has vowed to enforce …
Insights and News
Back to Basics – Mastering Medicare Acronyms
Even the most seasoned health care provider can sometimes get lost in the alphabet soup of CMS. There’s no shame in having to search for the occasional acronym – we’re …
Getting Ready for the New MCR E-Filing System
Is your organization prepared for the switch the MCReF system next year? Providers that prefer to submit their MCR electronically must do so using the new system on January 2 …
2019 Mileage Rate
For providers who pay mileage, expect to pay a little more in 2019! The Internal Revenue Service today issued the 2019 optional standard mileage rates used to calculate the deductible costs …
2019 Redesign of Hospice Periods
CR 10967 provides excellent news for Hospice Providers – there is no new policy, simply revisions to help Hospices with processing issues stemming from the new design of hospice periods …
HCPCS Code Updates for Home Health Consolidated Billing Enforcement
The quarterly HCPCS code updates are here, and it’s an uneventful end to the year. No changes are being made to the HH consolidated billing non-routine supply code list. However, …
Changes to the CWF for Medicare Providers
Per CR 10983 – the Common Working File will require verification of the National Provider Identifier and Submitter Identification. This is similar to the HIPAA Eligibility Transaction System (HETS) – …
2019 Final Rule – Changes for Hospice Providers
In the Final Rule released and now in effect, CMS had some notable concerns about hospice providers which will be the subject of increased scrutiny. As time goes on, hospices …
Universal Home Care Defeated in Maine
A ballot question received a resounding no vote from the voters of Maine on November 6th. Voters were asked to vote yes or no on a ballot initiative that would …
2019 Final Rule, More Changes and our Analysis
Last time, we discussed the biggest changes in the CMS’ Final Rule for 2019. Now, let’s take a closer look at changes to reporting, regulatory reduction, and what this means …